Transcription of INTERAGENCY REPORT CONTROL VOUCHER NUMBER …
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Example: air traffic controller
INTERAGENCY REPORT CONTROL VOUCHER NUMBER …
NUMBERRELATIONSHIPDOB EXCEPT%DATE OF ARRIVALSPOUSESUPPORTAT POST(MM/DD/YY)RELATIONSHIPDOB EXCEPT%DATE OF SPOUSESUPPORTDEPARTURE(MM/DD/YY)FROM POST7540-00-782-38361170-DOS-AN15. REMARKS3. AGENCY4. AUTHORIZATION/GRANT NUMBER14. FAMILY DOMICILED AWAY FROM POSTNAME OF RELATIVERESIDENCE ADDRESSNAME OF RELATIVERESIDENCE ADDRESS5. PAY PLAN/SERIES/GRADE/ANNUAL SALARY8. DATE OF ARRIVAL9. PREVIOUS POST OF ASSIGNMENT1. EMPLOYEE NAME (LAST, FIRST, MIDDLE INITIAL)2. SOCIAL SECURITY NUMBER6. POSITION TITLE7. CURRENT POST/COUNTRY OF ASSIGNMENT/LOCALITY CODE(GOVERNMENT CIVILIANS, FOREIGN AREAS), SECTION erroneous or unauthorized OF STATE STANDARDIZED REGULATIONS (DSSR)13. FAMILY DOMICILED AT POSTSTANDARD FORM 1190(REV. 1/98) PAGE 1 OF 2parent agency and GAO. The Office of Allowances, Department of State, will review forms to set LQA rates. Lack of requested information may result FOREIGN ALLOWANCES APPLICATION,GRANT AND REPORTP rivacy Act Statement:Solicitation of this information is authorized under 5 5922, 9397 and 10903, Section 1(b-2) and DSSR Section information is used to determine employee eligibility for and appropriate amounts of allowances.
number relationship dob except % date of arrival spouse support at post (mm/dd/yy) relationship dob except % date of spouse support departure (mm/dd/yy) from post 7540-00-782-3836
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