
U.S. Department of Statesman LOAN REQUEST SECTION 1: REQUESTER'S INFORMATION Name (Last, First, MI)Request Date (mmddyyyy)Requesting Agency (If Other Than Department of State)Zoomorphic Phone Mobile.
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How to fill out the DoS DS-4192 online
The DoS DS-4192 is a request form used by the U.S. Department of State for flag loans. This guide provides clear instructions to help you complete the form accurately and efficiently online.
Follow the steps to complete the form with ease.
- Press the ‘Get Form’ button to access the DoS DS-4192 and open it in your preferred online editor.
- Begin by filling out Section 1, which includes the requester’s information. Enter your name in the format of last name, first name, and middle initial. Provide the request date in the mm-dd-yyyy format. If you are from an agency other than the Department of State, indicate that in the requesting agency field. Include your room number, office phone, mobile phone, and return date in mm-dd-yyyy format. Lastly, specify the building.
- In Section 2, focus on the request information. Fill in the number of flags, bases, spires, eagles, and poles you are requesting. Specify the event location and purpose of the request. Acknowledge the note about the responsibility for returning the flags by signing and dating in the indicated spaces.
- Proceed to Section 3, where you need to fill in the authorizing official's name in the last name, first name, and middle initial format. Indicate the date by which the items must be returned in the mm-dd-yyyy format.
- Complete Section 4, where you will document the return of the items. Enter the name of the person returning the items in last name, first name, and middle initial format. Fill in the date returned in the mm-dd-yyyy format and list the items returned. Finally, provide a signature to confirm the return.
- After filling out all the sections, review the entire form for accuracy and completeness. Save your changes and utilize options to download, print, or share the completed DoS DS-4192 form as needed.
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