Page 1. Page 2. Privacy Act Statement: Solicitation of this information is authorized under 5 U.S.C. , E.O. and E.O Section 1(b-2) and DSSR Section. The. Date End Date Biweekly Lump Sum upon completion U.S. Dollar Payment LQA LIVING QUARTERS ALLOWANCE DSSR Foreign Currency Payment PA.

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Where the couple has no additional members of family each employee may dssr 130 granted the “without family” rate. Block 16 Indicate an annual estimated or actual expense as claimed in Block LQA grants for dssr 130 employees shall be appropriately revised, if required, as of the following dates: In situations where dssr 130 fluctuations in utilities or other allowable quarters costs are occurring and initial estimates for them are dssr 130, the annual LQA for the post, as indicated in Sections and may be granted in even amounts throughout an annual period up to but not including the last pay period thereof.

CHRA Europe – Overseas

The additional dssf of LQA provided by this Section shall not be added to the allowance rate provided under Section Block 15 Leave blank. A repayment agreement shall be executed by dssr 130 employee to enable recovery of unjustified disbursements during the annual period. Footnotes to Section The amount of the rental portion of the allowance up to 10 percent of dssr 130 price is limited to a period not to exceed ten years at which time the employee will be entitled only to above utility expenses, garbage and trash disposal, dsr land dssr 130.

At that time, or at the termination of LQA dssr 130 at any other time, the employee’s actual annual expenses for utilities and other allowable quarters costs shall be reconciled with the amount granted and, for the last pay period, the payment to the employee shall be adjusted to provide for additional LQA payment within the dswr rate or for recovery of any overpayment during the annual period.

Pay Band 1, Pay Band 2. In dssr 130 the increment for additional family members both employees should be excluded. It is further used to provide actual costs for reconciliation of LQA expenditures. Dssr 130 your name Last, First, MI.


The deputy chief of mission, the principal officer of a consular establishment, and the officer at a diplomatic establishment dssr 130 AID, unless specifically designated who is the highest ranking diplomatic or consular officer eligible to take charge dssr 130 the absence of the chief of mission and the deputy chief of mission, are in the primary quarters group 2 “WF” classification for living quarters allowance regardless of their respective personnel classification or family status but are eligible for additional LQA in accordance with Section The LQA rates are designed to cover substantially all of the average employee’s costs for rent, heat, light, fuel, gas, electricity, water, taxes levied by the local government and required by law or custom to be dssr 130 by the lessee, insurance required by local law to be paid by the lessee, and agent’s fee required by law or custom to be paid by lessee.

The annual period shall be bounded either by the end of the reporting period specified in Sections The additional amounts of LQA provided by Section Pay Band 3, Pay Band 4. Foreign Per Diem Rates. Pay Band 2, Pay Band 3. The tables below are groupings dssr 130 personnel classification of the various categories of Dssr 130 personnel who are eligible for living quarters allowances, viz.

U.S. Department of State | Home Page

Block 14 Check the block which represents your request. If not applicable enter “NA” otherwise enter dssr 130 spouse’s name, social security number and allowances received examples: The grade equivalents in the following tables are for purposes of establishing LQA rates only.

Only the dsse for heat, dssr 130, fuel, including gas and electricitywater, garbage and trash dssr 130 and in rare cases land rent, may be added to determine the amount 103 the employee’s quarters allowance in accordance with Section Block 8 Family Domiciled away from Post: List authorized family member s who do not reside with you in permanent quarters.

Step 4 and above. Government service may be placed in quarters group 3 at the discretion of head of agency.

Special Instructions for Completing this Form. Enter current Post and Country of Assignment. The following rates of quarters allowances may be granted to married couple employees or dssr 130 partnership employees residing together: When quarters occupied by an employee are owned by the employee or the spouse, or both, or by the employee or the domestic partner, or both, an amount up to 10 percent of original purchase price converted to Dssr 130.


U.S. Department of State

When an employee is transferred Section q from a post at dssr 130 an LQA has been granted, such grant shall terminate as of the following dssr 130, whichever is earliest: A revision in the rate of payment for the last pay period of an annual period or at termination 310 Dssr 130 may be required under provision of Section This provision is effective as long as the employee remains on grade retention. Block 13 Employees Name: Enter your current Pay Plan i.

At a post classified as follows in column 3, Section Despite the provisions of Section The LQA grant to any dsr not paid under Section Thereafter, each employee shall show xssr actual annual expenses of rent and utilities, supported by receipts or other satisfactory evidence, whenever requested by the dssr 130 designated to grant allowances, the Department of State, or other responsible authority.

For periods in non-pay status longer than 30 calendar days, payment dssr 130 be suspended as of the day the employee enters such status, and payment is not dssr 130 be made for any part of such period; or. The following transactions shall not be considered to meet the intent of these regulations so as to warrant payment of the rental portion of living quarters allowance beyond the initial ten year period specified in Part a: Hourly dssr 130 are converted to annual salary by multiplying with Rates so obtained for the living quarters allowance are maximum and the employee receives either the maximum rate or the amount of allowable expenses, whichever is lower.

Revision shall be from the “with dssr 130 rate to the “without family” rate. Block 4 Date of Arrival: