7 FAM 370
repatriation loans
(CT:CON-877; 05-31-2019)
(Office of Origin: CA/OCS)
7 FAM 371 INTRODUCTION
(CT:CON-694; 01-24-2017)
a. This subchapter concerns loan assistance to
destitute travelers and U.S. citizens residing abroad, including medical
evacuations to the United States. This subchapter provides guidance on:
(1) Consular authority to issue repatriation loans of
a certain amount without specific authorization from the Bureau of Consular
Affairs, Directorate of Overseas Citizens Services, Office of American Citizens
Services and Crisis Management (CA/OCS/ACS);
(2) Adjudication of eligibility for a repatriation
loan;
(3) Documentary requirements for completion of the Form
DS-3072:Repatriation/Emergency Medical and Dietary Assistance Loan Application.
(4) Prompt entry of the case into the American
Citizens Services (ACS) system;
(5) Authority to expend funds;
(6) Passport actions and entry of lookout into the
Consular Lookout and Support System (CLASS) via the Enterprise Case Assessment
Service (ECAS);
(7) Disbursement or return of any approved funds;
(8) Repayment procedures by the recipient;
(9) Special procedures required to approve a second
repatriation loan for an individual who has outstanding indebtedness; and
(10) Reporting and record keeping regarding
repatriation loans.
b. Consular officers can assist destitute U.S.
citizens/ nationals abroad by:
(1) Preparing information on sources of financial
assistance (see 7
FAM 320 for guidance on the role of the
consular officer in developing information and identifying local resources to
assist in destitution cases.);
(2) Contacting family, friends, and employers for
assistance;
(3) Processing Overseas Citizens Services (OCS) trusts
(see 7 FAM 324)
provided by family, friends, employers, etc.;
(4) Processing repatriation loans.
c. CA may at its discretion, but is not required to,
provide a repatriation loan to an eligible U.S. citizen and/or accompanying
family member(s).
d. Financial assistance under the repatriation loan
program is on a reimbursable basis only. (See 7 FAM 378 for a discussion about loans for unaccompanied
minors.)
e. Form DS-3072, Repatriation/Emergency Medical and
Dietary Assistance Loan Application, must be completed for all cases. (See 7
FAM Sections 374.1 374.3 (in general); 7 FAM 374.6 (minors); and 7 FAM 374.7 (incompetents)).
f. 7 FAM 377 and 7 FAM 1385 provide guidance regarding passport action
related to recipients of repatriation loans.
g. Privacy Act: An adult generally must provide a
written Privacy Act waiver before a consular officer can contact any possible
source of financial assistance, including the applicants immediate family.
(See 7 FAM 062)
A Privacy Act waiver generally is not necessary if the applicant is a minor and
the point of contact is a parent or legal guardian (see 7 FAM 060 and 7 FAM 1720 if the minor does not want the parents notified
or if there are considerations such as runaways, possible abuse or neglect, and
other special childrens issues). Form DS-3072, Repatriation/Emergency Medical
and Dietary Assistance Loan Application, includes a Privacy Act waiver.
NOTE: The Privacy Act Health or Safety
Condition of Disclosure
The Privacy Act's "health or safety"
condition of disclosure (also referred to as an "exception")
allows disclosure of information about an individual without a Privacy Act
Waiver (PAW) to another, pursuant to a showing of compelling circumstances
affecting the health or safety of an individual if upon such disclosure
notification is transmitted to the last known address of such individual (5
U.S.C. 552a(b)(8)).
Questions: Contact CA/OCS/L at ASK-OCS-L@state.gov.
|
h. Inter-agency Coordination: Repatriation cases often
require coordination with other federal and state agencies. They also tend to
evolve from a straightforward destitute situation into more complex scenarios
that require greater support and documentation. It is therefore imperative
that posts alert CA/OCS/ACS to every case where such complexities are suspected
as soon as possible. (See 7 FAM 390.)
i Expenses Covered by Repatriation Loans: In
addition to transportation expenses, the repatriation loan includes other
expenses incidental to return of the individual, which may include, but are not
limited to:
(1) Temporary food and lodging pending repatriation to
the United States;
NOTE: At the discretion of the consular
officer, the subsistence aspect of a repatriation loan may be provided in the
form of a room and meals at a less-costly hostel or by direct disbursement to
the applicant; subsistence funds cannot be used to pay for nonessentials such
as tobacco or alcohol. Subsistence is defined as the minimum necessary for
clean, simple lodging plus adequate food. The consular officer may designate
the hotel or lodging and meal plan consistent with this definition.
|
(2) Related sundries;
What are sundries?
Your destitute U.S. citizen may have been the
victim of a robbery and lost everything except the clothes on his/her back.
The family could include small children in need of diapers, etc.
In these circumstances, sundries means vital
hygiene/health related items such as toothbrush, toothpaste, shampoo,
diapers, soap, razor, deodorant, feminine hygiene products, etc. which the
destitute citizen may need to tide him/her over until the repatriation
flight. (See 7
FAM 356 Problems Involving
Prescription Medications, Lost or Stolen Medical Equipment.)
|
(3) Visa fees, airport departure fees, and/or
immigration penalties required for departure, but not funds for an improper or
illegal purpose, such as payment of bribes;
(4) Medical expenses necessary to stabilize the
individual in preparation for return to the United States; (see 7 FAM 380 for guidance about the Emergency Medical and
Dietary Assistance (EMDA) program, 7 FAM 350
regarding medical assistance, and 7 FAM 360 regarding medical evacuation.)
(5) Reasonable and appropriate transportation costs
for the repatriation recipient(s). Transportation expenditures are limited to
the minimum cost to transport the applicant and accompanying dependents to the
United States, and to travel within the United States to an airport beyond the
port of entry, under the following limitations:
(a) Travel to and within the United States should be
accomplished by the least expensive means available. This may include the
applicants use of a foreign carrier airline, as authorized in the Comptroller
Generals decision B-2-2410, dated September 29, 1981 (interpretation of the
Fly America Act).
(b) It is not permissible to purchase a less expensive
round-trip ticket for the repatriation recipient(s) and not use the return
portion, rather than a one-way ticket. Repatriation funds can be used to
purchase tickets to the United States, but not from the United States.
(c) It is not permissible to purchase tickets that have
U.S. citizens transiting or stopping in a country that has an active Ordered or
Authorized Departure in place, unless it is the only transit point available.
(d) A person being repatriated to the United States
cannot be issued a Government Transportation Request (GTR). The tickets
purchased must be:
(i) Non-refundable;
(ii) Non-reroutable;
(iii) Non-transferable
(iv) Tickets should not be purchased at U.S. Government
rate because the loan is for use by a private individual, not the U.S.
Government.
(e) See also 7 FAM 374.2 (12) and 7 FAM 395 for guidance on documenting Health and Human
Services (HHS)-reimbursable domestic travel expenses.
(6) Reasonable authorized escorts' fees (see 7 FAM 374.4);
(7) Reasonable and appropriate transportation and per
diem costs for escorts.
(8) Subsistence While Traveling: Expenditure costs
for subsistence while traveling are limited to the minimum amount required for
subsistence while en route to the United States. The traveler will ordinarily
require no funds for subsistence en route to the United States, unless some
distance must be traveled to the point of embarkation or stopovers must be made
where food and lodging would not be provided.
(9) Unauthorized expenditures: In the absence of
specific prior approval by CA/OCS/ACS, funds may not be used for:
(a) Liquidation of any indebtedness incurred prior to
the date the repatriate signed the loan, for example, a month long hotel stay,
etc. This prohibition does not include visa or exit fees incurred prior to the
date of application for repatriation;
(b) Transporting excess baggage or pets (NOTE that HHS
will not pay any such costs); or
NOTE ABOUT PETS: The Department of
Health and Human Services (HHS) advises that including pets in
repatriation, other than service animals, is extremely problematic. HHS
has no way to find shelter and care for the animals when they provide
reception and resettlement services for the repatriate. (See 7 FAM 390.) If a repatriates mental or physical
condition is such that the presence of the pet is extremely important to
keep the person calm, the matter should be raised by post with CA/OCS/ACS,
which will attempt to obtain concurrence of HHS on a case by case basis.
This authorization is extremely rare.
|
|
(c) Medical expenses: Repatriation loans can only be
used to pay medical expenses that are necessary to stabilize a patient for
medical evacuation to the United States and incurred after the applicant signs
the loan application. For guidance, see 7 FAM 380 about use of Emergency Medical and Dietary
Assistance (EMDA) loans for medical evacuation to a third country. EMDA and
repatriation funds are not available to pay long-term medical expenses,
non-emergency medical expenses, or expensive critical care. Such costs should
be borne by personal health insurance, private funds, or paid for by the host
government, either through that countrys medical program, crime victim
assistance program, or as a compassionate gesture. If the individual is a
victim of crime, consult with your OCS/ACS Country officer, to ascertain whether
victim assistance funds might be available from U.S. federal or state sources.
See 7 FAM 1900.
(10) Inappropriate Use of Funds: Repatriation loan
funds may not be used for an improper or illegal expenditure such as paying
bribes.
7 FAM 372 AUTHORITIES
(CT:CON-694; 01-24-2017)
a. Section 4 of the State Department Basic Authorities
Act, 22 U.S.C. 2671 (b)(2)(B) (Public Law 98-164), authorizes the Secretary of
State to make expenditures, from such amounts as may be specifically
appropriated therefore, for unforeseen emergencies arising in the diplomatic
and consular service, including loans made to destitute citizens of the
United States who are outside the United States and made to provide for the
return to the United States of its citizens.
NOTE: 22 U.S.C. 2671(d) establishes
certain requirements for the repatriation loan program, including that the
Secretary of State shall (1) require the borrower to provide a verifiable
address and social security number at the time of application; (2) require a
written loan agreement which includes a repayment schedule; [and] (3) bar
passports from being issued or renewed for those individuals who are in
default.
|
b. 22 U.S.C. 2671(d)(4) 22 U.S.C. 2671(d)(11) direct
collection of repatriation loans, in accordance with Federal government-wide
debt collection laws codified at 31 U.S.C. 3711 and 31 U.S.C. 3717. If a loan
is not repaid when due, the Department will take action to collect the loan
under the Federal Claims Collection Standards (31 CFR Parts 900-904) and 22 CFR
Part 34.
c. The "Fly America Act", 49 U.S.C. 40118,
does not require the use of United States air carriers when individuals use
funds loaned by the Department of State for their subsistence and repatriation.
d. 22 CFR Part 71 is being revised and expanded to
include regulatory provisions regarding repatriation loans.
e. 22 CFR 51.70 includes the regulatory provisions
regarding denial and limitation of passport services due to default on or
non-payment of a loan received from the United States.
7 FAM 373 ELIGIBILITY FOR REPATRIATION
LOANS
(CT:CON-694; 01-24-2017)
a. 22 U.S.C. 2671(b)(2)(B) provides for loans made to
"destitute citizens of the United States who are outside the United States
and made to provide for the return to the United States of its citizens."
b. Who is the Applicant? The applicant must
be a U.S. citizen.
Situation 1. In most
cases, the applicant and the beneficiary are identical. The consular officer
will issue the loan to the eligible U.S. citizen applicant who appears before
them.
In situations where a U.S. citizen applicant is unable to sign
the loan form, a non-citizen may do so (see example below of qualified alien
relative signing the form.)
Situation 2. Unaccompanied
U.S. citizen minor. No adults available to assist. The childs name is
listed as the applicant.
Situation 3. Unaccompanied
U.S. citizen minor. U.S. adult located. The childs name is listed as the
applicant, but the adult(s) name(s) are listed in the signature block and
the adult(s) sign the application.
Situation 4. Unaccompanied
alien minor child of U.S. citizen requiring repatriation. U.S. citizen adult
located. The U.S. citizen is listed as the applicant. The U.S. citizen
parent must apply on behalf of the child. Details should be listed in the
consular adjudication section of the form.
Situation 5. Incompetent
U.S. citizen adult. U.S. citizen Family/friends located. A competent U.S.
adult, if available, should sign loan form.
Situation 6. A minor is
the only U.S. citizen in the family with no U.S. citizen relative in the
United States. The consular officer has a destitute family applying, who are
all members of the same household, and who meet the eligibility criteria for
a loan and U.S. immigrant visas. The only U.S. citizen is a minor child. In
this scenario, the applicant is the U.S. citizen minor child because a loan can
only be issued to a U.S. citizen. The eligible alien family members are
included in the loan. The application is in the name of non-U.S. citizen
adult parent(s) or legal guardian(s), listing the U.S. citizen child(ren)
beginning at line 35. The non-U.S. citizen parents or guardians sign in line
92. The consular officer references the name of the U.S. citizen child and
the situation in Part 3.
Situation 7. A minor U.S.
citizen has a U.S. citizen relative in the United States, but all
accompanying family members are non-U.S. citizens. Eligible alien family
members are included in the loan. The application in the name of non-U.S.
citizen information is in lines 1-33. The U.S. citizen adult signs in line
92. The consular officer references the name of the U.S. citizen child and
the situation in Part 3. The U.S. citizen also initials the consular
officer's reference to this primary U.S. citizen applicant in Part 3. (See 7 FAM 373.3)
If the primary U.S. citizen applicant is located in the United States, that
person will execute the application on behalf of the non-U.S. citizen family
member before a notary public and express mail the application to CA/OCS/ACS
for coordination with post.
|
c. Residence is a factor to be considered when
ascertaining destitution. It is a piece of the overall financial
consideration. Non-resident U.S. citizens are equally entitled to consular
protection. However, the Department has discretion in providing them
repatriation loans. See 7 FAM 373c. Repatriation loan requests involving persons
who have no prior U.S. residence must be transmitted via front channel cable
for review by the OCS Managing Director to assess whether, despite the person's
not having had a prior U.S. residence, this case merits repatriation to the
United States.
d. 22 U.S.C. 2671d establishes certain requirements for
the repatriation loan program, including that "the Secretary of State
shall:
(1) Require the borrower to provide a verifiable
address at the time of application;
(2) Require a social security number at the time of
application; and
(3) Require a written loan agreement which includes a
repayment schedule."
e. The policy guidance below outlines eligibility
factors for repatriation loans:
(1) Nationality;
(2) Prior residence in the United States;
(3) Destitution;
(4) Accompanying family members;
(5) Accompanying escorts;
(6) Medical repatriation eligibility;
(7) Absence of a social security number
(8) Ineligibility for repatriation loans of active
duty members of the U.S. Armed Forces not on leave status; and
(9) Ineligibility for repatriation loans of merchant
seamen.
f. The Department provides financial assistance
through EMDA II to U.S. citizens to return to a third country where they
maintain a residence (e.g., a destitute U.S. citizen just released from jail in
Country A wishes to return to his/her home in country B). For more
information, see 7 FAM 384.5-1.
7 FAM 373.1 Nationality
(CT:CON-694; 01-24-2017)
A U.S. citizen/national abroad and/or eligible
citizen/alien accompanying family member(s) of the same household abroad is
eligible to receive a repatriation loan to return to the United States if the
consular officer determines the following:
(1) The applicant is a U.S. citizen. The U.S. citizen
applicant may be located abroad, in the United States (when applying for a U.S.
citizen recipient abroad), or in a third country.
NOTE: 7 FAM 374.6 provides guidance about how to handle cases
in which the only U.S. citizen applicant in a family is a minor child.
|
(2) The U.S. citizen recipient of the repatriation
loan, or eligible accompanying family member, must be located abroad. U.S.
citizenship/nationality must be established by clear documentary evidence
acceptable as proof of U.S. citizenship or nationality. (See 7 FAM 1300 and 7 FAM 1100.)
Proof of U.S. citizenship/nationality includes:
(a) A U.S. birth certificate certified by the issuing
authority (vital records office/civil registry);
(b) A U.S. passport;
(c) A Passport Issuance Electronic Records System
(PIERS) record;
(d) A Form FS-240, Consular Report of Birth Abroad of a
Citizen of the United States of America;
(e) A naturalization certificate or certificate of
citizenship bearing the seal of the issuance authority. (See 7 FAM 1150.)
(2) The applicants identity is satisfactorily
established. An applicant for a repatriation loan must establish identity to
the satisfaction of the consular officer. (See 7 FAM 1320.)
NOTE: The citizenship and identity of the
applicant are always required and, in almost every case, the applicant must
be destitute and without family or friends who are able to assist. However,
there is a rarely invoked provision of the repatriation loan program that
makes an exception for a U.S. citizen who is involved in, or the cause of, a
situation which may damage the prestige of the U.S. Government or which may
provide some other compelling reason to provide for the applicants prompt
repatriation, without meeting the requirements of destitution or lack of
relatives or friends in the United States or abroad able to assist. Posts
must consult CA/OCS/ACS to obtain authorization from the Managing Director of
CA/OCS before invoking this provision.
|
7 FAM 373.2 Destitution
(CT:CON-694; 01-24-2017)
a. The U.S. citizen applicant(s) and accompanying
family member(s) traveling abroad is/are destitute. The applicant claims that
reasonable attempts to obtain private resources from the individuals family,
friends, etc., have failed or such resources do not exist, and the individual
would experience hardship if not returned to the United States;
b. For the purposes of this subchapter, destitute means
the U.S. citizen/national:
(1) Has little or no visible means of support or
liquid assets (no job; no cash; no benefits or retirement check pending; no
savings; no return ticket, no credit cards, etc.);
(2) Has no family, friends, neighbors, employers,
charitable groups, etc., willing and able to provide adequate financial
assistance;
(3) Has inadequate food or shelter; and
(4) Has no funds available to him or her to pay for
the cost of repatriation.
NOTE: This checklist should be strictly
observed, although there are cases where mitigating or exigent circumstances
will outweigh these considerations. An example would be a victim of domestic
violence who technically may have a place to stay, but cannot remain there
without risk of serious harm.
|
c. To determine if an applicant is destitute, the
consular officer must:
(1) Interview the citizen to obtain additional details
about his or her financial situation. Questions to ask should include, but not
be limited to:
Do you have a return ticket?
Did you purchase travelers insurance?
Do you have access to funds in the United States? Can you
contact your financial institution to obtain a replacement ATM card, credit
card, debit card, arrange a wire transfer, or ask for an emergency increase in
your credit card limit?
Have you contacted family members, friends, or your employer?
The embassy can assist you in contacting them.
What are the names, phone numbers, and email addresses of at
least 3 individuals in the United States or in any other country, who we can
reasonably expect to provide you with financial assistance and whom we can
contact on your behalf to secure all or part of the necessary funds? These
individuals may be in a position to transmit funds via OCS Trust (see 7 FAM 324),
pre-pay an airline ticket with an air carrier, pay hotel bills by credit card
from the United States, etc.
NOTE: The applicant should be advised
that, if he/she does not provide the names of at least 3 individuals to be
contacted for assistance, he/she will not be eligible for consideration for a
repatriation loan.
|
If the consular officer is not satisfied that an applicant(s) is
destitute, the officer may decline to provide repatriation loan services to the
applicant(s) and should notify the AC/OCS/ACS country officer of the decision.
(2) Prior to recommending approval of any repatriation
loan, good faith efforts must be made to obtain funds from private sources, and
all such efforts should be properly documented in the ACS system case file.
(3) Form DS-3072, Repatriation/Emergency Medical and
Dietary Assistance Loan Application, includes a Privacy Act waiver for all
repatriation loan applicants. It gives the consular officer authority to
contact any and all potential sources in relation to the loan application
process, including those not initially provided by the client, but later
recommended by other contacts.
(4) Consular officers are also required to provide an
explanation in the repatriation loan initial cable request (see 7 FAM Exhibit 373) or the repatriation loan final cable (see 7 FAM Exhibit
376.1) when the minimum number of
contacts are not made and to document in the applicant's ACS system case file
the reasons for non-compliance or non-applicability. Such reasons may include,
for example, the fact that a citizen was impaired and unable to assist. Refusal
to cooperate with procedures outlined in this subchapter is not reason enough
to waive those procedures.
(5) CA/OCS/ACS and posts abroad do not consult
credit bureaus to verify that an individual is destitute or credit eligible.
(6) The fact that a repatriate may or may not be
eligible for a federal benefits payment
(Social Security, Department of Veterans Affairs, Office of Personnel
Management, Department of Labor, or Railroad Retirement Board) is not
determinative in ascertaining eligibility for a repatriation (or EMDA) loan.
Posts should not consult with regional federal benefits officers (RFBOs) regarding a repatriate
applicant's eligibility for federal benefits. The MOU between the Department
of State and the Social Security Administration and
related SSA Economy Act payments related to adjudication of federal benefits work does not cover repatriation and SSA
therefore has no role in determining "destitution" for the purposes
of repatriation. The Department of State Statement of Routine Use Notice
(SORN) (State S-5) permits the Department of State to share information with
SSA related to adjudication of federal benefits payments
to beneficiaries abroad but not for other purposes.
d. When a U.S. citizen residing abroad (as opposed to
traveling abroad) is destitute, the following are additional questions a
consular officer may reasonably ask a U.S. citizen who is a resident of the
consular district:
(1) Where do you live? With whom?
NOTE: The consular officer should observe
the individual carefully during questioning for any indications of abuse or
neglect.
|
(2) Is there someone else with whom you can stay in
this country temporarily?
(3) How do you support yourself?
(4) Are you employed?
(5) Are you eligible for any social services in the
host country?
(6) Are you in touch with your family?
(7) Are you a citizen or a lawful permanent resident
of another country (other than the United States)?
(8) Are you eligible for healthcare or resettlement
assistance in that other country?
Example: A 20-year-old residing in their
foreign home with limited education and a subsistence level income wishes to
relocate to the United States. Such an individual may or may not meet the
definition of destitute. Individual circumstances will affect your
determination of whether destitution exists. A young adult who travels
abroad to join a fianc met over the Internet, who arrives in a foreign
country and finds that the relationship is not working out, may be able to
find temporary lodging with the ex-fianc's family for a few days. This does
not constitute a long-term solution. If the young adult has no family or
friends to assist with funds, and the host country will not permit him to
work, then such an individual may be considered destitute and may be eligible
for a repatriation loan. Such situations will be reviewed based on the facts
and circumstances of the individual case.
|
(9) What is the contact information for persons who
may assist in verifying your circumstances?
NOTE: The individual may claim that if
you contact his/her parents the individual will face consequences. Be
sensitive to such a claim, but explain you may need to make other inquiries,
such as at a school, religious or social organizations, or with other family
members or friends. Your judgment is important. (See 7 FAM 1740 Forced Marriage of Minors; 7 FAM 1720 Child Abuse and Neglect; 7 FAM 1730 Child Exploitation; 7 FAM 1760
Runaways, Abandoned Children and Unaccompanied Minors; 7 FAM 180 Refuge; 7 FAM 170 Reporting on American Communities Abroad
(including cults); and 7 FAM 1780 Behavior Modification Facilities.
|
7 FAM 373.3 Accompanying Alien
Family Members
(CT:CON-694; 01-24-2017)
a. Accompanying alien family members are eligible to be
included in the loan.
(1) Each adult must complete his/her own Form DS-3072.
(2) Minors and incapacitated/incompetent adults may be
included in the primary U.S. citizen loan applicant's Form DS-3072.
(3) To be included in a repatriation loan,
accompanying alien family members must be members of the U.S. citizen's
household and possess a U.S. immigrant visa or other travel document valid for
entry into the United States.
(4) The U.S. citizen "primary applicant" must
sign line 92 of the Form DS-3072, although the non-citizen adult family
member's information is listed in lines 1-33.
(5) Part 3 of the Form DS-3072 form includes space for
the consular officer to note the U.S. citizen associated with the third country
national/host country national, accompanying spouse or partner, or escort of
the primary applicant. The U.S. citizen adult associated with non-U.S. citizen
beneficiaries must initial this reference in Part 3 of the Form DS-3072. Until
the debts of these non-U.S. citizens are paid, the U.S. citizen "primary
applicant" listed in Part 3 will continue to be limited or denied passport
services, as explained in 7 FAM 1385.
b. Accompanying alien family members who possess or are
eligible for a U.S. immigrant visa are eligible to be included in the loan
issued to the U.S. citizen. To be included in a repatriation loan,
accompanying lawful permanent resident (LPR) alien family members must be
members of household and possess a valid U.S. immigrant visa for entry into the
United States. Members of the household include:
(1) LPR alien spouse;
(2) LPR alien minor children;
(3) LPR alien adult child (unmarried);
(4) Other LPR accompanying dependent members of the
household.
c. A foreign national spouses first recourse would be
the embassy of his or her own country of nationality.
NOTE: The U.S. citizen may include in the
debt he or she incurs the funds for the eligible accompanying alien member(s)
of the household, as specified in each non-U.S. citizen adult's own Form DS-3072.
This provision would only be used in extraordinary circumstances and would
require authorization from the Managing Director or Deputy Assistant
Secretary for Overseas Citizens Services.
|
d. Household staff members are not members of the
household for the purposes of repatriation loans.
7 FAM 373.4 Medical Repatriation
Eligibility
(CT:CON-694; 01-24-2017)
a. 7 FAM 360
provides extensive guidance about medical evacuation options.
b. When a U.S. citizen or accompanying family member
requires a repatriation loan in order to be medically evacuated, additional
eligibility requirements must be assessed before a loan may be approved. The
following criteria must be met:
(1) The U.S. citizen and/or accompanying family
member(s) is destitute, meaning that the individual does not have available
to him/her, while abroad, adequate funds or insurance for necessary emergency
care;
(2) Adequate medical treatment is not available from
the host government;
(3) Reasonable attempts to obtain private resources
(from the individuals family, friends, etc.) have failed, or such resources do
not exist;
(4) There are medical indications, identified by
either the attending physician in the foreign country or the family physician
and conferring experts in the United States, that the emergency medical
assistance is necessary to sustain life, prevent the death of the U.S. citizen
and/or accompanying family member(s), or prevent a disability, serious injury,
or other significant deterioration of the individuals physical or mental
health. It may also be necessary to provide care in the United States to an individual
who is comatose, in a persistent vegetative state, or has sustained an injury
causing permanently incapacitating paralysis (e.g., quadriplegia) in a country
where the individual is not normally resident and/or has no immediate family to
provide care. See 7
FAM 339 for guidance regarding telemedicine techniques;
NOTE: Repatriation loans can only be used
to pay medical expenses necessary to stabilize a patient for medical evacuation
to the United States that are incurred after the applicant signs the loan
application. (See 7 FAM 371 i(9)(c)). EMDA and repatriation funds are
not available to pay long-term medical expenses, non-emergency medical
expenses, or expensive critical care. Such costs should be borne by personal
health insurance, private funds, or paid for by the host government, either
through that countrys medical program or as a compassionate gesture. If the
individual is a victim of crime, consult CA/OCS/OT crime victim assistance
specialists at VictimsAssistance@state.gov to
ascertain whether victim assistance funds might be available from federal or
state sources. (See 7 FAM 1900).
|
(5) If feasible, the U.S. citizen, spouse,
accompanying adult family member(s), or family members/friends in the United
States or a third country have executed a promissory note.
c. For guidance about U.S. citizens who have an
outstanding repatriation or Emergency Medical and Dietary Assistance (EMDA)
loan, refer to 7
FAM 380.
7 FAM 373.5 Ineligible Active Duty
Members of the U.S. Armed Forces
(CT:CON-694; 01-24-2017)
Active duty members of the United States Armed Forces abroad
who are on official orders and not on leave status are ineligible for a
repatriation loan. (See 7 FAM 2042 for
guidance about deserters and stragglers from the U.S. Armed Forces.)
7 FAM 374 APPLICATION PROCESS
7 FAM 374.1 Overview of Application
Process
(CT:CON-694; 01-24-2017)
a. A U.S. citizen, and accompanying non-U.S. citizen
adult family member applicants for a repatriation loan must complete Form DS-3072 after it has been determined that they are
destitute. This form includes a loan application and promissory note. 7 FAM 380
provides guidance on the use of Form DS-3072 for Emergency Medical and Dietary
Assistance (EMDA) loans.
b. The applicant may be the destitute U.S.
citizen/national appearing before the consular officer, or a relative or
friend, who is physically present in the host country, the United States or in
a third country, who is applying for the loan on behalf of the destitute U.S.
citizen.
For example
You have an unaccompanied minor in the consular
district. The grandmother in the United States executes the loan
application.
You have a qualified alien relative traveling with
the minor U.S. citizen child. The child is the applicant. The alien
relative signs the Form DS-3072. Refer to 7 FAM 374.6.
|
(1) If executing the Form DS-3072 in the United
States, the applicant must e-mail or fax the executed Form DS-3072 to
CA/OCS/ACS and express mail the original notarized signed copy of the document
to CA/OCS/ACS for coordination with the post.
CA/OCS/ACS Express Mail Address
U.S. Department of State
(ACS Specialist's name, if applicable)
Overseas Citizens Services, SA-17 (10th Floor)
600 19th Street, NW
FLOOR 10
2201 C Street, NW. Washington, DC 20520
|
(2) If executing the Form DS-3072 in a third country,
the applicant must execute it before a notary public and express mail it to the
U.S. embassy or consulate where the loan recipient is situated, if authorized
by CA/OCS/ACS. It is preferable that the form be executed by the applicant before
a U.S. consul in the third country, but CA/OCS/ACS may authorize execution
before a notary public on a case by case basis.
c. Each adult U.S. citizen seeking a repatriation loan
who is physically able to do so, must execute Form DS-3072.
d. See 7 FAM 374.7-1 for guidance on obtaining a signature when the
applicant has been declared mentally incompetent and 7 FAM 374.7-2 for guidance on obtaining a signature when the
applicant is not declared incompetent by a court but exhibiting irrational
behavior.
e. Instruct the applicant to complete the form using
block letters (printing) as legibly, neatly, and fully as possible.
7 FAM 374.2 Content of the Loan
Application
(CT:CON-694; 01-24-2017)
The Form DS-3072 was designed as a combined application
for repatriation and emergency medical and dietary assistance. To apply for
repatriation, each adult applicant, unless determined incompetent by a court of
competent jurisdiction (U.S. or foreign), must provide the following
information:
(1) Name. (Lines 1, 2 and 3) Last Name,
First Name, Middle Name: The applicants full legal name; (including also
known as (AKA) names and, aliases). The applicants name(s) must be cleared
in the Consular Lookout and Support System (CLASS) before the loan application
is processed;
(2) Social Security Number (SSN) (Line 4): A
repatriation loan will not be issued without a verifiable address and SSN,
except in extraordinary circumstances when failure to issue the loan may result
in endangerment of the life or limb of the U.S. citizen or other compelling
circumstance.
The Social Security Administration (SSA) advises CA
that even in a medical emergency situation a SSN cannot be issued in less
than 6 weeks for a person abroad. In such cases, the Department may
authorize issuance of the loan without the SSN, but the applicant must
provide a SSN as soon as practicable. Before processing the loan, the
consular officer must assist the loan applicant in applying for a SSN using
SSA Form SS-5 (Application for a
Social Security Number). CA will coordinate with SSA to share the SSN with
CGFS and HHS, where appropriate, for debt collection purposes. The consular
officer should annotate Part 3 of the Form DS-3072 to explain the absence of
a SSN.
|
(3) Date of Birth (Line 5): This should be
listed in numerals (MM-DD-YYYY)
(4) Place of Birth (Line 6): This should
include the city, state, country of birth;
(5) Identity/Nationality Document (Line 7):
(6) Sex. (Line 8): The applicant should
check the box for male or female;
(7) Contact Information for Loan Recipient in Host
Country (Lines 9, 10, 11): The applicant/loan recipient should enter the
physical address, phone number, and email address where he/she may be contacted
in the host country.
(8) Medical Condition, Current Injuries, or
Limited Mobility Relevant to Medical Evacuation/Repatriation (Line 12):
The applicant should include information that may be helpful in coordinating
resettlement assistance or airline boarding.
(9) Verifiable Address at Final Destination in the
United States (or other Permanent Address (Not Post Office Box). (Lines
13, 14, 15, 16, 17, 18, 19, 20, 21): The applicant must provide a verifiable
address at the time of application. This is required for billing/collection
purposes. A verifiable address is the applicants intended place of residence
(not a post office box) upon return to the United States. If the onward
address is unknown, the borrower should list To be determined." In the
case of a medical evacuation to a third country before repatriation to the
United States, the post in the third country should provide a final address if
possible. CA/OCS/ACS will share onward destination information obtained by HHS
and/or its partners and grantees with CGFS.
Bureau of the Comptroller and Global Financial
Services
Accounts Receivable Branch
CGFS/F/RR/RMICD/ARB
1-800-521-2116 or
011-843-308-5417 (if dialing from outside the U.S. or Canada)
FMPARD@state.gov
|
(10) Emergency Contact (Do Not List Someone
Traveling With You). (Lines 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33):
The applicant/loan recipient should provide the name, address, phone number,
email, and relationship for this contact.
(11) Accompanying Minor Children or
Incapacitated/Incompetent Adults. (Lines 34-88): The Form DS-3072
provides space for information regarding six accompanying minor children or
incapacitated/incompetent adults.
(12) Promissory Note and Repayment Agreement. (Line
89): The applicant should read this section carefully before proceeding to
line 90.
(13) Signature Block for Applicant. (Lines
90, 91, 92, 93): The applicant should print his/her full name, sign, and date
the Form DS-3072.
(14) Authorizations for Release of Information
Under the Privacy Act. (Lines 94, 95, 96, 97, 98, 99): This part of the
Form DS-3072 includes two Privacy Act waivers, one covering the release of
information to the Department of State and one for release of information to
HHS and/or its partners and grantees and for use of that information by HHS and
its partners/grantees. This section must be completed even if the applicant
signed a separate Privacy Act Waiver.
(15) U.S. Notary Public Information. (Line
100): If the Form DS-3072 is executed by someone in the United States on
behalf of the U.S. citizen/eligible foreign national facing an emergency
abroad, line 100 provides space for the Form DS-3072 to be executed before a
notary public. If necessary due to state notary practice, a separate form
executed by the notary public may be attached to the signed FORM DS-3072.
(16) Consular Adjudication Notes. (Part 3 of
the Form DS-3072): This space is provided for the consular officer to include
notes explaining special circumstances of the case and/or the lack of any
required information.
(a) The consular officer should check all applicable
boxes and explain any special circumstances. Additional notes may be attached
to the Form DS-3072 if necessary.
(b) If applicable, the consular officer should list the
U.S. citizen associated with a third country national, host country national,
accompanying spouse or partner, or escort of the primary U.S. citizen applicant
who may have completed a separate form. The U.S. citizen must sign line 92 as
the primary applicant although the non-citizen family member's information is
listed in lines 1-33. The U.S. citizen should also initial the consular
officer's reference to the names, date, place of birth and Social Security
Number of the primary U.S. citizen applicant in Part 3 of the Form DS-3072.
(c) Loan Amount. The consular officer should
enter:
(a) The total amount of the repatriation loan in
foreign currency;
(b) The amount of the repatriation loan in the U.S.
currency equivalent of (a);
(c) The portion of the total repatriation loan
expended for subsistence;
(d) The beginning date of the subsistence period;
(e) The end date of the subsistence period (lodging,
food, sundries, etc.); and
(f) The dollar amount for the transportation costs
(and escort fees where appropriate.) This includes a breakdown of all costs
associated with the domestic portion of the trip.
For Examples:
1. A cable from Embassy Budapest might reflect:
Budapest to New York, 600 dollars; Budapest to Detroit, 750 dollars. HHS
will pay 150 dollars (the difference between the two flights).
DOS booking direct flight to final destination
saved USG 200 dollars. O
2. A cable from Embassy Seoul might reflect: Seoul
to Los Angeles, 850 dollars; Seoul to Detroit, 1050 dollars. HHS will pay
200 dollars. These figures will be included in the final report cable along
with the date of travel. If the repatriate is seeking ISS/HHS assistance a
copy of the repat loan initial cable request will be provided to HHS by
CA/OCS/ACS when the case is initially referred to them.
|
(17) Consular Officer Signature and Certification.
This space is provided for the consular officers signature, seal, and jurat
signifying authorization and approval of the loan.
NOTE: Consular officer should advise the
U.S. citizen to read page 3 of Form DS-3072 regarding the Privacy Act and
Paperwork Reduction Act.
|
7 FAM 374.3 Applicant Signing the
Loan Application
(CT:CON-694; 01-24-2017)
a. The applicant should not sign Part 1, line 92 of
Form DS-3072 until the dollar amount of the loan is entered in Part 3 by the
consular officer.
b. One original copy of the repatriation loan
application must be signed by the principal applicant.
c. Since the dollar amount of the loan is usually not
known until the loan recipient appears before the consular officer, it is
preferable that the application be signed in the presence of the consular
officer, but it is not required.
d. If the estimated cost increases or if additional
costs are identified and added to the indebtedness, the applicant must complete
a new Form DS-3072.
e. If only minor changes to the expenses are made that
result in a lower overall cost, both the applicant and the consular officer
must initial and date each change in Part 3 of the Form DS-3072.
7 FAM 374.4 Escorts For U.S.
Citizen Minors, Physically Or Mentally Disabled U.S. Citizens, And U.S.
Citizens Otherwise In Need
(CT:CON-694; 01-24-2017)
a. Escorts may be required for the following:
(1) Unaccompanied U.S. citizen minors;
(2) Physically ill or mentally disabled U.S. citizens;
and
(3) Other U.S. citizens in need of an escort (such as
a fragile, disoriented elderly citizen, etc.)
b. Escorts must either be U.S. citizens, already have
their U.S. visa, or be visa-eligible aliens.
c. As the signatory of the loan, an applicant has the
right to concur in the selection of the escort, based on information provided
by the consular officer and subject to airline restrictions and attending
physician recommendations.
d. It is also possible for a family to retain a
qualified person to travel to the host country to escort the U.S. citizen.
Travel costs from the United States to the host country cannot be included in a
repatriation loan. However, travel costs from a third country to the host
country to serve as an escort can be included in the loan.
NOTE: 7 FAM 362
provides detailed guidance about medical escort requirements and options. Most
commercial carriers require that escorts for medically or mentally ill
individuals be either a doctor or nurse. However, some airlines allow a
family member to serve in this capacity under certain circumstances. The
passengers condition mandates the number of escorts and their
qualifications.
|
e. The repatriation loan may also include the cost of
the escorts travel and per diem (Meals, Incidentals and Expenses (MI&E)
and Lodging) to the last U.S. city where the repatriate(s) will be received by local
authorities or family members. The Department usually authorizes and
reimburses lodging as close to the GSA rates as possible for a single night for
the escort. In extraordinary instances in which the length of travel is 16
hours or more, two nights lodging may be authorized by CA/OCS.
NOTE: The escort should make his/her own
hotel reservation in the United States. This will require securing the
reservation using his/her own credit card, or, for a professional medical
escort, that of his/her employer. The escort may pay the hotel bill using
the lodging per diem provided to him/her in U.S. dollars by the post. If the
escort decides to remain in the United States beyond this period of time, any
expenses incurred are the responsibility of the escort.
|
f. Reasonable and appropriate escort fees may be
included in the repatriation loan, subject to approval by CA/OCS/ACS and the
applicant. CA considers that a fee of generally under $1000 is reasonable.
Posts must obtain concurrence of CA/OCS/ACS before expending such funds.
NOTE: CA/OCS/ACS will not authorize
escort fees for official personnel, including locally employed staff (LE
staff), eligible family members (EFM), etc.
|
(1) These fees are not intended to cover the lost
wages or time of the escort.
(2) In assisting families or repatriates to identify
escorts in accordance with 7 FAM 362, posts
should endeavor to find escorts who will provide the service without charging a
professional escort fee.
(3) For overseas escorts, there is no standard fee
regulation; fees vary from country to country. Commercial medical evacuation
companies include such professional escort costs in their fees.
(4) Any professional escort fee exceeding $1000 must
be justified and approved by the Managing Director for Overseas Citizens
Services.
g. See 7 FAM 395 and 7 FAM 396.4 b(5) for guidance regarding resettlement.
7 FAM 374.5 Using Good Offices in
Discussing Repatriation Costs with Host Countries, Transportation Carriers and
Escorts
(CT:CON-694; 01-24-2017)
a. It is important to remember that repatriation funds
are loans to a destitute citizen. Posts should highlight this point when
discussing transportation arrangements with airline officials and potential
escorts. In the event that the airline(s) being considered is a state-run
entity, you may be able to enlist host government assistance to negotiate a
favorable rate. Consular sections should work with the economic section at
post to explore their aviation contacts. Stress in these discussions the
compassionate aspects of the repatriation case, e.g., abandoned, abused,
exploited minors; abducted children; individuals who are victims of serious crime,
etc.
See: 7 FAM 364.2 for guidance about private charitable options
and commercial air carrier special compassionate rate programs for travel
related to family emergencies (deaths, etc.).
|
b. Posts should make every effort to negotiate the
lowest possible rate for such individuals well in advance. Dont wait until
you have a repatriation case. Discuss the issue with your contacts to attempt
to negotiate a most favorable rate.
c. Similarly, posts should use good offices to
encourage host government officials to waive immigration overstay fees or
penalties for repatriates or to reduce the fines. Make it clear that it is not
the U.S. Government, but the individual, who is paying for the travel.
Moreover, repatriation loan recipients often have other problems such as mental
illness, physical impairment, or are victims of domestic violence. Stress that
it is to the benefit of the host country and the individual to facilitate the individuals
departure without additional financial burden or bureaucratic requirements.
d. When discussing escort fees with medical
professionals, stress the compassionate nature of the case and the fact that
any professional fees will have to be borne by the individual who is already
destitute. These factors should also be stressed in coordinating with escorts
for minor children and elderly repatriates who do not need medical assistance.
e. This is consistent with sound fiscal decision
making, outlined in 7 FAM 376.3 d.
f. Your establishment of good contacts is essential in
such circumstances.
g. CA/OCS/ACS can assist you in strategizing solutions
to such problems.
7 FAM 374.6 Loan Applications on
Behalf of Minors
(CT:CON-694; 01-24-2017)
a. Unaccompanied U.S. Citizen Minors:
(1) When confronted with a destitute, unaccompanied
minor in need of repatriation, consular officers and CA/OCS/ACS will attempt to
identify a parent, guardian, family member, or other party who will agree to
pay the costs of repatriation.
NOTE: 7 FAM 1760 provides guidance about the Department
authority to assist abandoned or unaccompanied minors without parental
approval. In considering whether to contact a family member, posts and
CA/OCS/ACS will take into account special circumstances. We would not, for
example, contact an abusive parent or parents of a minor who was forced or
attempted to be forced into marriage, is a female genital mutilation victim
or a behavior modification facility resident, or in other dire
circumstances. In such cases, the consular officer will note in Part 3 of
Form DS-3072 and in the ACS system activity log the reason why it was
inappropriate to contact the parent/guardian.
|
(2) If no such individual has funds available, we will
ask them to complete Form DS-3072 on behalf of the child.
(3) If we cannot find a parent, guardian, family
member, or other party to execute the Form DS-3072, we can approve a loan on
behalf of the child under the age of 18 even though the form does not have a
signature of an applicant.
(4) The U.S. consular officer will explain in Part 3
the absence of the signature in line 92 of the Form DS-3072. The consular
officer will then authorize the loan and sign in Part 4.
(5) The existence of a D/B indebtedness lookout in the
name of a minor U.S. citizen is a collection technique to facilitate payment of
the debt by the adults. This lookout is not a basis for passport denial for
the minor.
NOTE: Existing passports of a minor are
NOT canceled. A minor cannot incur the debt and therefore there is no basis
for passport denial or limitation. If the minor does not have a passport,
the minor may be issued an Electronic Photodigitized Passport (EPDP) which is
always limited by nature. This is addressed in detail in 7 FAM 1385.3
|
b. Minor U.S. citizen accompanied by non-citizen family
member(s):
(1) If a family group of lawful permanent resident
(LPR) aliens with a U.S. citizen minor child applies for repatriation, the
alien parents may sign the Form DS-3072 on behalf of the U.S. citizen minor
child. Each adult must complete his/her own Form DS-3072. The consular
officer should note in the Part 3 space provided the association of the U.S.
citizen minor loan recipient to each non-U.S. citizen beneficiary.
(2) In such a circumstance, the U.S. citizen childs
name may be entered in the CLASS system as a collection technique to facilitate
payment of the debt by the adults. This is not a basis for passport denial for
the minor. See 7
FAM 1385.3.
(3) The names of the LPR parents of a minor U.S.
citizen child receiving a repatriation loan are entered in the CLASS system as
a D/B indebtedness hold. (CLASS includes other data on non-citizens such as No
Claim to U.S. Citizenship and Loss of U.S. Nationality cases.) (See 7 FAM 377 and 7 FAM 1385.3,
as well as 7 FAM
1330 and 7 FAM 1300 Appendix A for additional guidance.)
c. 7 FAM 396.1
provides guidance about resettlement issues and minors.
7 FAM 374.7 Incompetent Applicants
7 FAM 374.7-1 Declared
Incompetent by Court
(CT:CON-694; 01-24-2017)
a. For the purpose of issuance of repatriation loan,
mental incompetence must be declared by a court. (See 7 FAM 396.4 (b)(3) regarding certificate of incompetence
for the purposes of HHS resettlement which can be executed by an attending
physician.) 7
FAM 374.7-2 provides guidance about
repatriation of citizens who have not been declared incompetent by a court, but
exhibit irrational behavior.
b. A U.S. citizen who has been legally declared
incompetent by a U.S. or foreign court should not be asked to execute the Form DS-3072
or a Privacy Act waiver (see 7 FAM 060).
c. The post and CA/OCS/ACS will attempt to identify a
guardian, family member, friend, employer, insurance company or other party prepared
to pay the costs of repatriation or to execute the Form DS-3072 on behalf of
the individual, if the individual is unable to pay any or all of the costs of
repatriation in advance.
d. If such a person cannot be identified, the consular
officer will explain in Part 3 of Form DS-3072 the absence of an applicants
signature in line 92, and the consular officer will only sign Part 4 of the
form.
e. 7 FAM 396.4 provides guidance regarding resettlement issues
regarding mentally ill citizens.
7 FAM 374.7-2 Not Declared
Incompetent by a Court but Exhibiting Irrational behavior
(CT:CON-694; 01-24-2017)
a. A destitute U.S. citizen exhibiting irrational
behavior who appears to be a potential threat to himself/herself and others
comes to your attention.
b. The role of the consular officer is:
(1) Verify citizenship and identity (see 7 FAM 1320);
(2) Obtain Privacy Act waiver, if possible (see 7 FAM 060);
NOTE: Health or Safety Condition of
Disclosure in the Privacy Act: The Privacy Act's "health or
safety" condition of disclosure (also referred to as an
"exception") exception allows disclosure of information without a
PAW to a person pursuant to a showing of compelling circumstances affecting
the health or safety of an individual if upon such disclosure notification is
transmitted to the last known address of such individual (5 U.S.C.
552a(b)(8)). (See 7 FAM 066.)
|
(3) Assess immediate needs; 7 FAM 340 provides guidance about assisting mentally ill
citizens;
(4) You must have a conversation with the citizen to:
(a) Determine possible sources of financial assistance;
(b) Determine possible sources of information about the
persons medical and/or mental history or needs;
(c) Ascertain the citizens wishes regarding remaining
in the host country or returning to the United States. This may require you to
use your skills to persuade the individual to return to the United States
before the host country arrests or deports him/her, or before the individual
causes serious harm to him/herself or others.
NOTE: The U.S. Government DOES NOT
repatriate a U.S. citizen without his/her consent. Only a foreign government
can order the removal of a visitor from its territory through deportation or
cancellation of immigration status.
|
c. The post and CA/OCS/ACS will attempt to identify a
guardian, family member, friend, employer, insurance company or other party
prepared to pay the costs of repatriation or to execute the Form DS-3072 on behalf
of the individual, if the individual is unable to pay any or all of the costs
of repatriation in advance.
d. A destitute U.S. citizen adult who has not been
found to be mentally incompetent by a court, but who exhibits irrational
behavior suggesting possible mental illness or lack of comprehension, may
execute the Form DS-3072.
e. If the citizen is willing to be repatriated but
declines to sign the Form DS-3072, and post and CA/OCS/ACS have been unable to
identify private sources of assistance, the consular officer must:
(1) Exercise judgment regarding the safety and security
aspects of the case and the propriety of suggesting that the person think about
whether or not to apply for a loan and contact the post if he/she wishes to
proceed, sending the person away or contacting local authorities. 7 FAM 340 provides guidance about contacting local
authorities in such circumstances.
NOTE: Is the person a dual national or a
permanent resident of the host country, or a long-term resident? Are there
host country resources available for which he/she is eligible? (See 7 FAM 086.)
|
(2) Determine if the persons circumstances are so
dire that you should approve the loan without an applicants signature. In
such a case, the consular officer should annotate Part 3 of the Form DS-3072,
or an attachment, to note in objective terms the behavior exhibited, efforts
made to identify sources of help and absence of a signature. The consular
officer should not sign line 92. The consular officer should only sign Part 4.
f. See 7 FAM 361.1, 7 FAM 345, 7 FAM 362 b regarding stabilization, notification to
airlines, possible escort needs.
g. See 7 FAM 396.4 regarding resettlement issues for citizens in
these circumstances.
7 FAM 374.8 Applications by Persons
Who Have Physical Disabilities
(CT:CON-694; 01-24-2017)
This section discusses the fact that the consular officer
is required to document how the consular officer communicated with the
applicant and how the officer was satisfied that the applicant knowingly signed
the Form DS-3072. 7 FAM 396.3 provides guidance regarding resettlement issues
and repatriates with a medical condition.
(1) Visually Disabled Persons: The consular officer
must make sure that the blind or visually impaired person is fully informed of
and understands the contents of any instrument to be executed. The officer
should read the document, or have the document read, aloud to the visually
impaired person, and ask whether the person understands the document and/or has
any questions about its meaning. Consular notes in Part 3 of Form DS-3072, or
attachment, should reflect the special procedures employed. For example:
Today, [Insert name of the person applying for the loan] personally appeared
before me and I read aloud the Form DS-3072 to him. Having established that he
understood the contents of the document, I approved the loan. Questions about
such situations may be directed to CA/OCS/L at ASK-OCS-L@state.gov.
(2) Hearing Disabled Persons: It may be necessary to
communicate in writing with a hearing impaired person. The consular officer
must make sure that the hearing impaired person is fully informed of and
understands the contents of any instrument to be executed. You should have the
person read the document in your presence and should then ask the hearing
impaired person in writing whether he or she understands the document and/or
has any questions about its meaning. Consular notes in Part 3 of Form DS-3072,
or attachment, should reflect the special procedures employed. For example:
Today, Alice Jones personally appeared before me and read the annexed
instrument in my presence. Having established through written questions that
she understood the contents of Form DS-3072, I approved the loan."
Questions about such situations may be directed to CA/OCS/L at ASK-OCS-L@state.gov.
(3) Speech Disabled Persons: When a person is mute or
physically unable to speak, he or she may respond in writing to the consular
officers questions concerning identity, competence, and understanding. Part 3
of Form DS-3072, or attachment, should reflect the special procedures
employed. For example: Today, Mary Smith personally appeared before me,
established her identity, competence to execute Form DS-3072, and understanding
of the document hereto annexed by virtue of her written responses to standard
questions put to her. She acknowledged her signature on the annexed
document. Similarly, a speech-impaired person should be allowed to take an
oath or affirmation by responding in writing. Questions about such situations
may be directed to CA/OCS/L at: ASK-OCS-L@state.gov.
(4) Persons Unable to Sign: When a person is
physically unable to sign a Form DS-3072 or make an identifying mark, the
impaired person should give oral responses in the presence of two consular
officers, who should then attest to the manner in which the Form DS-3072 was
executed in Part 3 of Form DS-3072, or an attachment.
NOTE: -- At a small post with only one
consular officer, or where the second consular officer is away on official
business or annual leave, a diplomatic officer may act in place of the second
consular officer. Questions about such situations may be directed to
CA/OCS/L at Ask-OCS-L@state.gov.
|
7 FAM 375 ADJUDICATION PROCESS
7 FAM 375.1 Adjudication Process
Checklist
(CT:CON-694; 01-24-2017)
The following is a checklist of steps the post must take
in adjudicating and processing a repatriation loan:
Verify identity and search the ACS system for any previous case
history on the individual;
If there is no ACS system profile, create one;
Clear the name in CLASS so you have a fuller picture of the
repatriate;
Verify citizenship through passport presented or the
ECAS/Passport Issuance Electronic Record System (PIERS) record;
Verify destitution;
Obtain Privacy Act Waiver (except for minor or incompetent);
Obtain at least 3 possible sources of private funds;
Ascertain if any resources in the host country are available;
Assess citizens immediate needs;
If the subject is found to be destitute, obtain a fully executed
Form DS-3072 if subsistence funds are to be committed prior to pending approval
of loan;
Verify the final billing address;
Amend ACS record with final dollar amount of repatriation loan
upon disbursement;
Consular officer approves the loan;
Place the special Passport Limitation Endorsement Stamp (PLES) in
valid adult loan recipients' passports to limit the passport to only a transit
or direct return to the United States. Place the limitation stamp onto the
Secretarys message page, which is directly opposite the biographical data page
of the passport. See 7 FAM 1385.3.
Name(s) entered in CLASS system via ECAS (except abused,
exploited minors) at the time funds are disbursed;
The repatriation loan final cable is prepared and sent;
Copy of approved Form DS-3072 provided to repatriate or other
applicant;
Original of the approved Form DS-3072 is scanned into the subject's ACS system
activity log and e-mailed to CGFS Accounts Receivable at FMPARD@state.gov. The original document is pouched to CGFS.
Copy of fully executed and approved Form DS-3072 scanned into ACS
case record.
Complete all tabs in the ACS system and close the case in ACS
system.
Coordinate disbursement of funds with financial management
officer.
7 FAM 375.2 How To Adjudicate A
Loan Application
(CT:CON-694; 01-24-2017)
a. The revised Form DS-3072 includes an adjudication
function for consular officers approving loans.
b. Before exercising this authority, the consular
officer must determine that the applicant is destitute and meets all of the
eligibility requirements for a repatriation loan and correctly completes and
signs the DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan
Application.
c. Department of State and Treasury regulations
require that a promissory note be executed prior to the commitment and
disbursal of loan funds. If the applicant has sufficient funds for room and
board while awaiting approval from CA/OCS/ACS for a transportation loan, defer
completion of the promissory note until the loan has been approved and the
funds are ready for disbursement.
d. If, however, the applicant is indigent and the post
must provide subsistence money while awaiting CA/OCS/ACSs approval of the
transportation loan, do not disburse any funds until a promissory note has been
signed by the applicant.
NOTE: Do not give money or commit funds
on behalf of a repatriate before executing Form DS-3072. The consular
officer is personally liable for funds committed or expended in the absence
of an executed Form DS-3072. There are no funds available to reimburse an
officer who provides monies to a repatriate but who fails to have the
individual complete Form DS-3072.
|
e. Where subsistence funds are needed for more than one
day, estimate the dollar amount to be expended and include it in the loan
total. This will allow you to avoid the necessity of amending the form or
executing a new one.
f. Disbursement of Funds: It is preferable to
disburse subsistence funds directly to the service provider as opposed to the applicant.
Similarly, transportation costs should be paid directly to the service provider
or obtain a non-refundable, non-exchangeable ticket. Cash, if any, should be
provided to the applicant consistent with the situational needs, in small
increments. Cash provided for incidental expenses en route to the United
States should be provided in U.S. dollars. The consular officer will
coordinate documentary and disbursement requirements with the financial
management officer at post.
g. Entry of Case Record into ACS System: Enter all
required information into the ACS system case record and scan a copy of the
DS-3072 into the Activity Log.
h. Entry of indebtedness Passport hold in CLASS via
ECAS: (See 7 FAM 1300 Appendix A.)
i. Final Report: Following disbursal of authorized
funds, the consular officer must submit a repatriation loan final cable to the
Department captioned for CA/OCS/ACS, CA/OCS/PMO/ CA/PPT/S/TO/RS/DO/C,
CGFS/F/RMICD/ARB and CGFS/F/ADD/AA/CAA no later than three business days after
the completion of each case. 7 FAM Exhibit
376.1 provides a sample repatriation
loan final payment cable.
j. The format for the final report is as follows (give
all amounts in U.S. dollars):
(1) Name(s) of loan recipient(s);
(2) Recipients date and place of birth;
(3) Reason for Destitution;
(4) Total Amount Expended in U.S. Dollars
(a) Authorized
(b) Returned
(c) Fiscal Strip Data
(5) Subsistence in U.S. Dollars;
(6) Travel Expenditure: Identify international and
domestic costs in U.S. dollars for all travel related expenses including
airfare, charges related to ticket issuance, taxi and bus fare. Tips are not
an authorized expenditure. Expenditures are to be itemized per traveler;
(7) Other Expenses in U.S. Dollars;
(8) Final Action: Include complete itinerary details
for each traveler or attach the travel itinerary to the cable;
(9) Social Security Number;
(10) Verified U.S. Billing Address;
(11) Remarks--any pertinent information not already
furnished to the Department (such as passport number with date and place of
issuance, passport action or endorsements, U.S. address of next of kin,
telephone numbers, and so forth).
k. Prompt completion of the cable permits CGFS to meet
its requirement to bill loan recipients immediately upon their return to the
United States. Failure to complete and submit promptly may prevent CGFS from
obtaining reimbursement from HHS for domestic travel expenses.
l. Review the ACS record for completeness and close
the case.
7 fam 376 AUTHORIZATION AND REPORTING
PROCESS
7 FAM 376.1 Post Spending Authority
(CT:CON-694; 01-24-2017)
a. Posts currently have the authority to expend up to
$2000 per eligible applicant without prior CA/OCS/ACS approval.
NOTE: CA may limit post spending
authority because of funding limitations such as a continuing resolution or
end of fiscal year funding shortfalls.
|
b. Before exercising this authority, the consular
officer must determine that the applicant meets all of the eligibility
requirements for a repatriation loan (see section 7 FAM 373). In
all cases posts must first attempt to secure funds from private resources whom
the Department can reasonably expect to assist before adjudicating a
repatriation loan application.
c. The consular officer must determine that the
applicant correctly completes and signs an application and promissory note (see
7 FAM 374).
d. Reporting:
(1) The consular officer exercising this authority
must submit a repatriation loan final cable to CA/OCS/ACS, CA/OCS/PMO,
CA/PPT/S/TO/RS/DO/C, CGFS/F/RMICD/ARB and CGFS/F/ADD/AA/CAA not later than
three business day after completion of the case. (See 7 FAM Exhibit
376.1.)
(2) The repatriation loan final cable must also
identify all expenses including HHS associated domestic costs (air travel, bus,
and taxi fare, domestic escort expenses, etc.).
(3) All case details should be made a part of the ACS
system case file.
For Example:
If an applicant applies for a repatriation loan for
herself and her five children totaling $2000 x 6, the post must request
authorization from CA/OCS/ACS prior to approving the loan and disbursing the
funds including transmission of a repatriation loan initial cable request.
If the initial post estimate of the cost of
repatriation was $1700, and subsequently, prior to the travel, the post
learned of additional expenses, e.g., a $400 immigration overstay penalty
which pushes the total repatriation loan above the $2000 post authority
limit, the post must come in to CA/OCS/ACS for authorization to approve the
loan and transmit a repatriation loan initial cable request.
|
7 FAM 376.2 Repatriation Loans
Above Post Spending Authority
(CT:CON-694; 01-24-2017)
a. In every case when the repatriation loan amount
exceeds $2000 the consular officer must
(1) Enter the case in the ACS system and make a
determination to recommend approval or denial;
(2) Transmit a repatriation loan initial cable request
(See 7 FAM
Exhibit 373)
(3) Use the ACS system to request Department approval
to expend the estimated funds if post is recommending approval and transfer the
case record to OCS.
(4) Calculate the cost for all domestic expenses
included in the repatriation loan. (See 7 FAM 395 for the calculation of air transportation
costs).
b. You must alert CA/OCS/ACS by phone or email of requests
requiring urgent approval.
c. Posts repatriation loan initial cable request must
provide a breakdown of all international and domestic expenses included in the
loan estimate.
For Example
$1600 total airfare transportation for repatriate ($300 for HHS
reimbursable domestic airfare cost)
$30 transportation to airport
$40 airport departure fee
$200 lodging prior to departure
$400 immigration fine
$50 food and sundries
$1400 Round-trip transportation for Escort ($600 for HHS
reimbursable domestic airfare cost)
$300 Escort Per Diem 1 day
$1000 Authorized Escort Fee
$200 HHS-reimbursable domestic airfare costs
|
7 FAM 376.3 Department Oversight
and Authorization
(CT:CON-694; 01-24-2017)
a. CA/OCS/ACS will review the posts request for
authorization.
b. If CA/OCS/ACS determines proposed expenses
reasonable and appropriate and receives ISS/HHS written approval for domestic
costs that exceed $3,500, we will approve the loan in the ACS system and
generate a loan approval cable. In urgent cases CA/OCS/ACS may also
communicate with the post by email or phone.
c. If CA/OCS/ACS does not approve the repatriation
loan, the loan will be denied in the ACS system and a denial cable will be
generated. The post will also be advised by email or phone of the reason for
the denial.
Exigent Cases: CA/OCS will work with
posts to grant expedited approval in exigent cases where expedited transport
of the destitute citizen is imperative. OCS Duty Officers are available to
assist you after hours. Such cases often require coordination with local
state authorities to assist with reception and resettlement. Such services
are frequently not available on short notice, weekends or holidays. (See 7 FAM 390.)
Posts must communicate with CA/OCS/ACS as soon as you become aware of them.
|
d. Fiscal and Financial Good Practices:
(1) Consular managers in OCS and at posts abroad must
manage public monies expended on behalf of destitute citizens responsibly and
ensure that our records are accurate and up to date;
(2) Posts and ACS country officers must review
outstanding cases in ACS systems at least quarterly to ensure that authorized
funds have been properly disbursed and/or returned. All accounts must be
properly closed in the ACS system and the repatriation loan final cable has
been sent not later than three business days after the completion of the case
to CGFS. This ensures that the ACS tracking system adequately supports
information and data. CA/OCS/PMO has responsibility for oversight of the
financial assistance portfolio and relies heavily on the accuracy of data
entered by posts to project year end expenditures, future financial needs, and
generate accurate statistical reports for CA management budget requests to
Congress. 7 FAH-1 provides general guidance about consular management and internal
controls;
(3) In order to exercise proper fiscal control it is
imperative that dollar amounts of loans be accurately and promptly recorded in
the automated systems, that unexpended funds be returned in accordance with
established ACS system procedures, and that a repatriation loan final cable
detailing expenditures be completed not later than three business day after the
completion of the case. If posts experience problems with the ACS system,
please contact the CA Service Desk for assistance.
(4) Because CGFS and CA/PPT do not have access to the
ACS system, it is imperative that not later than three business days after the
completion of the case, posts scan a copy of the executed DS-3072 to CGFS
Accounts Receivable at FMPARD@state.gov and
follow procedures for disposition of original signed copies of the Form DS-3072 and completion of the final reporting cable via
SMARTcable.
7 FAM 376.4 Disposition of Copies
(CT:CON-8774; 05-31-2019)
Upon completion of the Form DS-3072:
(1) The signed original is sent by registered pouch
to:
U.S. Department of State
Comptroller and Global Financial Services
Accounts Receivable Branch
CGFS/F/RR/RMICD/ARB
2010 Bainbridge Avenue
North Charleston, SC 29405
Or by express mail:
U.S. Department of State
Comptroller and Global Financial Services
Accounts Receivable Branch
CGFS/F/RR/RMICD/ARB
1969 Dyess Avenue, Building 646-B
North Charleston, SC 29405
1-800-521-2116
011-843-746-0592 (if dialing from outside the U.S. or Canada)
FMPARD@state.gov
1-800-521-2116
|
(2) A photocopy/certified copy of the executed Form DS-3072
is delivered to the posts financial management officer. The consular officer
should advise the financial management officer that the consular section must
send the signed and sealed original of the Form DS-3072 to Accounts Receivable
Division, Global Financial Services in Charleston directly. The financial
management officer may request to see the signed and sealed original before
disbursing the funds.
(3) A photocopy of the executed Form DS-3072 is scanned by the post into the ACS system
activity file;
(4) A photocopy of the executed Form DS-3072
accompanies posts transmittal of the CLASS lookout file to Passport Services
for scanning after the consular officer enters the name in CLASS through ECAS
in accordance with 7 FAM 1300 Appendix A. The post should then send the
lookout file to the following address for scanning:
U.S. Department of State
Passport Services
U.S. Department of State
Record Services Division
CA/PPT/S/TO/RS
44132 Mercure Circle [DHL/FedEx/UPS]
P.O. Box 1213 [USPS]
Sterling, VA 20166-1213
Telephone (public): 202-485-8300.
Posts abroad should continue to send the above
documentation to CA/PPT via diplomatic pouch, as appropriate.
|
(5) A photocopy of the executed Form DS-3072 must be
given to the applicant. If the applicant is a minor or an incompetent the
photocopy should be transmitted to the person applying for the loan on behalf
of the individual.
(6) A photocopy of the executed Form DS-3072 should be
retained in post paper files in accordance with the Records Disposition
Schedule.
7 FAM 377 PASSPORT ACTIONS AND
REPATRIATION LOANS
(CT:CON-694; 01-24-2017)
a. 7 FAM 1385
provides specific guidance about passport actions to be taken in repatriation
loan cases.
b. Before issuing any repatriation loan, the name(s) of
the applicants/recipients must be cleared in the Consular Lookout and Support
System (CLASS). (See 7 FAM 1330).
c. Officers at posts must enter the names of loan
recipients in CLASS via ECAS at the time funds are disbursed.
d. To assist the Department in its efforts to secure
repayment of repatriation loans, passport services are limited to recipients of
such loans. At the time the repatriation loan is issued, the applicants full
validity passport is stamped with an endorsement reflecting that the passport
is valid only for return/transit to the United States by a specified date. If
the loan recipient does not have a valid passport, the applicant is issued a
limited validity passport at no charge as explained in 7 FAM 1385.3.
7 FAM 378 REPAYMENT PROCESS
(CT:CON-877; 05-31-2019)
a. Repayment of repatriation loans may be made by check
or money order payable to the Department of State, Accounts Receivable and
mailed to:
U.S. Department of State
Accounts Receivable Branch
P.O. Box 979005
St. Louis, MO 63197-9000
Or by express mail:
U.S. Bank
1005 Convention Plaza
St. Louis, MO 63101-1229
|
Loan recipients can also contact CGFS to make
arrangements for payment by credit card at the phone numbers provided on Form DS-3072.
b. Inquiries about repatriation loans should be
directed to CGFS at:
U.S. Department of State
Comptroller and Global Financial Services
Accounts Receivable Branch
CGFS/F/RR/RMICD/ARB
2010 Bainbridge Avenue
North Charleston, SC 29405
Telephone: 1-800-521-2116
|
Callers from overseas will need to dial the commercial
(toll) number; tel. 011-843-746-0592, to contact CGFS/F/RR/RMICD/ARB.
Inquirers can also email that office at FMPARD@state.gov.
c. If a citizen wishes to pay all or part of a
repatriation loan, the post should contact CA/OCS/ACS, which will then verify
with CGFS/F/RR/RMICD/ARB the current amount of the loan, including interest and
penalties. The post will be advised by CA/OCS/ACS to collect the payment due.
Posts abroad cannot accept personal checks. Payments must be made at post
either by money order, cashiers check, or cash. Consular sections can post
the monies for repatriation loans to fund 19X4107.
NOTE: The X is an integral part of the
fiscal strip code. Please send CGFS/F/RR/RMICD/ARB a copy of the Form OF-158,
General Receipt via email to FMPARD@state.gov no later than 3 business days
after the transaction. Or fax to 011-843-746-0556
|
e. 7 FAM 1385.4 provides guidance about resolving CLASS holds
for repatriation indebtedness and receipt of payments at posts abroad.
f. CGFS/F/RR/RMICD/ARB routinely pursues debt
collection for a repatriation loan incurred by a minor child when the minor
reaches 18 by inquiring if the person would like to voluntarily ratify the debt
and begin payment. CGFS may officially write-off these types of debts in a
specified timeframe. Post must send all documentation to CGFS for
consideration at the address above. CA recognizes the importance of CGFSs
efforts to collect outstanding repatriation loans and very much supports those
efforts. In such cases, CA encourages CGFS to exercise its discretionary
authority to suspend further collection activity regarding such void and
voidable loans and loans that have no merit. CA also pays heed to any
compassionate aspects related to the original loan application (such as the
repatriation of a young, unaccompanied child) in which attempted collection
would be against equity and good conscience. CA no longer enters the names of
such unaccompanied minors in the CLASS system for indebtedness. When a
previously entered name under such circumstances results in a CLASS hit, the
name will be removed from the consular lookout system by CA/OCS/ACS, and there
will be no impediment to issuance of a passport to the repatriated
unaccompanied minor when he/she reaches the age of majority.
g. The Departments debt collection efforts may be
impaired unless posts put forth their best efforts to obtain the information
required under Section 122(d) of the Department of State Authorization Act,
Fiscal Years 1984 and 1985 (Public Law 98-164), during the initial contact or
interview with a loan applicant. Section 122(d) addresses the administration
of the repatriation loan program, and debt collection (see section 7 FAM 351). It
provides that the Secretary of State shall:
(1) Require that a loan applicant furnish, at the time
of application:
(a) A SSN, and
(b) A verifiable address (for billing purposes).
(2) Require a fully executed written loan agreement
which includes a repayment schedule; and
(3) Bar issuance of passports to borrowers who are in
default.
7 fam 379 application for further
financial assistance while repatriation loan is outstanding
(CT:CON-694; 01-24-2017)
a. EMDA I Former Prisoners Applying for Repatriation:
If the applicant received an EMDA I loan as an incarcerated citizen abroad, the
subjects name should have been entered in the CLASS system at the time that
loan was issued. If the subject appears at a post abroad to apply for a
passport, wishes to return to the United States, and requires and is eligible
for a repatriation loan (see 7 FAM 373), the
procedures described 7 FAM 1385.4 and 7 FAM 1385.5
should be followed. The fact that a person was the recipient of an EMDA I loan
does not make him/her ineligible for a repatriation loan. The consular officer
should adjudicate the application for the repatriation loan in accordance with
normal procedures outlined in 7 FAM 375.
b. If a person has received an EMDA II loan previously
and has not repaid in full that does not make him/her ineligible for a
repatriation loan. The consular officer should determine eligibility under 7 FAM 373 and adjudicate the application for the
repatriation loan in accordance with normal procedures outlined in 7 FAM 375.
However, approval of such a case would not come under the consular spending
authority outlined in 7 FAM 376.
Authorization for such a loan would have to be approved by the Managing
Director of CA/OCS or the Deputy Assistant Secretary for Overseas Citizens
Services. Post must request approval by generating an initial loan cable
request (See 7
FAM Exhibit 373), noting the details
of the previous outstanding financial obligation in the Remarks paragraph.
c. The recipient of a previous repatriation loan which
has not been repaid in full and who applies for a new repatriation loan may or
may not be eligible for a new loan. The consular officer should determine
destitution under 7
FAM 373 and adjudicate the application
for the repatriation loan in accordance with normal procedures outlined in 7 FAM 375.
However, approval of such a case would not come under the consular spending
authority outlined in 7 FAM 376.
Authorization for such a loan would have to be approved by the Managing
Director of CA/OCS or the Deputy Assistant Secretary for Overseas Citizens
Services. Post must request approval by generating a repatriation loan initial
cable request. (See 7 FAM Exhibit 373), noting the details of the previous outstanding
financial obligation in the Remarks paragraph.
d. Likelihood of repayment is generally not a factor in
adjudicating repatriation loan eligibility. CA does not conduct credit checks
on repatriation loan applicants.
7 FAM Exhibit 373
Repatriation Loan Initial Cable Request
(CT:CON-694; 01-24-2017)
FROM AmEmbassy Harare
TO SecState WashDC IMMEDIATE
INFO USOFFICE FSC CHARLESTON IMMEDIATE
DEPT FOR CA/OCS/ACSCA/OCS/PMO
CA/C/FMD
CGFS/F/RR/RMICD/ARB
CGFS/F/AOD/AA/CAA
CA/PPT/S/TO/RS/DO/C
E.O. 13526: N/A
TAGS: CASC, AFIN, CPAS SUBJECT: FIMED: INITIAL
REPATRIATION OF JOHN Q. PUBLIC [ISS/HHS ASSISTANCE ANNOTATION AS REQUIRED]
REF:
(1) Name/Date and Place of birth (DPOB):
(2) Passport Number date of issuance and expiration
date. (Use information collected from PIERS if the subject does not have a
passport.)
(3) Source of Funds Contacted: (List at least three)
(a) Name, relationship, address, phone number;
(b)Name, relationship, address, phone number;
(c)Name, relationship; address, phone number.
(4) Prior Post Action: Summarize the efforts post has
made to assist the repatriate to date.
(5) Privacy Act Waiver: YES to family waiver; friend
waiver, congress waiver.
(6) Total Assistance Required: $2500. (Be sure to
note if the domestic travel arrangements and other domestic expenses exceed
$3,500 for individual cases)
(7) Desires to Return to U.S.: Yes.
(8) HHS Assistance: YES. (If yes, list the type of
assistance the repatriate is seeking such as resettlement, reception,
medical/psychological care, etc.)
(9) Date Last Departed U.S.
(10) Last Residence in U.S.
(11) Final Destination (including address if known).
(12) Federal Benefits/SSN: Describe any federal
benefits the subject receives or is
eligible for/SSN 123-45-6789.
(13) Reason for Destitution.
(14) Diagnosis
(15) Present Location.
(16) In Medical Cases;
(a) Attending Physician: (Name, address, phone number,
email, English language ability);
(b) Diagnosis;
(c) Medical Records: (Send a scanned version of the
records to the designated ACS Country officer in a separate e-mail)
(d) Hospitalization required: (If yes, describe the type
of facility recommended by the attending physician (acute care hospital,
rehabilitation facility, mental health facility, etc.))
(e) Medical Escort: (List the type of escort recommended
by the attending physician (doctor, registered nurse, nurse assistant, etc.))
(17) Date Able to Travel.
(18) Escort to Final Destination
(19) Special Requirements: [As applicable, include
special needs accommodations, durable medical equipment, prescription
medications, history of violence, etc.)
(20) Remarks: Provide as complete a case summary about
the repatriate as possible. Include CLASS hits that are relevant to the
subject's repatriation such as a B or U CLASS hit, and any other relevant
information that will influence the repatriation, particularly if ISS/HHS
assistance is being requested.
7 FAM Exhibit 376.1
Repatriation Loan Final Report
(CT:CON-856; 11-01-2018)
UNCLASSIFIED
From AmEmbassy PARIS
CA/OCS/ACS
CA/OCS/PMO
CA/C/FMD
CA/PPT/S/TO/RS/DO/C
CGFS/F/RR/RMICD/ARB
CGFS/F/AOD/AA/CAA
E.O. 13526 N/A
TAGS: CASC, CPAS, AFIN
SUBJECT: Repatriation: Final Repatriation Report:
William Ferguson
ACTION: SecState WashDC Immediate
Ref: (A) State 357427; (B) Paris 235698
(1) Name: John William Ferguson.
(2) DPOB: March 3, 1954, Missouri.
(3) Reason for Destitution
(4) Total Expended: U.S. dollars 1615.
(a) Authorized;
(b) Returned; and
(c) Fiscal Strip Data.
(5) Subsistence: U.S. dollars 420.
(6) Travel: John William Ferguson and Escort Jean
Pierre Avignon $1170. Identify Domestic Cost in US Dollars after clearing U.S.
port of entry; itemized per traveler.
(7) Other Expenses: U.S. dollars 25 for taxi to
airport.
(8) Final Action: Provide complete itinerary details
for each traveler or attach the travel itinerary to the cable. Mr. Ferguson
returned to the United States with Dr. Jean Pierre Avignon, medical escort, on
August 31, 2007 by Air France flight 123 to New York. Dr. Avignon returned to
Paris on September 1, 2007 by Air France flight 456. OR See attached itinerary
for Mr. Ferguson and Dr. Avignon.
(9) Social Security Number: xxx-xx-xxxx.
(10) Verified U.S. Billing Address: Care of mother,
Mrs. Elaine Ferguson, 12304 Flamingo Road, Merced, California, 12345.
(11) Remarks: Include any pertinent not already
furnished to the Department as well as passport action that has been taken.
Mrs. Fergusons passport xxxxxxxxx issued on February 2, 2006 was annotated
with PLES stamp.