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U.S. Department of StateINTERGOVERNMENTAL PERSONNEL ACT AGREEMENT INSTRUCTIONS This agreement constitutes the written record of the obligations and responsibilities of the parties to a temporary assignment.

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How to fill out the DoS DS-3034 online

Filling out the DoS DS-3034 form online is an essential process for documenting temporary assignments under the Intergovernmental Personnel Act. This guide provides clear, step-by-step instructions to help you efficiently complete the form.

Follow the steps to successfully complete the DoS DS-3034 form

  1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
  2. In Part 1, select whether this is a new agreement, modification, or extension by checking the corresponding box.
  3. Provide your personal details in Part 2 by filling in your name, last four digits of your Social Security Number, home address, and indicate if you have previously been on an IPA assignment.
  4. In Part 3, identify the U.S. Department of State office or bureau that is party to the agreement and specify if the assignment is through a faculty fellows program.
  5. Part 4 requires information about your current position, including office name and address, position title, office phone number, and immediate supervisor's name and title.
  6. Indicate the type of current appointment in Part 5, checking the appropriate boxes for federal employee status or state/local government or other employee.
  7. In Part 6, explain the reasons for the mobility assignment and how it will benefit the participating organizations.
  8. List the major duties and responsibilities for the assignment in Part 7 and attach a current position description.
  9. Provide information about employee benefits in Part 8, including rate of basic pay, special pay conditions, and leave provisions.
  10. In Part 9, outline the fiscal obligations of both parties, noting where invoices should be sent.
  11. Confirm knowledge of conflicts of interest and employee conduct laws in Part 10.
  12. Detail any benefits retained during the assignment in Part 11, including health insurance and retirement system coverage.
  13. Indicate who will pay travel expenses in Part 12.
  14. In Part 13, certify your understanding of the agreement’s terms by checking the appropriate boxes and providing signatures for yourself and the recommending official.
  15. Finally, obtain approvals from necessary officials in Part 14, ensuring all required signatures are present before submission.

Complete your DoS DS-3034 form online today to ensure a smooth assignment process.

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