Step 1:
Traveler initiates request for other than economy/coach class accommodations, providing:

1. Medical Documentation Requirement Format form completed and certified by competent medical authority and dated within six months of travel
2. Traveler's Request for Premium-Class Travel form that includes: travel fare amount in U.S. dollars for coach-class and other than economy/coach class accommodations (nearest dollar), ticket issuing location (name and location of CTO), and
3. Copy of travel orders must be submitted as soon as they are completed by DLA. The Medical Documentation Requirement Format form and the Traveler's Request for Premium-Class Travel form should be submitted first.

Step 2

• Submit to DoDEA via e-mail or facsimile

Step 3

• Medical consultant retained by DoDEA reviews certification and provides recommendation

Step 4

• Review by DoDEA Office of General Counsel

Step 5

• Review by DoD Office of General Counsel

Step 6

• Acting DoDEA Director coordinates

Step 7

• ASD (R&FM) reviews

Step 8

• PDUSD (P&R) approves/disapproves

Step 9

• If approved, DoDEA OCA notifies DLA for amendment of travel orders

Step 10

• With amended travel orders traveler request ticket from CTO

Step 11

• CTO issues ticket