Ds 189 Form PDF Details

Form DS 189 is an application for a nonimmigrant visa. This type of visa is for people who want to come to the United States temporarily for business or educational purposes. There are different types of nonimmigrant visas, so it is important to understand which one will best meet your needs. The DS 189 form can help you determine which type of visa you need and start the process of applying for one. Note that this form is not used to apply for a student visa; that process is handled separately using a different form, DS 160. For more information on how to apply for a student visa, visit the website of the U.S. Department of State. If you are interested in coming to the United States temporarily for business or educational reasons, then you will need to complete Form DS 189 before arriving in the country. This form helps you determine which type of nonimmigrant visa you should apply for, so make sure you are familiar with all of the different options before submitting your applica

QuestionAnswer
Form NameDs 189 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestravel voucher vou, d s vou download, ds189, ds 189 pdf

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* Items indicated by

1.

 

 

 

 

 

 

 

2. D.O. VOUCHER NO.

a Star are to be

 

 

 

 

 

 

 

 

Completed by the

 

 

 

(AGENCY)

 

 

 

 

Payee.

 

 

 

U.S. Department of State

 

 

 

 

 

 

 

 

 

 

3. BU. VOU. NO.

 

 

 

TRAVEL REIMBURSEMENT VOUCHER

 

 

 

 

*4. PAYEE'S COMPLETE NAME AND ADDRESS

 

 

 

 

 

 

 

*5. TRAVEL AUTHORIZATION

 

 

6. D.O. PAID BY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Number

B. Dated (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*7. SOCIAL SECURITY NUMBER

 

*8. TRAVEL ADVANCE STATUS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Old Balance

 

 

 

 

 

 

 

 

 

 

 

 

 

*9. OFFICIAL STATION

 

 

 

 

 

 

 

 

 

 

 

 

 

B. Applied This Voucher

 

 

(State Only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. New Balance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*10. STATEMENT OF GOVERNMENT-FURNISHED TRANSPORTATION

 

 

 

E. Point-to-Point Travel

 

 

 

 

 

 

 

 

 

 

A. GTR or Vou. No

B. Valuation

C. Carrier*

D. Class

(1) from

(2) to

*11. PAYEE CERTIFICATE: Certified Correct. Payment or credit has not been received.**

 

12. PAYMENT CALCULATION

 

 

 

 

 

 

 

 

 

A. Date (mm-dd-yyyy)

B. Signature

 

 

*A. Amount Claimed

 

 

 

 

 

 

(See Item 18.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. ADMINISTRATIVE APPROVAL:

 

 

B. Differences, if any

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Date (mm-dd-yyyy)

B. Signature (See Item 8B.)

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Amount Allowed

 

 

 

 

 

 

(Verified correct

 

 

 

Name:

 

 

 

 

 

 

 

to Appropriation

 

 

 

 

 

 

 

 

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

*14. PREVIOUS

PAYMENTS: The next previous Vou. paid under same travel auth. was:

 

 

 

 

 

 

 

 

A. D.O. Vou. No.

 

B. Paid (mm-yyyy)

C.D.O. Name and Symbol

 

D. Applied to Advance

 

 

 

 

 

 

(See Item 8B.)

 

15.CERTIFIED FOR PAYMENT: Pursuant to authority vested in me, I certify this voucher is correct and proper for payment:

A. Date (mm-dd-yyyy) B. Authorized Certifying Officer's Signature

E. Net to Payee

Name:

Title:

16.METHOD OF PAYMENT (For Paying Office Use Only)

A. Cash or Dep. Check Amt.

 

B. Exchange Rate

 

C. U.S. $ Equivalent

 

*D. Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. Treasury or Depository Check No. and Name of Depository

 

*F. Payment Received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Payee's Signature)

 

 

17. ACCOUNTING CLASSIFICATION

D. Organization,

E. Function

F.

Object,

G.Paying Office

H. Paying Date

I.Amount

A.

Fund

B. Allotment

C. Oblig. (T/A) No.

Subcost, etc.

 

Resource, etc

 

(mm-dd-yyyy)

(State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* Item 10C - If carrier was foreign ship registry, attach certificate of readiness.

**FRAUDULENT CLAIM - Falsification of any item in an expense account works a forfeiture of the claim (28 U.S.C. 2514) and may result in a fine of not more than $10,000 or imprisonment for not more than 5 years or both (18 U.S.C. 287; i.d. 1001).

DS-189

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06-2003

 

*18. CLAIM (Show complete itinerary and/or transportation expenses for persons and things for which reimbursement is claimed; on effects, show weights/measures and attach all receipts.)

REMARKS (Names of dependents including date of birth (DOB) of dependent children, explanation for use of foreign registry ship, rates of exchange, etc.)

Dates

(mm-dd-yyyy)

(A)

Local Time

(B)

Itinerary and Description

Per Diem

Days

(D)

Daily Rate

(E)

Amount

Per Diem

Other

(F)(G)

 

GRAND TOTAL TO ITEM 12A ON FACE OF VOUCHER

 

(Subtotals To Be Carried Forward)

PRIVACY ACT STATEMENT

Authority: E.O. 9397, dated November 22, 1943 and 5 U.S.C. 5705

Use of your social security number (SSN) is mandatory to process your application or claim. It is used in the mechanized travel advance data system, in addition to your name, as an identifier to assure crediting advances and reimbursements to the right person. Your providing your number will facilitate faster, more accurate processing. If you do not provide your SSN at this time, it must be researched manually with attendant delay, and with the possibility of errors if your claim is confused with that of another person having a similar name. Completed forms are subject to audit by the U.S. Department of State and General Accounting Office.

DS-189

Page 2 of 2

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1. Before anything else, once completing the how to ds 189, begin with the form section that includes the subsequent fields:

Step no. 1 of completing i ds 189 form

2. Now that the last array of fields is finished, it is time to put in the needed specifics in PAYEE CERTIFICATE Certified, PAYMENT CALCULATION, A Date mmddyyyy, B Signature, ADMINISTRATIVE APPROVAL, A Date mmddyyyy B Signature See, Name Title, PREVIOUS PAYMENTS The next, CDO Name and Symbol, B Paid mmyyyy, A Amount Claimed See Item, B Differences if any, C Amount Allowed Verified correct, D Applied to Advance See Item B, and CERTIFIED FOR PAYMENT Pursuant to so that you can go further.

i ds 189 form completion process shown (portion 2)

3. This next step should also be relatively easy, A Cash or Dep Check Amt, B Exchange Rate, C US Equivalent, D Date mmddyyyy, E Treasury or Depository Check No, F Payment Received, ACCOUNTING CLASSIFICATION A Fund, B Allotment C Oblig TA No, D Organization Subcost etc, E Function F Object, Resource etc, Payees Signature, GPaying Office H Paying Date, mmddyyyy, and IAmount State - each one of these form fields must be filled in here.

F Payment Received, E Treasury or Depository Check No, and Payees Signature in i ds 189 form

4. This next section requires some additional information. Ensure you complete all the necessary fields - REMARKS Names of dependents, exchange etc, Dates, mmddyyyy, Local Time, Itinerary and Description, Per Diem, Days, Daily Rate, Amount, Per Diem, and Other - to proceed further in your process!

Writing segment 4 of i ds 189 form

5. The document has to be completed by dealing with this part. Further there's a comprehensive listing of blank fields that require correct details in order for your form usage to be faultless: GRAND TOTAL TO ITEM A ON FACE OF, Subtotals To Be Carried Forward, and PRIVACY ACT STATEMENT Authority EO.

Completing part 5 in i ds 189 form

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