Held from your salary. DEPARTMENT OR AGENCY LOCATION OF EMPLOYMENT (City and State) TITLE OF POSITION PERIODS OF SERVICE Beginning Date Ending Date (mm-dd-yyyy) (mm-dd-yyyy) 7. MILITARY RECORD - List below inclusive dates of active military service (see instructions on page 2 of this form). ORGANIZATION DATE (mm-dd-yyyy) RANK ENTRANCE INTO ACTIVE DUTY (mm-dd-yyyy) DATE OF HONORABLE DISCHARGE (mm-dd-yyyy) SIGNATURE OF APPLICANT PLEASE READ INSTRUCTIONS ON PAGE 2 DS-5001 Formerly OF-141.
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How to fill out the DS-5001 online
The DS-5001 is an important application form for individuals seeking service credit under the Foreign Service Retirement Systems. This guide will provide step-by-step instructions to help you fill out the DS-5001 efficiently and accurately.
Follow the steps to successfully complete the DS-5001 online.
- Click the ‘Get Form’ button to access the DS-5001 form. Once obtained, open it in the editor to begin filling it out.
- In section 1a, provide your name in the format of Last, First, and Middle. Ensure that all names are spelled correctly and are consistent with official documents.
- In section 1b, enter your complete address. This should include the number and street, followed by the city, state, and ZIP code.
- Next, fill in your date of birth in section 3 using the mm-dd-yyyy format. Ensure this information is accurate as it may be used for verification purposes.
- In section 4, input your Social Security number. Remember that providing this number is mandatory for processing your application.
- Indicate your current employment status in section 5 by selecting either 'State' or 'Other Agency' based on your situation.
- In section 6, list all federal civilian service chronologically since July 1, 1924. Include the department or agency, location of employment (city and state), title of position, and the periods of service, specifying both the beginning and ending dates in the mm-dd-yyyy format.
- In section 7, document your military record by providing the organization, dates of active duty, rank, entrance into active duty date, and the date of honorable discharge, all in the required mm-dd-yyyy format.
- Finally, ensure you sign the form to affirm that the information provided is accurate and complete.
- After filling out the form, save your changes. You may then download, print, or share the completed DS-5001 as needed.
Complete your DS-5001 form online today to ensure your application is processed smoothly.
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