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Get Dos Ds-4184 2019-2025
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How to fill out the DoS DS-4184 online
The DoS DS-4184 form is essential for individuals or organizations seeking funding through contracts, grants, or cooperative agreements with the U.S. Department of State. This guide provides a clear, step-by-step approach to completing the form online, ensuring accuracy and compliance.
Follow the steps to successfully complete the DoS DS-4184 form.
- Click the ‘Get Form’ button to obtain the form and open it in your preferred digital format.
- In Part 1, fill out the information about the contract or grant, including the name of the prospective contractor or grantee, the type of agreement (contract, grant, other), the total dollar value, and relevant dates.
- Provide the solicitation number and a brief description of the purpose of the contract or grant. Fill in the address, phone number, cell phone number, fax number, and email address of the prospective contractor or grantee.
- If the proposed work involves Afghanistan, complete Part 2 by entering the Afghanistan business license number and the Joint Contingency Contracting System number.
- For work performed in Syria, indicate your answer in Part 3 by selecting 'Yes' or 'No.'
- In Part 4, certify the accuracy of the information provided. Include the authorizing official's name, signature, title or organization, and the date.
- Next, proceed to include information about key individuals in the Key Individual Information section. This includes names, other names used, place of birth, date of birth, gender, citizenship status, government-issued photo ID, and contact information.
- If applicable, provide additional information for Afghan citizens, including father's name, Tazkera number, and tribal affiliation.
- For defected regime personnel, complete the relevant additional information fields regarding previous service.
- Once all sections are completed and verified for accuracy, save your changes. You can then download, print, or share the completed form as needed.
Start completing the DoS DS-4184 document online for a smooth submission process.
Risk Analysis and Management (RAM) PIA If negative information exists about key individuals, that information could be shared as part of our routine uses with other U.S. government agencies, including coordination with USAID or other agencies furnishing foreign assistance.
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