Fillable VOLUNTARY SEPARATION INCENTIVE PAYMENTS Form DS7664

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VOLUNTARY SEPARATION INCENTIVE PAYMENTS Form DS7664

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Country of origin: US
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The US Department of State (DOS) or the State Department, is the government official division that advises the President and performs international relations. Equivalent to the outside service of different nations, it was built up in 1789 as the country's first official department.

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VOLUNTARY SEPARATION INCENTIVE PAYMENTS
Individuals who have received a Voluntary Separation Incentive Payment, otherwise
known as a Buyout, must repay that incentive if they are reemployed by the Federal
government within five years. Please check the appropriate box and sign this form to
certify that you have not received a buyout.
I have not received a voluntary separation incentive payment within the last five years.
I have received a voluntary separation incentive payment within the last five years.
DS-7664
5-2015
U.S. Department of State
Signature Date (mm-dd-yyyy)
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VOLUNTARY SEPARATION INCENTIVE PAYMENTS Form DS7664

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Completed 20 May 2019

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