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FOR USE BY DEPARTMENT OF STATE EMPLOYEES ONLY U.S. Department of StateSUBSISTENCE EXPENSE ALLOWANCE APPLICATION (SEA) SECTION I DIRECT HIRE'S INFORMATION AND SAFE HAVEN ADDRESS PLEASE COMPLETE ALL.

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How to fill out the DoS DS-4095 online

The DoS DS-4095 form is essential for Department of State employees applying for Subsistence Expense Allowance (SEA) during evacuation. This guide provides a clear and supportive walkthrough of the form, ensuring that all users can successfully complete their applications online.

Follow the steps to accurately fill out the DoS DS-4095 online.

  1. Press the ‘Get Form’ button to access the document online and open it in your preferred editor.
  2. Begin by filling out Section I, which focuses on the direct hire's information. Ensure you provide your full name, social security number (last four digits), and the complete address, including your county. This is crucial for per diem determination.
  3. Continue with your work email and provide details about your approved alternate safe haven. If applicable, mention any relative or contact numbers to assist in the processing of your application.
  4. In Section II, answer whether you or an eligible family member incurred lodging expenses during travel to the safe haven. Provide explanations if you select 'yes.'
  5. Proceed to Section III, where you will list evacuees claiming SEA. Include each person's relationship to you, their date of birth, departure date, and arrival date at the safe haven. If more space is needed, indicate this on a separate page.
  6. In Section IV, initial each item on the required document checklist to confirm that you have included all necessary documents. Remember to mail required originals like receipts and tickets to the specified address.
  7. Section V requires you to select between commercial or non-commercial accommodation. Note the requirements for each type, especially for commercial lodging.
  8. In Section VI, check whether you are eligible for the airfreight replacement allowance based on the status of your unaccompanied air baggage.
  9. Complete Section VII by certifying your regular duty status and confirming access to a personal vehicle and any upcoming medical evacuation statuses.
  10. Finalize your application by signing Section VIII, certifying that all information provided is accurate. Including the printed name, signature, and date is essential.
  11. Before submitting, email all required information and documents to the designated email addresses for assistance and processing.

Start completing your DoS DS-4095 form online today to ensure prompt processing of your Subsistence Expense Allowance application.

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