Navy HPSP reimbursement form (SF1164) question

[TheTruckGuy]

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So, according to the "step by step" instructions here (http://www.med.navy.mil/sites/navme...uppliesInsuranceandFeeReimbursementGuide.aspx), there's supposed to be columns a, b, and c in block 7 of the SF-1164 form, but I don't see them. So I put the total (including sales tax) under amount claimed because that's the first box, and then I just added up the totals for the original amount and just the tax and put it at the bottom of their respective columns. But that doesn't seem right since I don't want to claim the total (including tax) since it is my understanding that the Navy doesn't reimburse tax. Anyone know what goes where?

Thanks

See screen shot below.

 

[TheTruckGuy]

Got my answer from the Navy HPSP office, if anyone was interested. They sent an example form filled out.

Sorry for making it so small, but SDN wouldn't let me upload anything bigger.

Edit: Here's a google doc link to the original example form they sent me: https://drive.google.com/file/d/0B2nnapOhLM7EekxpSU5IUTBlYWNDQ3RkODVSS21IRXRmb3FR/edit?usp=sharing