DS-4139 Signature Card – Fillable PDF Form

The DS-4139 Signature Card is the official form used by the U.S. Department of State’s Office of Foreign Missions to record individuals working at foreign missions or international organizations in the United States. This form captures personal details, diplomatic status, and card information that determine eligibility for diplomatic or consular privileges.

What Is the DS-4139 Signature Card?

Issued under OMB Control No. 1405‑0105, the DS-4139 collects:

• Applicant’s personal data (name, PID, nationality, DOB)
• Mission type and location
• Card type, expiration date, and signature
• Certifying authority details

The form is required for every employee, contractor, or family member who needs diplomatic benefits, such as tax exemptions or visa privileges.

Why Use Formize’s Online PDF Filler?

Formize lets you fill the DS-4139 directly in your browser—no Adobe Acrobat needed. Benefits include:

• Instant loading of the official PDF from the State Department
• Keyboard‑friendly fields and auto‑date pickers
• Secure, cloud‑based saving and downloading
• Ability to sign with a mouse or touch screen

Step‑by‑Step Guide to Completing DS‑4139

Follow these simple steps to finish the form quickly and accurately.

1. Click “Fill out this form.” The Formize PDF Filler app loads the DS‑4139 PDF automatically.
2. Enter your information. Fill each field—PID, name, mission type, card details, etc.—using the on‑screen keyboard.
3. Sign the form. Use the signature tool to draw your signature or upload a scanned image.
4. Review. Double‑check every entry for accuracy; the filler highlights empty required fields.
5. Download or email. Save the completed PDF to your device or send it directly to the Office of Foreign Missions.

Common Mistakes to Avoid

• Using colored ink or non‑standard fonts – the filler forces black text automatically.
• Leaving the "Date of Expiration" blank – the form will not submit until all required dates are entered.
• Misspelling the mission name – verify the official mission title on the State Department website.
• Forgetting the certifier’s signature – both applicant and certifying authority must sign.

Where to Submit the Completed Form

After downloading the filled DS‑4139, email it to ofm@state.gov or upload it through the eGov portal. Keep a copy for your records.

Ready to start? Click the button below, fill out the DS‑4139 online, and submit with confidence.