What is the purpose of the DS‑4139 form?

It records personal and diplomatic information for individuals working at foreign missions in the U.S., establishing eligibility for diplomatic privileges and immunities.

Do I need Adobe Acrobat to complete DS‑4139?

No. Formize’s online PDF filler lets you complete, sign, and download the form directly in your web browser.

Can I save my progress and finish later?

Yes. The filler allows you to save a draft locally and reopen it later before the final submission.

What happens if I submit the form with missing fields?

The Office of Foreign Missions will reject the submission, causing delays. The online filler highlights required fields to prevent this.

Where should I send the completed DS‑4139?

Email the PDF to ofm@state.gov or upload it through the eGov portal at https://egov.ofm.state.gov.

Is the DS‑4139 form still valid for 2024‑2025?

Yes. The current version (2022‑2025) is available via the official State Department link and is accepted until a new revision is published.

Do I need a digital signature to submit?

A hand‑drawn electronic signature created in the Formize filler satisfies the State Department’s requirements.

DS-4139 Signature Card – Fillable PDF Form

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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.

Click “Fill out this form.” The Formize PDF Filler app loads the DS‑4139 PDF automatically.
Enter your information. Fill each field—PID, name, mission type, card details, etc.—using the on‑screen keyboard.
Sign the form. Use the signature tool to draw your signature or upload a scanned image.
Review. Double‑check every entry for accuracy; the filler highlights empty required fields.
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.

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FAQ

What is the purpose of the DS‑4139 form?
It records personal and diplomatic information for individuals working at foreign missions in the U.S., establishing eligibility for diplomatic privileges and immunities.
Do I need Adobe Acrobat to complete DS‑4139?
No. Formize’s online PDF filler lets you complete, sign, and download the form directly in your web browser.
Can I save my progress and finish later?
Yes. The filler allows you to save a draft locally and reopen it later before the final submission.
What happens if I submit the form with missing fields?
The Office of Foreign Missions will reject the submission, causing delays. The online filler highlights required fields to prevent this.
Where should I send the completed DS‑4139?
Email the PDF to ofm@state.gov or upload it through the eGov portal at https://egov.ofm.state.gov.
Is the DS‑4139 form still valid for 2024‑2025?
Yes. The current version (2022‑2025) is available via the official State Department link and is accepted until a new revision is published.
Do I need a digital signature to submit?
A hand‑drawn electronic signature created in the Formize filler satisfies the State Department’s requirements.

HOW TO

How to fill out DS-4139 for free, online in 5 easy steps:

1
Open the Form
Click the “Fill out this form” button on the page. The Formize PDF Filler will load the official DS‑4139 PDF automatically.
2
Enter Your Details
Complete each field – PID, name, mission type, card information, and dates – using the on‑screen keyboard.
3
Add Your Signature
Use the signature tool to draw your signature with your mouse, trackpad, or touchscreen.
4
Review and Validate
Check that all required fields are filled. The filler will highlight any missing information.
5
Save or Send
Download the finished PDF to your device or email it directly to the Office of Foreign Missions via the provided link.

ABOUT

Department of State (DOS) Forms

DS-4139 is one of application forms that are used by the United States Department of State (DOS) to collect information and process various services related to international travel, visas, passports, and consular services. The DOS is responsible for managing U.S. foreign policy, international relations, and providing services to U.S. citizens and foreign nationals.

Here are some examples of Department of State forms:

Passport Application Forms: These forms are used to apply for a U.S. passport, which is an official document issued by the government that allows individuals to travel internationally. Passport application forms collect personal information, details about citizenship, identity, and other required information.

Nonimmigrant Visa Application Forms: The DOS oversees the issuance of nonimmigrant visas, which allow foreign nationals to temporarily visit the United States for various purposes such as tourism, business, study, or work. Nonimmigrant visa application forms, such as the DS-160, DS-156, or DS-260, are used to gather information about the applicant's personal details, travel history, purpose of travel, and other relevant information.

Immigrant Visa Application Forms: For individuals seeking to immigrate to the United States, immigrant visa application forms are used. These forms collect detailed information about the applicant's personal history, family members, employment history, and other relevant information. Examples include the DS-260 form for family-based immigration or the DS-230 form for diversity visa lottery winners.

Consular Report of Birth Abroad (CRBA) Form: This form is used to document the birth of a U.S. citizen child abroad to U.S. citizen parents. It collects information about the child, parents, and supporting documentation.

Affidavit of Support Forms: When sponsoring an immigrant to the United States, a U.S. citizen or lawful permanent resident may need to submit an Affidavit of Support form. This form, such as the I-864 or I-134, is used to demonstrate the financial ability to support the intending immigrant and prevent them from becoming a public charge.

Consular Services Forms: The DOS provides various consular services to U.S. citizens and foreign nationals, such as notarial services, requests for emergency assistance, or renunciation of U.S. citizenship. Specific forms are used for these services, including forms DS-11, DS-3053, or DS-4079, depending on the nature of the service requested.

It's important to note that the specific forms used by the U.S. Department of State can change over time, and different services may require different forms. It's advisable to visit the official website of the U.S. Department of State or consult with the nearest U.S. embassy or consulate for the most up-to-date and accurate information regarding the specific forms required for various services.

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