Form Sf 1190 PDF Details

Embarking on an assignment overseas brings with it a variety of challenges and considerations, especially when it comes to managing financial matters related to foreign postings. The Foreign Allowances Application, Grant, and Report (SF-1190) plays a pivotal role in this process, serving as a crucial document for U.S. government employees stationed abroad. This form is designed to meticulously capture details that determine eligibility for and the correct amount of various allowances and benefits. It includes sections for personal information, assignment details, and allowances such as the Living Quarters Allowance (LQA), Temporary Quarters Subsistence Allowance (TQSA), and others that address the unique expenses encountered in foreign postings. Also, it caters to employees who have family members either accompanying them or staying back in the United States, detailing support percentages and dates of arrival or departure. The instructions provided make clear the importance of accuracy and honesty in completing the form, given the potential legal implications for false statements. Ultimately, the SF-1190 form embodies the conduit through which the government ensures its employees are fairly compensated for the additional costs of living overseas, reinforcing its commitment to supporting its global workforce.

QuestionAnswer
Form NameForm Sf 1190
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestax form 1190, sf1190, sf 1190 fillable, yyyy allowance allowances

Form Preview Example

FOREIGN ALLOWANCES APPLICATION,

GRANT AND REPORT (SF-1190)

1. Employee Name (Last, First, MI)

2. Social Security Number

 

 

3. Agency

4. Bureau/Office

FOR OFFICIAL USE ONLY

Voucher Number

Authorization/

Grant Number

5. Pay Plan

6. Series

7. Grade

8. Annual Salary

9. Position Title

10. Current Post/Country of Assignment/Locality

11. Date of Arrival (mm-dd-yyyy)

12. Previous Post of Assignment

13. Mailing Address

13a. E-mail Address

14. If Local Hire: Date (mm-dd-yyyy)

14a. Reason for Presence

15. If Spouse or Domestic Partner is Employed by the U.S. Government

Yes

No

Spouse or Domestic Partner Name (Last, First, MI)

Social Security Number

Allowances Received

16. Family Domiciled at Post

Name of Family Member

Relationship

DOB Except

Spouse or

Domestic Partner

(mm-dd-yyyy)

%

Support

Date of Arrival

at Post

(mm-dd-yyyy)

Allowances Received

17. Family Domiciled Away from Post

 

 

DOB Except

 

Date of

Residence Address/Telephone

 

 

Spouse or

%

Departure

Name of Family Member

Relationship

Cell Phone/E-mail

Domestic Partner

Support

from Post

 

 

(please provide all)

 

 

(mm-dd-yyyy)

 

(mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. Remarks

Privacy Act Statement: Solicitation of this information is authorized under 5 U.S.C. 5922, E.O. 9397 and E.O. 10903, Section 1(b-2) and DSSR Section 073.4. The information is used to determine employee eligibility for and appropriate amounts of allowances. All forms are subject to fiscal audit by the employee's parent agency and GAO. The Office of Allowances, U.S. Department of State, will review forms to set LQA rates. Lack of requested information may result in erroneous or unauthorized allowances.

SF-1190

Department of State Standardized Regulations (DSSR)

Page 1 of 2

07-2009

(Government Civilians, Foreign Areas), Section 073.4

 

Account Number (including any suffix)

 

 

FOREIGN ALLOWANCES APPLICATION, GRANT AND REPORT

Voucher Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19. Employee Name (Last, First, MI)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20. Social Security No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21a. Payments [Check box(es). For calculations see DSSR chapter exhibits.]

 

 

 

 

 

 

 

FOR OFFICIAL USE ONLY

 

 

TQSA - Temporary Quarters Subsistence Allowance - (DSSR 120)

 

 

 

 

 

 

 

 

 

 

 

 

 

Advanced

 

 

 

 

 

Beg. Date (mm-dd-yyyy)

 

 

 

End Date (mm-dd-yyyy)

 

 

 

 

 

 

 

Biweekly

 

 

 

 

 

Beg. Date (mm-dd-yyyy)

 

 

 

End Date (mm-dd-yyyy)

 

 

 

 

 

 

 

Lump Sum (upon completion)

 

Beg. Date (mm-dd-yyyy)

 

 

 

End Date (mm-dd-yyyy)

 

 

 

 

 

 

 

LQA - Living Quarters Allowance (DSSR 130)

[

]

Repair Allowance (DSSR 137)

[

]

 

 

 

 

 

 

EQA - Extraordinary Quarters Allowance (DSSR 138)

[

]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PA - Post Allowance - (DSSR 220)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transfer Allowance: Foreign (DSSR 240)

[

 

] or Home Service (DSSR 250)

[

]

 

 

 

 

 

 

 

 

Portion(s): Subsistence

[

]

Miscellaneous [

 

]

Wardrobe [

]

 

Lease Penalty [

]

 

 

 

 

 

SMA - Separate Maintenance Allowance - (DSSR 260)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Voluntary [

]

Involuntary

[

 

]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TSMA - Transitional Separate Maintenance Allowance (DSSR 260)

 

 

 

 

 

 

 

 

 

 

 

 

 

262.3a [

]

262.3b

[

 

]

262.3c [

 

]

262.3d

[

]

 

262.3e

[

]

 

 

 

 

 

Education Allowance (DSSR 270)

[

] or Travel

(DSSR 280)

[

]

 

 

 

 

 

 

 

 

 

 

 

PD - Post (Hardship) Differential (DSSR 500)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SND - Service Need Differential (Difficult to Staff Incentive Differential) (DSSR 1000)

 

 

 

 

 

 

 

 

 

DP - Danger Pay (DSSR 650) 652f

[

] or 652g

[

]

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Claimed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21b. Advances

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LQA (DSSR 130)

 

Beg. Date (mm-dd-yyyy)

 

 

End Date (mm-dd-yyyy)

 

 

 

Number of Months

 

 

 

 

U.S. Dollar Payment

 

 

 

 

 

 

 

 

Foreign Currency Payment

 

 

 

 

 

 

 

 

 

 

 

Transfer Allowance: Foreign (DSSR 240)

[

 

] or Home Service (DSSR 250) [

]

 

 

 

 

 

 

 

 

Portion(s): Subsistence

[

]

Miscellaneous

[

]

Wardrobe

[

] Lease Penalty [

]

 

 

 

 

 

 

Advance of Pay (DSSR 850) This advance will be repaid in

 

 

 

 

 

pay periods.

 

 

 

 

 

 

 

Travel Authorization or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent Change of Station (PCS) Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Issuing Authority

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22a. If Electronic Funds Transfer (EFT) Mark one:

 

 

[

]

Checking

 

 

[

] Savings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Financial Institution Name

 

 

 

 

 

 

 

 

 

 

 

Financial Institution Mailing Address

Routing Number

22b. If Paid by Check - Mailing Address, City, State, ZIP Code

23.Accounting Classification(s)

24.Employee Statement and Signature: The information given on this application is true and correct to the best of my knowledge and belief. I also understand that I am obligated to notify the authorizing office immediately of any change in conditions which may affect the amount of allowances and/or differential authorized herein. I also understand that false statements made to the United States on this form may subject me to criminal penalties (including fines and imprisonment) under 18 U.S.C. 287 and 1001 and/or civil penalties under 31 U.S.C. 3729 or administrative penalties under 31 U.S.C. 3802. I understand if my employment is terminated prior to liquidation of any of these advances, any outstanding amount is due and payable immediately.

Employee's Signature:

Spouse's or Domestic

Partner's Signature:

(If Applying for SMA on Behalf of Spouse OR DOMESTIC PARTNER)

25. Approving/Reviewing Official Signature When Required

Date (mm-dd-yyyy)

Date (mm-dd-yyyy)

Date (mm-dd-yyyy)

26. Certifying Official: The Above Request is Certified as Correct and Proper for Payment

Date (mm-dd-yyyy)

Authorized Certifying Official's Signature

SF-1190

Page 2 of 2

 

07-2009

 

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1. Before anything else, while completing the irs form 1190, begin with the part that includes the next fields:

Part number 1 of filling in 1190 tax form

2. Soon after filling out this part, head on to the subsequent step and fill out the necessary particulars in these blanks - Family Domiciled Away from Post, Name of Family Member, Relationship, DOB Except Spouse or, Domestic Partner, mmddyyyy, Support, Date of, Departure from Post, mmddyyyy, Residence AddressTelephone, Cell PhoneEmail please provide all, Remarks, Privacy Act Statement Solicitation, and Department of State Standardized.

The way to prepare 1190 tax form step 2

3. This next stage is generally simple - complete all the empty fields in FOREIGN ALLOWANCES APPLICATION, Employee Name Last First MI, a Payments Check boxes For, TQSA Temporary Quarters, Advanced, Biweekly, Beg Date mmddyyyy, End Date mmddyyyy, Beg Date mmddyyyy, End Date mmddyyyy, Voucher Number, Social Security No, FOR OFFICIAL USE ONLY, Lump Sum upon completion LQA, and Beg Date mmddyyyy to complete this part.

1190 tax form completion process explained (step 3)

4. This next section requires some additional information. Ensure you complete all the necessary fields - Total Amount Claimed, b Advances, LQA DSSR, Beg Date mmddyyyy, End Date mmddyyyy, Number of Months, US Dollar Payment, Transfer Allowance Foreign DSSR, Portions Subsistence, Miscellaneous, Foreign Currency Payment, or Home Service DSSR, Wardrobe, Lease Penalty, and Advance of Pay DSSR This advance - to proceed further in your process!

Writing part 4 of 1190 tax form

Many people frequently make some mistakes while filling in b Advances in this part. Be sure to go over everything you type in here.

5. And finally, the following last section is what you'll want to finish prior to finalizing the PDF. The blanks here include the next: Employee Statement and Signature, Employees Signature, Spouses or Domestic Partners, Date mmddyyyy, Date mmddyyyy, ApprovingReviewing Official, Date mmddyyyy, Certifying Official The Above, Date mmddyyyy, Authorized Certifying Officials, and Page of.

Find out how to fill out 1190 tax form stage 5

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