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Get Dos Ds-5105 2024-2026

U.S. Department of StateFAIR LABOR STANDARDS ACT (FLSA) WORKSHEET PD NumberIncumbent NameTitle/Pay Plan/Series/Grade Organization (Bureau/Office/Division) SPECIAL INSTRUCTIONS FOR THIS FORM 1. This.

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How to fill out the DoS DS-5105 online

The DoS DS-5105 form is essential for determining Fair Labor Standards Act exemptions for U.S. Department of State employees. This guide provides a clear, step-by-step approach to assist users in completing the form accurately and efficiently online.

Follow the steps to fill out the DoS DS-5105 online.

  1. Click the ‘Get Form’ button to access the form and open it in your document editor.
  2. Begin by entering the incumbent's name in the designated field, ensuring that it matches the official records.
  3. Fill in the title, pay plan, series, and grade of the position, providing accurate and complete information.
  4. Indicate the organization, specifying the bureau, office, or division associated with the position.
  5. Review the special instructions at the top of the form to understand context-specific requirements for filling out the document.
  6. For each exemption category, check all applicable boxes, ensuring that sufficient criteria are selected to affirm your exemption choice.
  7. Complete all sections related to the specific exemption categories, providing detailed information as required.
  8. Add any additional comments or explanatory information in the designated area if necessary, supporting your exemption determinations.
  9. Lastly, sign the document by entering your name in the 'Official making FLSA determination' section, along with your email and telephone information.
  10. Once all fields are completed, you can save changes, download the form, print it, or share it as needed.

Complete the DoS DS-5105 form online today to ensure compliance and accurate reporting.

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Examples of Exempt Duties for an Administrator Advising management. Planning. Negotiating. Representing the company. Purchasing materials and supplies. Promoting sales. Researching business opportunities. Analyzing business data.

Employees may be considered exempt if they are paid a salary that cannot be reduced because of the quality or quantity of their work, earn less than the minimum salary requirement, and primarily perform executive, administrative or professional duties (“duties” test).

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