Eforms.state.gov

U .S. Dep artm en t of State AP P L IC AT IO N F OR A U.S

WebU .S. Dep artm en t of State AP P L IC AT IO N F OR A U.S . PAS S P O RT DS-1 1 -2 022 Ins tru ction P a ge 1 o f 4 P lease read all in st ru ct io n s first a nd ty pe or p rint in b lack in k to c o m p let e th is fo rm .

Actived: 3 days ago

URL: https://eforms.state.gov/Forms/ds11_pdf.PDF

AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, …

WebDS-5507 09-2020 Page 1 of 4 U.S. Department of State OMB CONTROL NO. 1405-0187 EXPIRES: 05-31-2024 AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, Estimated Burden: 30 minutes PARENTAGE, AND SUPPORT

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STATEMENT OF CONSENT: ISSUANCE OF A U.S. PASSPORT …

WebPage 1 of 2 U.S. Department of State STATEMENT OF CONSENT: ISSUANCE OF A U.S. PASSPORT TO A CHILD OMB CONTROL NO. 1405-0129 EXPIRES: 05-31-2024 Estimated Burden: 20 minutes

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APPLICATION FOR CONSULAR REPORT OF BIRTH ABROAD …

WebDS-2029 03-2021. U.S. Department of State . OMB CONTROL NO. 1405-0011 Expiration: 05-31-2024. APPLICATION FOR CONSULAR REPORT OF BIRTH ABROAD . Estimated Burden: 60 minutes

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REQUEST FOR AUTHENTICATIONS SERVICE Estimated Burden: …

WebU.S. Department of State REQUEST FOR AUTHENTICATIONS SERVICE DS-4194 01-2023 Page 1 of 2 USE OF THIS FORM This form is used by individuals, institutions, and government agencies to request authentication and/or apostille certificates under the

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MEDICAL HISTORY AND EXAMINATION

WebSubmit the DS-1843 and other documentation via email in PDF format to [email protected] (preferred), or by fax to the Medical Records Department at 202-647-0292. VII: Medical Examiner comments on significant patient medical history and items checked "yes" on page 2/section II. Use additional pages if needed.

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DS-5511 Affidavit for the Surviving Spouse or Next of Kin

WebA U.S. Consular officer may only release the personal effects of the decedent to a person who has qualified legally to take care of the decedent's estate or, in appropriate circumstances, to the next of kin. Providing the information in the affidavit is voluntary, but, failure to complete this form will require the person claiming to be next-of

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REQUEST FOR OVERSEAS U.S. CITIZEN VITAL RECORDS …

WebThe information solicited on this form may be made available as a routine use to other government agencies and private contractors to assist the U.S. Department of State in issuing certificates under the Seal of the U.S. Department of State and requests for related services, and for law enforcement,

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MEDICAL CLEARANCE UPDATE

WebMEDICAL CLEARANCE UPDATE. Bureau of Medical Services, Room L101, SA-1, Washington, DC 20522-0102. MEDICAL CLEARANCE UPDATE. TO BE FILLED OUT BY EXAMINEE OR PARENT/GUARDIAN DATE (mm-dd-yyyy) 1a. Legal Name of Examinee (Last, First, MI) 8. Agency of Employee/Applicant/Sponsor STATE USAID FCS FAS U.S. …

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WHEN TO USE THIS FORM Use this form only if you cannot …

Webu.s. department of state statement of exigent/special family circumstances for issuance of a u.s. passport to a child under age 16 omb control no. 1405-0216

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CERTIFICATION OF FOSTER CHILD STATUS

WebSend DS-5111, Certification for Foster Child Status, to the HR Service Center at 1-843-202-3807. The child is unmarried and is under age 26 or over age 26 and incapable of self-support because of a disability that existed before age 26. The child lives with me in a regular parent-child relationship. I contribute regular and substantial support

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DEPARTMENT OF STATE DRUG TESTING POLICY

WebDepartment of State DEPARTMENT OF STATE DRUG TESTING POLICY Name . Signature . Date (mm-dd-yyyy) . DS-7663 09-2017 . The Department of State (Department), as a consequence of its leading role in the development and implementation of

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MEDICAL QUESTIONNAIRE FOR ASSESSMENT OF …

WebIf you have any questions, please call MED Domestic Programs at 202-663-2508. This form should be e-mailed as a scanned pdf to [email protected] or sent to medically secure fax 202-663-3673. Attn.: Domestic Programs Bureau of Medical Services 2401 E Street N.W. SA-1 Washington, DC 20522-0101. Email.

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EMPLOYMENT APPLICATION FOR LOCALLY EMPLOYED STAFF …

WebPRIVACY AND PAPERWORK REDUCTION ACT STATEMENTS (For U.S. Citizens and Legal Permanent Residents of the U.S.) AUTHORITIES The information is sought pursuant to The Foreign Service Act of 1980, as amended, and 22 U.S.C. 2669(c). PURPOSE The information solicited on this form will be used to establish your eligibility and …

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EMPLOYEE STATEMENT CONCERNING FEHB COVERAGE …

WebIf employee is terminating FEHB coverage, forward completed SF-2810 to HR Service Center at [email protected]. If applicable, forward completed SF-2809 to HR Service Center at [email protected]. Note: Please ensure the SF-50 is completed before forwarding the forms for processing. DS-5112. 03-2023.

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COMMON LAW MARRIAGE DECLARATION FORM

WebAuthorized Official (Please Print) 4. Name and Address of Agency of Retirement System. 6. Signature of Authorized Agency Official. Employing offices must add a copy of the common law marriage declaration (without the supporting documents) to the employee’s Official Personnel Folder or equivalent personnel file and send a copy to the FEHB Carrier.

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WRITTEN CONSENT TO RELEASE OF PERSONAL …

WebThe Act also permits - but does not require - the Department to share such information in various established common circumstances, such as when we engage with U.S. and foreign government authorities in connection with your case and when we work with various entities and individuals in emergency situations. The purpose of this form is to allow

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