Form Link, Living Quarters Allowance (DSSR ) Worksheet (fillable pdf version ). Purpose. This form is to provide domicile and family member information as. 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. Results 1 – 8 FOREIGN ALLOWANCES APPLICATION, GRANT AND REPORT Repair Allowance (DSSR ) LQA – Living Quarters Allowance (DSSR ).

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Despite the provisions of Section The annual period shall be bounded either by the end of the reporting period specified in Sections Enter your current Pay Plan i. 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.

In situations where excessive fluctuations in utilities or other allowable quarters costs are occurring and initial estimates for them are difficult, the annual LQA for the post, as dsrs in Sections and may be granted in even amounts throughout an annual period up to but not including the last pay period thereof. Special Instructions for Completing this Form.

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 U. Regardless of any other provisions of these regulations, the head of agency Section e is required to authorize payment of less than the full amount of the LQA or to withhold payment altogether: Enter current Post and Country of Assignment.

Army, Air Force, Navy. The living quarters allowance LQA classifications shown in Section are the primary classifications for employees with family WF who have only one member of family Section m and for employees without family WOF.

U.S. Department of State

Block 1 Employees Name: 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 paid 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.


When approved by the head of agency as necessary to provide such living quarters, rent may include in addition to the basic annual rental, the cost of: If the family does not arrive at the post within 60 consecutive calendar days after commencement of the grant, it shall be revised in accordance with Section The additional amounts of LQA provided by this Section shall not be added to the allowance rate provided under Section Block 15 Leave blank.

Deputy chiefs of diplomatic missions, counselors of diplomatic missions and principal officers of consular establishments may be reimbursed for their allowable quarters costs up to 50 percent more than the LQA prescribed for group 2 for the primary “WF” rate for their posts when, in the opinion of the chief of mission, the otherwise applicable LQA rate is insufficient to obtain quarters suitable for providing official entertainment required by the position occupied by such officer.

Despite the provisions of Sections Where the couple has no additional members of family each employee may be granted the “without family” rate. The other employee may receive the “without family” rate.

It is further used to provide actual costs for reconciliation of LQA expenditures. An “Estimate” election represents an initial authorization request.

If the spouse or domestic partner in the military draws no quarters allowance, the employee may be granted the “with family” rate plus increments for additional members of the family, except that no payment shall be made to the spouse or domestic partner of a member of the military service if the employee resides with the member of rssr military service in Government-owned or -leased quarters.

Step 4 and above.

Employees in Quarters Group 1. The LQA grant to any employee not paid under Section Block 16 Indicate an annual estimated or actual expense as claimed in Block If sssr applicable enter “NA” otherwise enter your spouse’s name, social security number and allowances received examples: Chief of Mission 22 U.


CHRA Europe – Overseas

List authorized family member s who reside with you in permanent quarters. Enter your agency example: At a post classified as follows in column 3, Section Purpose This form is to provide domicile and family member information as well as living quarters cost estimates for effecting Living Quarters Allowance Dssd payments.

Pay Band 1, Pay Band 2.

The deputy chief of mission, the principal officer of a consular establishment, and the officer at a diplomatic establishment excluding AID, 310 specifically designated who is the highest ranking diplomatic or consular officer eligible to take charge in the absence of the chief of mission and the deputy chief of mission, are in the primary quarters group 2 “WF” classification fssr living quarters allowance regardless of their respective personnel classification or family status but essr eligible for additional LQA in accordance with Section A repayment agreement shall be executed by the employee to enable recovery of unjustified disbursements during the annual period.

These are normally as shown in item 39 of your SF Block 8 Family Domiciled away from Post: The additional amounts of LQA provided by Section Rates for Senior Employees in Group 4.

In determining the increment for additional family members both employees should be excluded. Block 7 Family Domiciled at Post: See also Sections If more than one conversion rate has been used during the period, dsxr average conversion rate shall be used for the reconciliation. Block 14 Check the block which represents your request. Before granting the initial repair allowance, the head of agency shall determine that: