DS-5137-D Declination of Membership Form – Fillable PDF

The DS-5137-D is the official U.S. Department of State form used to decline membership in the Foreign Service Family Reserve Corps (FSFRC). Whether you are a career employee or a temporary contractor, this form must be completed accurately before the deadline set by your agency.

Formize provides a secure, browser‑based PDF filler so you can complete the DS-5137-D without installing any software. Simply click the button on this page, fill each field, sign with your finger or mouse, and download or submit the completed document.

What Is the DS-5137-D Form?

The DS-5137-D collects personal and employment information, including your name, employee ID, current posting, and a certification statement confirming you are declining FSFRC membership. The form is part of the State Department’s effort to maintain a ready reserve of qualified personnel for overseas assignments.

How to Fill the DS-5137-D Online with Formize

Follow the step‑by‑step guide below to complete the form quickly and accurately.

Common Mistakes to Avoid

• Using a .state.gov email address for the personal email field – the form requires a non‑government email.
• Leaving the certification checkbox unchecked – the form will not process without it.
• Mismatching your name with the exact format on your SF‑50 (Last, First, Middle Initial).

Where to Submit the Completed Form

After you have signed the form, send the PDF to your agency’s HR office via the secure email address provided in your onboarding packet, or upload it to the internal HR portal as instructed.

Download the Official PDF

If you prefer to download the original PDF for offline use, click the link below. The file is hosted by the U.S. Department of State and is the most up‑to‑date version.

Download DS-5137-D (PDF)