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DoS DS-5109 2021-2025 free printable template

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U.S. Department of State Office of Civil Service Talent Management (GTM/CST)Accountability DivisionINDIVIDUAL 80DAY HIRING TIMELINE SERVICE AGREEMENT Human Resources (HR) is committed to providing
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How to fill out DoS DS-5109

01
Obtain the DoS DS-5109 form from the official U.S. Department of State website or relevant embassy/consulate.
02
Carefully read the instructions provided with the form to understand the requirements.
03
Fill out your personal information in the designated sections, including your full name, date of birth, and contact information.
04
Provide details about your citizenship status and any prior U.S. visas if applicable.
05
Answer all questions honestly and accurately, ensuring that you do not leave any mandatory fields blank.
06
Review the filled form for any errors or omissions before submitting.
07
Sign and date the form as required.
08
Submit the completed form as per the instructions, either electronically or in person at the appropriate location.

Who needs DoS DS-5109?

01
U.S. citizens or lawful permanent residents seeking to apply for certain benefits or permissions related to their status.
02
Individuals who have specific visa or immigration concerns that require the completion of this form.
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DoS DS-5109 is a form used by the U.S. Department of State for the purpose of reporting the registration of foreign contacts for U.S. citizens, particularly those involved in certain government functions.
Individuals who are U.S. government employees, particularly in sensitive positions, and who have contacts with foreign nationals or foreign entities are required to file the DoS DS-5109.
To fill out DoS DS-5109, individuals must provide personal information, details about the foreign contacts, the nature of the relationship, and any relevant information regarding the nature of the contact.
The purpose of DoS DS-5109 is to ensure transparency and security by tracking and monitoring interactions between U.S. government employees and foreign individuals or entities.
Information that must be reported on DoS DS-5109 includes the names, contact information of the foreign nationals or entities, the nature of the contact, and any potential conflicts of interest.
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