Form 126 PDF Details

The well-being and operational efficiency of employees serving abroad are critical to the success of U.S. foreign missions. The Foreign Service Residence and Dependency Report, known formally as the OF-126 form, plays a pivotal role in ensuring this by facilitating several essential administrative processes. This comprehensive document is used for designating legal and home leave residences, thereby authorizing travel and shipment of effects; it also serves as a record for relationship status changes and lists dependents for considerations related to travel and entitlements. Modifications in residence, relationship status, or dependents are to be reflected via the submission of an updated OF-126 form to keep the employee’s file current and accurate, ensuring the correct projection of costs and preparation of travel orders. Unique stipulations apply to the designation of home leave and service separation residences, with changes subject to stringent validations based on familial ties, health needs, or significant life events. The form further delves into dependency information, accentuating the need for substantial proof for dependents beyond the immediate family, thus underscoring the form's importance in managing the logistical and familial aspects of foreign service members’ lives. An updated OF-126 form is not only a requirement for maintaining operational readiness but also a prerequisite for guaranteeing the well-being of employees and their families during their service abroad.

Form NameForm 126
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The OF-126 form is used to (1) designate residences for travel and shipment of effects; (2) to record relationship status; (3) to list dependents; and (4) to show current home leave address. If residence, dependency, or relationship status information is different from what was previously submitted, please mark the appropriate box for the change made. Your agency will assume all residence and dependency information in your file is correct unless you submit a revised OF-126 form. Please check the appropriate box at the top of the form for this submission. NOTE: This form cannot be used for state tax withholding requests or changes.


The residences listed for home leave and separation are residences to which you will be authorized travel and shipment of effects. Please provide house/apartment number, street, city, state/zip code for both.

Legal Residence (item 4): The CITY and STATE you claim as your legal residence.

Home Leave Residence (item 5 (a) current address, (b) new address): The location in the U.S. where you expect to spend your home leave. The address you claim is subject to approval. The justification (Item 6) for the selection or change of home leave residence must be based on a close family tie or other compelling interests and not simply on a desire to visit the location or for personal convenience. Valid justifications for changes of home leave address include death, relocation of a relative whose address was previously claimed, better climate needed for recorded health problem, sale or purchase of residential or business property, or change of legal residence. Requests for changes of home leave address will be reviewed on a case-by-case basis. Changes based on a prospective event cannot be approved. Home leave residence may not be changed after travel orders have been issued without the prior approval of an appropriate authorizing officer in Washington, D.C.

Residence for Service Separation (item 8): The residence in the United States to which you would want to travel and utilize for authorized shipment of effects when you separate from service (14 FAM 546; 585.2 Arranging & Procuring Indirect Travel; Indirect Travel). While such designation is the location where you expect to reside or to be employed, it is also the location where remains are shipped if death occurs while abroad or while in travel status. If remains are shipped to a different location, shipment is made on a cost construct basis (14 FAM 536.2 Death of U.S. Citizen Employee). This information is also used for separation of family members by reason of divorce, children who have reached the age of 21, resignation and retirement.

This form must be resubmitted prior to the retirement separation. Please check the box at the top of the form marked "Separation/Retirement." No location/address change can be made after the effective date of the separation or once travel has commenced.

Relationship Status (item 9): Accurate relationship status information is necessary for your agency to project costs for family travel and to ensure that travel orders are prepared accurately. Item 12 (c) "Place" shows place of marriage or execution of domestic partner affidavit. Spouse or domestic partner (as defined in 3 FAM 1610) will be authorized travel from this place of origin. Please check only the status code that describes your relationship status to a Foreign Service or Civil Service employee. Please note that Item 13 (b) "Change of Dependents" must be completed for each event denoted in Item 12 (a) "Change of Relationship Status."


A dependent may be a spouse or domestic partner, children under age 21, or a relative who is at least 51% dependent on you for support (subject to review and approval of supporting documentation by the approving official as noted in Item 13 (a); an update is required with each new assignment abroad). Attach documentation such as a monthly summary of income and expenses from ALL sources as evidence of support (expenses you pay/relative expenses (excluding charge cards) or some other documentary evidence of support) to substantiate a claim for any relative other than a dependent spouse, domestic partner, or children under age 21. Children of divorced employees, spouses, or domestic partners cannot be listed on travel orders unless (a) a copy of the divorce decree establishing that the employee has physical custody of the children is on file in the appropriate personnel office (in joint custody cases, a notarized statement from the ex-spouse or ex-domestic partner authorizing the children to reside abroad is also required); and (b) children meet the dependency criteria contained in 14 FAM 511.3 Definitions - "Eligible Family Members" (1) - (4). Travel will not be authorized for dependents unless a current OF-126 form has been approved listing the names of the dependents before the travel order has been produced. Amending travel orders to add or to delete dependents causes delays in employee travel. Children who reach the age of 21 will be automatically traveled to the employee’s separation location, unless the Medical Division provides HR/EX/ASU with information indicating that the child is permanently or temporarily dependent on the employee. Otherwise, the employee should submit an OF-126 form to officially remove the child from their record. Post personnel officer's signature only indicates that the form and required documentation appear to be complete. (AID employees also see Supplement 1B to HB32, Chap 1.)

NOTE: Keeping dependent information up to date ensures the coverage of eligible dependents under your agency's medical program. Parents and siblings are not covered (16 FAM 122.2).


State: HR/EX

AID: See Supplement 1B to HB32, Chapter 1

VOA P/F - Foreign Personnel Advisor

Commerce: Office of Foreign Service Human Resources

Agriculture: FAS/Personnel, APHIS/Human Resources Division; or appropriate agency Personnel Office.

Copies: Original to personnel office; Copy retained by post Admin Section


Sections 5921-28 of Title 5 and Sections 4081 and 4083 of Title 22 to the U.S. Code authorize collection of this information. The primary use of this information is to establish an employee's correct residence for purposes of home leave travel, shipment of effects benefits; and to identify employee dependents for purposes of Government-paid travel, allowances, and related benefits. This information is made available as a routine use on a need-to-know basis to agency personnel responsible for determining employee and the employee's dependent eligibility for the aforementioned benefits. Failure to provide the requested information may prevent the agency from providing the aforementioned benefits on eligibility grounds. This information may also be released to federal, state or other agencies for law enforcement, counter-terrorism or homeland security purposes, or to other federal agencies for certain personnel and records management matters.

Social Security Number: Your Social Security Number is requested under the authority of Executive Order 9397 to uniquely identify your records from those of other employees who may have the same name. As allowed by law or Presidential Directive, your Social Security Number is used by the Department of State and its affiliates to determine eligibility for certain entitlements as they pertain to Permanent Change of Station Transfer and/or other related entitlements.


Instruction Page 1 of 1







IMPORTANT: Please read instructions before completing form. Incomplete forms may be returned for clarification.


Check One:


First time form completed



Change of information previously given




Separation / Retirement




































(check one)









Duty Station/Bureau









2. Date of Birth (mm-dd-yyyy)































































3. (a)

Name (Last, First, MI.)






Social Security Number









(c) Class (Grade)





























(d) Current Location (City, State)





4. Legal Residence (City, State)








Agency Use Code



























5. (a) Address Used for Home Leave Purposes




(b) Requested New Home Leave Address









(Present Residence Number, Street, City, State and ZIP)





(Residence Number and Street, City, State and ZIP Code; See Instructions)







































6. Reason For New Home Leave Address Change In 5 (b) Above



7. Agency Use (For Home Leave Address Change Only)





















































































































































8. Service Separation Residence (Complete Address)






































































































Date (mm-dd-yyyy)





























































































9. (a) Relationship Status







(b) Spouse or DP is a Foreign Service


(c) Spouse or DP is a Civil Service employee or



"S" Single



"DP" Domestic Partner


career or career candidate employee of:


has military status:






































"F" Your Agency


Active Military



"M" Married

(If spouse or DP is a government employee,



"C" State



"R" Commerce
































"G" Agriculture




"L" Other Federal Government





please check appropriate item in (b) or (c))



























10. (a) Name of Spouse or DP (Include Maiden Name)

(b) Social Security Number

(c) Present Citizenship





(d) Previous Citizenship

























11. Will spouse or DP travel as your dependent and reside with you abroad?



















12. (a) Change of relationship status:



DP Affadavit




Death of Spouse or DP

DP Dissolution















(b) Date (mm-dd-yyyy)





(c) Place




















13.Family Dependents

(a)Name all qualifying dependent family members other than your spouse or DP who will normally travel at government expense and reside with you abroad. You must attach a written justification to claim a dependent who does not meet standard dependency criteria (please refer to instructions).

You may attach a blank continuation sheet if necessary.

Name of Dependent



Date of Birth


(b) Change of Dependents (Name)


Date of Birth





Date of Gain



14. Agency Use


Dependents Approved

Dependents Disapproved

15. Person to Notify in Case of an Emergency

(Name, Address, Telephone Number)

NOTICE: Any willful and material misrepresentation made on this form may result in a fine of not more than $10,000 or imprisonment of not more than five years or both. (18 USC 1001)

Signature of Authorizing Official


Date (mm-dd-yyyy)




































16. Signature of Personnel Officer at Post


Date (mm-dd-yyyy)












































17. Employee Signature


Date (mm-dd-yyyy)




































WARNING: Disclosure to authorized persons only (22 CFR 6A), this information protected by the Privacy Act of 1974.



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In the Agency Use, Office, Signature of Authorizing Official, Date mmddyyyy, Dependents Approved, Dependents Disapproved, Person to Notify in Case of an, Signature of Personnel Officer at, Date mmddyyyy, Name Address Telephone Number, NOTICE Any willful and material, WARNING Disclosure to authorized, Employee Signature, and Date mmddyyyy section, identify the vital data.

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