Department: Department of State

• English
• Department of State

Form 5111-H

Certification of Foster Child Status under the Federal Employees Health Benefits (FEHB) Program

• English
• Department of State

Form DS-10

Birth Affidavit

• English
• Department of State

Form DS-1031-A

Biographic Data Sheet

• English
• Department of State

Form DS-109

Separation Statement

• English
• Department of State

Form DS-11

Application for a U.S. Passport

• English
• Department of State

Form DS-117

Application to Determine Returning Resident Status

• English
• Department of State

Form DS-130

LQA - Living Quarters Allowance Annual/Interim Expenditures Work Sheet (DSSR 130)

• English
• Department of State

Form DS-1504

Request for Customs Clearance of Merchandise

• English
• Department of State

Form DS-156-E

Nonimmigrant Treaty Trader / Investor Application Use with form DS-156/I-129

• English
• Department of State

Form DS-157

Petition for Special Immigrant Classification For Afghan SIV Applicants

• English
• Department of State

Form DS-158

Special Immigrant Visa Supervisor Locator

• English
• Department of State

Form DS-1622

Medical History and Examination for Children 11 Years and Under

• English
• Department of State

Form DS-1663

Report of Mishap

• English
• Department of State

Form DS-1664

Overseas Motor Vehicle Mishap Report

• English
• Department of State

Form DS-174

Application for Employment as a Locally Employed Staff or Family Member

• English
• Department of State

Form DS-1843

Medical History and Examination for Individuals Age 12 and Over

• English
• Department of State

Form DS-1884

Petition to Classify Special Immigrant Under INA 203(b) (4) as an Employee or Former Employee of the U.S. Government Abroad

• English
• Department of State

Form DS-1923

Family and Medical Leave Act (FMLA)

• English
• Department of State

Form DS-1950

Application for Employment

• English
• Department of State

Form DS-1952

Extra Mile Award

• English
• Department of State

Form DS-1963

Home Safety Checklist for Teleworkers

• English
• Department of State

Form DS-1968

Quality Step Increase (QSI) Recommendation

• English
• Department of State

Form DS-1974

Counseling Certification

• English
• Department of State

Form DS-1981

Affidavit Concerning Exemption From Immigrant Vaccination Requirements for a Foreign Adopted Child

• English
• Department of State

Form DS-1992

Allotment of Pay/Prior Service Credit (Foreign Service Employees) Application and Authorization to Make, Change, or Discontinue

• English
• Department of State

Form DS-1996

Living Pattern Questionnaire(LPQ) for Civilian Post Allowance and Military COLA

• English
• Department of State

Form DS-2004

Notification of Appointment of Foreign Government Employee

• English
• Department of State

Form DS-2005

Notification of Appointment of Honorary Consular Officer

• English
• Department of State

Form DS-2006

Notification of Change Identification Card Request

• English
• Department of State

Form DS-2020-P1P2

Retail Price Schedule (Part 1-Outlet Report and Part 2-Living Pattern Questionnaire Summary)

• English
• Department of State

Form DS-2020-P3

Retail Price Schedule (Part 3-Retail Prices)

• English
• Department of State

Form DS-2021

Retail Price Schedule (Part 4-Embassy or Consulate Store Survey)

• English
• Department of State

Form DS-2026

Hotel and Restaurant Report

• English
• Department of State

Form DS-2029

Application for Consular Report of Birth Abroad of a Citizen of the United States of America

• English
• Department of State

Form DS-2031

Shrimp Exporter's/Importer's Declaration

• English
• Department of State

Form DS-2038

Application for Certificate of International Educational Character

• English
• Department of State

Form DS-234

Special Immigrant Visa Biodata Form

• English
• Department of State

Form DS-3013

Application Under the Hague Convention on the Civil Aspects of International Child Abduction

• Department of State
• Portuguese

Form DS-3013-P (Portuguese)

REQUERIMENTO CONFORME PREVISTO NA CONVENÇÃO DE HAIA SOBRE OS ASPECTOS CIVIS DO RAPTO INTERNACIONAL DE CRIANÇAS

• Department of State
• Spanish

Form DS-3013-S (Spanish)

Solicitud conforme al Convenio de La Haya sobre los Aspectos Civiles de la Sustraccion Internacional de Menores

• English
• Department of State

Form DS-3034

Intergovernmental Personnel Act Agreement

• English
• Department of State

Form DS-3053

Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16

• English
• Department of State

Form DS-3057

Medical Clearance Update

• English
• Department of State

Form DS-3060

Authorization of Overtime and Premium Compensation for FLSA Exempt Employees

• English
• Department of State

Form DS-3060-2021

Authorization of Overtime and Premium Compensation for Employees Designated Exempt Under the FLSA (2021)

• English
• Department of State

Form DS-3060-2022

Authorization of Overtime and Premium Compensation for FLSA Exempt Employees (2022)

• English
• Department of State

Form DS-3072

Repatriation/Emergency Medical and Dietary Assistance Loan Application

• English
• Department of State

Form DS-3077

Request for Entry into Children's Passport Issuance Alert Program

• English
• Department of State

Form DS-3079

Formal Complaint of Discrimination

• English
• Department of State

Form DS-3090

Cryptographic Access Request

• English
• Department of State

Form DS-4017

Statement of Interest - Foreign Service Officer

• English
• Department of State

Form DS-4024

Smart Traveler Enrollment Program

• English
• Department of State

Form DS-4079

Questionnaire Information for Determining Possible Loss of U.S. Citizenship

• English
• Department of State

Form DS-4080

Oath/Affirmation of Renunciation of Nationality of United States

• English
• Department of State

Form DS-4081

Statement of Understanding Concerning the Consequences and Ramifications of Relinquishment or Renunciation of U.S. Citizenship

• English
• Department of State

Form DS-4082

Witnesses' Attestation Renunciation/Relinquishment of Citizenship

• English
• Department of State

Form DS-4083

Certificate of Loss of Nationality of the United States

• English
• Department of State

Form DS-4095

Subsistence Expense Allowance Application (SEA)

• English
• Department of State

Form DS-4131

Advance Notification Form Tourist and Other Non-Governmental Activities in the Antarctic Treaty Area

• English
• Department of State

Form DS-4138

Request for Escort Screening Courtesies

• English
• Department of State

Form DS-4139

Photograph and Signature Card

• English
• Department of State

Form DS-4140

Application for OFM Web Site Account

• English
• Department of State

Form DS-4141

Application for TOMIS Account

• English
• Department of State

Form DS-4145

Continued Service Agreement

• English
• Department of State

Form DS-4146

Foreign Service Assignments and Policy Commitments

• English
• Department of State

Form DS-4147

Medical Clearance Status Update

• English
• Department of State

Form DS-4151

Time & Attendance Sheet

• English
• Department of State

Form DS-4151-2021

Time and Attendance Sheet (2021)

• English
• Department of State

Form DS-4151-2022

Time and Attendance Sheet (2022)

• English
• Department of State

Form DS-4170

Time and Attendance

• English
• Department of State

Form DS-4170-2021

Time and Attendance (2021)

• Department of State

Form DS-4170-2022

Time and Attendance (2022)

• English
• Department of State

Form DS-4184

Risk Analysis Information

• English
• Department of State

Form DS-4192

Flag Loan Request

• English
• Department of State

Form DS-4194

Request for Authentications Service

• English
• Department of State

Form DS-4214

Accounting Classification for Non-Serviced Agencies Voucher Crosswalk / Input Template

• English
• Department of State

Form DS-4263

POEMS Hardware/Software Request

• English
• Department of State

Form DS-4282

Discrimination Complaint Form

• English
• Department of State

Form DS-4283

Courier Application Manifest

• English
• Department of State

Form DS-4285

Port Courtesies Request

• English
• Department of State

Form DS-4316

Eligibility Questionnaire for Havana Act Payments

• English
• Department of State

Form DS-5002

Designation of Beneficiary

• English
• Department of State

Form DS-5055

U.S. Foreign Service Employee Evaluation Report for FS-02, FS-01 and Senior Foreign Service tenured employees only

• English
• Department of State

Form DS-5105

Fair Labor Standards Act (FLSA) Worksheet

• English
• Department of State

Form DS-5106

Worksheet for Calculating Compensatory Time Off For Travel

• English
• Department of State

Form DS-5108

Competitive Recuitment Consultation Guide

• English
• Department of State

Form DS-5109

Office of Civil Service Human Resource Management Individual 80-Day Hiring Timeline Service Agreement

• English
• Department of State

Form DS-5110

Gateway to State Job Analysis

• English
• Department of State

Form DS-5111

• English
• Department of State

Form DS-5112

Employee Statement Concerning FEHB Coverage During Nonpay Status

• English
• Department of State

Form DS-5116

Qualification Analysis Worksheet

• English
• Department of State

Form DS-5118

Hiring Management Enterprise System Merit Promotion (MP) Case File Checklist

• English
• Department of State

Form DS-5119

Gateway to State - Hiring Management System Delegated Examining (DE) Case File Checklist

• English
• Department of State

Form DS-5137-A

Foreign Service Family Reserve Corps (FSFRC) Membership Application

• English
• Department of State

Form DS-5137-D

Foreign Service Family Reserve Corps (FSFRC) Declination of Membership

• English
• Department of State

Form DS-5147

Foreign Service Family Reserve Corps (FSFRC) Membership Recertification

• English
• Department of State

Form DS-5154

Work Obligation Statement

• English
• Department of State

Form DS-5155

Request for Paid Parental Leave (PPL)

• English
• Department of State

Form DS-5156

Common Law Marriage Declaration Form

• English
• Department of State

Form DS-5504

Application for a U.S. Passport - Name Change, Data Correction, and Limited Passport Book Replacement

• English
• Department of State

Form DS-5505

Written Consent to Release of Personal Information Under the Privacy Act

• English
• Department of State

Form DS-5506

Local American Citizen Skills/Resources Survey

• English
• Department of State

Form DS-5507

Affidavit of Parentage, Physical Presence and Support

• English
• Department of State

Form DS-5511

Affidavit for Surviving Spouse or Next of Kin

• English
• Department of State

Form DS-5525

Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor Under Age 16

• English
• Department of State

Form DS-5528

New Evacuee Manifest and Promissory Note Form

• English
• Department of State

Form DS-5537

JADE Act Questionnaire

• English
• Department of State

Form DS-5542

Vital Records Request

• English
• Department of State

Form DS-60

Affidavit Regarding A Change of Name

• English
• Department of State

Form DS-63

Education Allowance Questionnaire

• English
• Department of State

Form DS-64

Statement Regarding a Lost or Stolen Passport

• English
• Department of State

Form DS-6546

Medical Questionnaire For Assessment of Disability/Reasonable Accommodation

• English
• Department of State

Form DS-6563

Release of Medical Information

• English
• Department of State

Form DS-6570

Employee Self-Certification and Ability to Perform in Emergencies (ESCAPE) Posts

• English
• Department of State

Form DS-66

Nomination For Award

• English
• Department of State

Form DS-7002

Training/Internship Placement Plan

• English
• Department of State

Form DS-7601

Authorization to Conduct Criminal History Inquiry for Spouse or Cohabitant

• English
• Department of State

Form DS-7603

Notice of Transfer of Labor Charges

• English
• Department of State

Form DS-7603-2022

Notice of Transfer of Labor Charges (2022)

• English
• Department of State

Form DS-7604

Living Quarters Summary Expenditure Report

• English
• Department of State

Form DS-7646

U.S. National Commission for UNESCO Fellowship Laura W. Bush Traveling Fellowship

• English
• Department of State

Form DS-7651

Office of Language Services Contractor Application Form

• English
• Department of State

Form DS-7663

Department of State Drug Testing Policy

• English
• Department of State

Form DS-7664

Voluntary Separation Incentive Payments

• English
• Department of State

Form DS-7665

Unemployment Insurance Benefits

• English
• Department of State

Form DS-7666

Locator Sheet

• English
• Department of State

Form DS-7669

Affidavit Pursuant to Declaring Domestic Partner Relationship

• English
• Department of State

Form DS-7675

Foreign Mission Emergency After-Hours Contact Information

• English
• Department of State

Form DS-7677

Contractor Country Clearance Request (CCCR)

• English
• Department of State

Form DS-7691

Special Issuance Passport Application No-Fee Transmittal

• English
• Department of State

Form DS-7768

Employee Evaluation Report (Optional Short Form)

• English
• Department of State

Form DS-7781

Adoptive Family Relief Act Refund Application

• English
• Department of State

Form DS-7795

Financial Disclosure Management System User Account Request

• English
• Department of State

Form DS-82

U.S. Passport Renewal Application for Eligible Individuals

• English
• Department of State

Form DS-86

Statement of Non-Receipt of a Passport

• English
• Department of State

Form JF-298

Interagency Overseas Employment Position Description

• English
• Department of State

Form JF-50-D

Merit-Based Compensation (MBC) Employee Performance Report (EPR) for Locally Employed Staff

• English
• Department of State

Form JF-57-EPR

Employee Performance Report for Not Ordinarily Residents (NOR)

• English
• Department of State

Form JF-57-PD

Performance Discussion for Not Ordinarily Residents (NOR)

• English
• Department of State

Form JF-57-PIP

Performance Improvement Plan (PIP) for the Not Ordinarily Resident (NOR)

• English
• Department of State

Form SF-1199-A

Direct Deposit Sign-up Form

• English
• Department of State

Form SF-1402

Certificate of Appointment