Fillable Printable Form DS-1031
Fillable Printable Form DS-1031
Form DS-1031
DEFINITIONS FOR BIOGRAPHIC DATA SHEET
LEGAL OR VOTING RESIDENCE (Item 12)
Give address, city and state which you claim as a legal or voting residence. If you have a voting
residence this may be your legal residence for Federal employment purposes regardless of where you
live.
Legal residence is generally the place where a person has a home, church or other community affiliations.
Absence from the community affiliations. Absence from the community to work in the Federal
Government does not affect legal residence if you intend to return to the community. A married woman
acquires her husband's legal residence. She need not have resided in the State claimed.
Legal residence is used in the Foreign Service when nominations are submitted to the President for
promotion of a Foreign Service Office or Foreign Service Information Officer, when a Title or a
Commission is granted and in certain cases when nominations are submitted for appointment.
Legal residence is of interest to the Civil Service to assure a geographic balance of Federal employment.
RESIDENCE AT TIME OF APPOINTMENT
If such residence was of a temporary nature, for example for college, give the residence which you
consider your actual place of residence.
HOME LEAVE RESIDENCE
Give city and State where you intend to spend your home leave. This is used in the Foreign Service for
travel reimbursement purposes.
RESIDENCE FOR SERVICE SEPARATION
Give city and State to which you wish transportation and shipment of your effects on separating from the
Service. This designation is also used for reimbursement if death occurs while abroad or in travel status.
DEPENDENTS
DS-1031A
03-2015
Children (including step and adopted children) unmarried and under 21 years of age or regardless of
age incapable of self-support
Parents (including step and legally adoptive parents) of the employee or of the spouse when such
parents are at least 51% dependent on the employee for support
Sisters and brothers (including step or adoptive sisters and brothers of the employee or of the spouse)
when such sisters or brothers are at least 51% dependent on the employee for support, unmarried and
under 21 years of age, or, regardless of age incapable of self-support
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Instruction Page 1 of 1
U.S. Department of State
BIOGRAPHIC DATA SHEET
(mm-dd-yyyy)
Code
5. Social Security Number
1. Name 2. Sex
3. Marital
Status
18. Will spouse travel with
you at Government
Expense?
23. Year of birth of children under 21 (enter the year using last four digits)
6. Date of Birth
Name
Date of Birth
(mm-dd-yyyy)
(mm-dd-yyyy)
Check One
Foreign Service
Civil Service
This information is for your official personnel record. Report changes in this data to your personnel officer. Print clearly using dark ink.
The reverse of this form has instructions for residence and dependency data, Items 12, 14, 15, 16 and 20.
4.
Mr.
Miss
Mrs.
Ms.
Code High School Graduate?
Yes No
10. Nationality of Spouse
Previous
Code 11. Veterans Pref.
None
5 pt. 10 pt.
Code
13.
Name of College and State Code
Dates
Degree
Year of
Degree
Major Field of Study Code
RESIDENCE AND DEPENDENCY DATA-FOREIGN SERVICE EMPLOYEES ONLY
Do Not Complete 21, 22, and 23
21. Level of Education 22. Number of adult dependents
DS-1031A
03-2015
Present
9. First Name of Spouse
12. Legal Residence
15. Home leave residenceResidence at time of employment 14. Code
16.
Residence for Service separation
19. Marriage
Date Place
20. Dependents other than spouse who will travel with you at Government expense and reside abroad with you
17. Spouse's professional field
Attended
Page 1 of 1
(Last, First, MI.)
(Last, First, MI.)
(i.e., nurse, budget analyst, physical scientist)
(City and State)
(City and State)
(City and State)
NationalityRelationship
(mm-dd-yyyy)
7. Place of Birth
(Include maiden name of wife)
(State or Country)
Yes
No
Signature Date (mm-dd-yyyy) Class or Grade
