Department of the Army Foreign Location Record for Deployed Civilians




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Department of the Army

Foreign Location Record for Deployed Civilians

(submit with SF 1190, Foreign Allowances Application, Grant and Report)
Instructions: Complete and submit this sheet with each SF-1190. All items must be completed with the exception of those marked “For CPOC Use Only”. Submit a new Foreign Location Record and SF 1190 upon your arrival, each change in foreign location, and upon your return within the recommended timeframes. Prompt submission of these documents will help to avoid salary overpayment and indebtedness situations.

Purpose/Submission – Check one:

________ Arrival

NAME OF EMPLOYEE (Last, First, Middle Initial): ____________________________________________________________ ________ Location Change ________ Return (Interim Final)

________ Final

List the dates, times, places (city and country) of arrival, departure during your duty assignment.




Date

Mm/dd/yyyy



Time

Use military time

(e.g., 1300 for 1:00 p.m.)


Location. (State both city and country)

Please be specific.



For CPOC Use Only

Locality Code

For CPOC Use Only

No. Days in City/Country

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Employee Statement. The information on this sheet is true and correct to the best of my knowledge and belief. I understand that I must notify the CPOC immediately of any change in conditions that may impact the amount of allowance and/or differential I am authorized.

Employee’s Signature Date

Approving/Reviewing Official Signature Date

(supervisor)



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