J.9_-_DS7655_Instructions.pdf

SAQMMA14R0319 ATTACHMENT J.9 – 3/28/2014

ATTACHMENT J.9

DS-7655 INSTRUCTIONS

1. COMPLETING THE DS-7655 FORM

a. Download the free Cerenade Offline Filler using the following link – http://www.cerenade.com/controls/fillerupdate

Tip: The installation of the Offline filler is free, quick, and easy. Some computers will automatically install the software. Some have security settings that will require you to manually install the filler. Follow the instructions in each window, and, when given the choice between “Run” and “Save”, choose the “Run” option.

b. Save the form (DS7655.far file) to your hard drive. The DS-7655 file is attached to this email.

c. Open the DS-7655 by clicking on the file from your hard drive. Do not click on the form directly from the email or you may have difficulty saving data and reopening the form.

Tip: There are several advantages to using the free Cerenade Offline Filler –

• You will be able to fill the form, save your data, and re-open the form to continue filling.

• Fields on the form that require more space than provided are “Addendum fields”.

This means the fields scroll to receive all the data. When you print the form, you check “Print Addendum” in the Print Dialog window, and the labeled addendums will print after the form.

• You will be able to print and email the form.

d. When saving a DS-7655 form, the name of the saved file should indicate the (1) Company Name followed by the employee’s (2) Date of Birth.

Do NOT include the employee’s name in the file name.

Click “File,” “Save Form As,” enter << CompanyName-DateofBirth(ddmmmyyyy) >> and SAVE.

For example, after saving, the file name might read: Verizon-01JAN1970.far http://www.cerenade.com/controls/fillerupdate

SAQMMA14R0319 ATTACHMENT J.9 – 3/28/2014

II. RETURNING THE COMPLETED DS-7655

a. For Iraqi citizens and nationals formerly or presently employed under your DOS contract(s) in IRAQ, please return completed DS-7655 forms to your Contracting Officer within 45 days of receipt of this correspondence.

b. For newly-hired Iraqi citizens and nationals employed under your DOS contract(s) in IRAQ, please return completed DS-7655 forms to your Contracting Officer within 45 days of date of hire.

c. Return forms by email to directly your Contracting Officer. .

Include “DS-7655” in the SUBJECT header of the email.

PLEASE NOTE

A completed DS-7655 is needed for each Iraqi citizen and national formerly or presently employed under a Department of State prime contract for work performed in IRAQ.

Prime contractors are responsible for collecting and submitting DS-7655 forms for Iraqis employed for work performed in IRAQ.

III. AUTHORITY

This information collection is conducted under the authority of Section 1248 of the Refugee Crisis in Iraq Act of 2007, Subtitle C of the FY 2008 National Defense Authorization Act (NDAA) (Public Law 110-181), as amended.

IV. QUESTIONS?

General questions concerning the collection should be sent to:

Iraqemp@state.gov

Technical questions concerning the DS-7655 form should be sent to:

Eform@state.gov mailto:Iraqemp@state.gov mailto:Eform@state.gov