HR - SERVICE ABROAD AGREEMENT -(SANITIZED)

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0005382537
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 24, 2015
• Document Release Date: January 31, 2011
• Case Number: F-2009-00333
• Publication Date: June 20, 1980

APPROVED FOR RELEASED
DATE: 16-Aug-2010 .
(b)(1)
(b)(3)
(b)(6)
SERVICE ABROAD AGREEMENT
1. GENERAL
IT IS UNDERSTOOD THAT YOU AGREE TO SERVE THE PERIOD OF SERVICE ABROAD PRESCRIBED
IN SECTION II BELOW AND THAT THE GOVERNMENT IS OBLIGATED TO RETURN YOU, YOUR DEPENDENTS
AND YOUR HOUSEHOLD AND PERSONAL EFFECTS UPON THE SATISFACTORY COMPLETION OF THIS PERIOD.
YOUR ALLOWABLE EXPENSES WILL BE DETERMINED IN ACCORDANCE WITH AGENCY REGULATIONS.
IF YOU TERMINATE YOUR PERMANENT ASSIGNMENT OUTSIDE THE CONTINENTAL UNITED STATES
BEFORE YOU COMPLETE 12 MONTHS OF CREDITABLE SERVICE FOLLOWING THE DATE OF YOUR ARRIVAL
ABROAD, YOU WILL BE REQUIRED TO REIMBURSE THE GOVERNMENT FOR ALL EXPENSES IT INCURS IN
THE TRAVEL AND TRANSPORTATION OF YOU, YOUR DEPENDENTS, YOUR HOUSEHOLD AND PERSONAL EF-
FECTS TO YOUR POST. IF YOU FAIL TO COMPLETE YOUR PRESCRIBED TOUR OF DUTY ABROAD YOU
WILL NOT BE ENTITLED TO THE RETURN TRAVEL AND TRANSPORTATION OF YOURSELF, YOUR DEPEND-
ENTS AND YOUR HOUSEHOLD AND PERSONAL EFFECTS TO THE UNITED STATES. IF, HOWEVER, AGENCY
OFFICIALS DETERMINE THAT YOUR EARLY DEPARTURE IS NECESSARY FOR OFFICIAL REASONS,.OR FOR
PERSONAL REASONS OF SIGNIFICANT INTEREST TO THE GOVERNMENT, THEY MAY WAIVE THE REIMBURSE-
MENT OF EXPENSES ALREADY INCURRED, OR AUTHORIZE YOUR RETURN TRAVEL AND TRANSPORTATION,
WHICHEVER IS APPLICABLE.
IF ELIGIBLE UNDER THE TERMS OF~ YOU WILL BE GRANTED HOME LEAVE AS SOON
AS IT CAN BE ARRANGED AT GOVERNMENT CONVENIENCE AFTER COMPLETION OF YOUR PRESCRIBED
TOUR OF DUTY, PROVIDED YOU HAVE SERVED AT LEAST 18 MONTHS OF CONTINUOUS CREDITABLE
SERVICE OUTSIDE THE UNITED STATES. HOME LEAVE AND HOME LEAVE TRAVEL ARE CONTINGENT
UPON YOUR WILLINGNESS TO RETURN, AND CONTEMPLATION BY AGENCY OFFICIALS THAT YOU WILL
RETURN TO SERVICE OUTSIDE THE UNITED STATES IMMEDIATELY AFTER HOME LEAVE OR UPON
COMPLETION OF AN ASSIGNMENT IN THE UNITED STATES.
YOU ARE ADVISED THAT ANY MONIES DUE YOU FROM THE GOVERNMENT MAY BE APPLIED IN
LIQUIDATION OF ANY INDEBTEDNESS ARISING FROM VIOLATION OF THIS AGREEMENT. YOU WILL BE
AFFORDED ALL NORMAL RECOURSE IN APPEALING DECISIONS MADE PURSUANT TO THIS AGREEEMENT.
NAME OF EMPLOYEE
SD
-
Pa! 1)z I
F
1
II. TOUR OF DUTY ABROAD
I. NAME OF POST OF ASSIGNMENT
2. IN A. B, OR C BELOW
A. STANDARD TOUR OF DUTY OF 24 MONTHS
C. NONSTANDARD TOUR OF DUTY OF MONTHS FOR
1
THIS FOR THE EMPLOYEE SIGNING THIS AGREEMENT.
(See
REQUESTED (memo attached
.:.::::::.: :?>:::>::>::? :.:
OPERATING OFFICIAL
3.
CONCUR
NONSTANDARD TOUR OF DUTY OF MONTHS
PREVIOUSLY APPROVED PER
CAREER SERVICE
DEPUTY DIRECTOR
APPROVED
DIRECTOR OF PERSONNEL
hUR Per
III. PERMANENT PLACE OF RESIDENCE
3. YOUR "PERMANENT PLACE OF RESIDENCE" IS A PLACE TO WHICH ALLOWABLE TRAVEL AND TRANSPORTATION EXPENSES MAY
BE AUTHORIZED IN CERTAIN CIRCUMSTANCES PURSUANT TD ITS DESIGNATION WILL BE KEPT IN YOUR OFFICIAL
PERSONNEL FOLDER.
4. IN REQUESTING YOUR PERMANENT PLACE OF RESIDENCE IN ITEM 5 ON THE REVERSE SIDE, YOU WILL (as prescribed
iD NORMALLY INDICATE THE PLACE WHERE YOU PHYSICALLY DWELLED IN THE UNITED STATES, ITS POSSESSIONS
OR THE COMMONWEALTH OF PUERTO RICO AT THE TIME OF YOUR PCS TRANSFER TO A P05T ABROAD. YOU MAY REQUEST IN
ITEM 6 THE DESIGNATION OF ANOTHER PLACE AS YOUR PERMANENT PLACE OF RESIDENCE IF YOU CAN ESTABLISH THAT
YOUR PHYSICAL DWELLING PLACE IS (or was) TRANSITORY AND THAT SUCH OTHER PLACE IS YOUR DOMICILE OR HAS
PREVIOUSLY BEEN USED BY YOU AS A PHYSICAL DWELLING. INFORMATION THAT CAN BE PRESENTED IN AN ATTACHED
STATEMENT AS EVIDENCE INCLUDES BUT IS NOT LIMITED TO, STATE VOTING REGISTRATION, PROPERTY OWNERSHIP AND
PLACE WHERE INCOME OR P E R 5 0 N A L PROPERTY TAXES HAVE BEEN PAID.
 T
(When pilled In)
5. PHYSICAL DWELLING PLACE (Permanent Place of Residence
6. OTHER PLACE REQUESTED (Requested Permanent Place of
unless address in item 6 is approved in lieu thereof)
Residence if different from item 5)
FULL ADDRESS
FULL ADDRESS
737 NW 4th Street
7s7 NW 4th St
Boca Raton, Florida 33432
Boca Raton, Floriaa 33432
Registered Voter in Florida
CONCUR
D
TE
DEPUTY
A
APPROVED
APPROVED
DEPUTY DIRECTOR
DATE
DIRECTOR OF PERSONNEL
DATE
IV. HOME LEAVE POINT
7. AMONG THE PLACES YOU MAY REQUEST AS A HOME LEAVE POINT ARE: YOUR PERMANENT PLACE OF RESIDENCE
SHOWN ABOVE, HEADQUARTERS AREA, OR PLACE OF RESIDENCE OF YOUR CHILDREN, PARENTS, PARENTS-IN=LAW,
BROTHERS, SISTERS, BROTHERS-IN-LAW, OR SISTERS-IN-LAW.
8. E YOU FOR APPROVAL SOME OTHER POINT SUBJECT TO THE PROVISIONS OF
THE REQUEST MUST BE ACCOMPANIED BY A MEMORANDUM EXPLAINING THE
C R .
9. DESIGNATION PER ITEM 7 ABOVE
10. DESIGNATION PER ITEM 8 ABOVE.
FULL ADDRESS
FULL ADDRESS
Barbee Estates
Route #1
Hotchkiss, Colorado 81419
CONCUR
DEPUTY DIRECTOR
DATE
RELATIONSHIP of RELATIVE AT HOME LEAVE POINT
Step-daughter
Step APPROVED
APPROVED
DEPUTY
DATE
DIRECTOR OF PERSONNEL
DATE
}`
EMPLOYEE CERTIFICATION
I have read and understand my service obligations and travel entitlements
as described in this agreement.
SIGNATURE OF
ATE
DATE