Service period and post of duty
The employee's name, the number of months they agree to remain in GSA service from the time of arrival at the post of duty, and the post of duty.
GSA5043
Overseas Employment Transportation Agreement (For Employee Returning to the Same Post of Duty Following Leave)
- Agency
- GSA
- Revision
- Rev. 7/2018
- Fillable fields
- 6
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 5043: Overseas Employment Transportation Agreement, Same Post of Duty
GSA Form 5043, Overseas Employment Transportation Agreement (For employee returning to the same post of duty following leave), is a one-page General Services Administration (GSA) form, printed as GSA 5043 7/2018. GSA hosts it in its forms library, and GSA's page lists HRM 9301.1 as its authority or regulation.
It is a signed statement by a GSA employee serving overseas, not a form the public files. In it the employee agrees to remain in the service of the General Services Administration for a stated number of months from the time of arrival at the post of duty, and enters that post and the place of actual residence in the U.S. at the time of appointment or transfer.
The form sets out what the employee would owe for leave travel and return transportation if they leave before 12 months, or after 12 months but before the full period, unless separated for reasons beyond their control and acceptable to GSA. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 5043
Leaving before 12 months
Unless separated for reasons beyond their control and acceptable to GSA, the employee is indebted for transportation and per diem for themselves and transportation of the immediate family for the leave trip and return to the post.
Return costs and setoff
The employee bears the cost of transportation for themselves, family, household goods and personal effects to the place of actual residence. Because a prior agreement was completed, the cost that would have been incurred is applied as a setoff.
Leaving after 12 months but before the full period
The employee bears return transportation costs, offset by the cost of moving household goods, personal effects and any family members who did not accompany the employee home for leave.
Date, signature and residence
Lines for the date, the signature of the employee, and the place of actual residence in the U.S. at the time of appointment or transfer.
The form is one page of agreement text with a few blanks.
How to complete GSA Form 5043
- 1
Enter the employee's name
Write the name in the blank after "I," in the opening sentence.
- 2
Enter the number of months
Write the period of service in months, counted from the time of arrival at the post of duty.
- 3
Name the post of duty
Enter the overseas post of duty the employee is returning to after leave.
- 4
Read the agreement terms
The three paragraphs set out the debt for leaving before 12 months and for leaving after 12 months but before the full period, and how each debt is offset.
- 5
Sign, date and add the residence
The employee dates and signs the form and enters the place of actual residence in the U.S. at the time of appointment or transfer.
Why fill Form GSA5043 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes and what the form says
Where it goes
The PDF prints no address or routing instructions. GSA's page lists HRM 9301.1 as its authority or regulation.
Service periods printed on the form
12 months following return to the overseas post for the leave travel costs, and the full period entered in the first paragraph for return transportation.
Exception printed on the form
Separation for reasons beyond the employee's control and acceptable to GSA.
What the PDF does not print
The one-page PDF prints no Privacy Act statement, OMB number or time estimate.
Related forms
GSA5044
Overseas Employment Transportation Agreement (For Employee Returning to a Different Post of Duty Following Leave)
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GSA5042
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GSA5040
Overseas Employment Service Agreement
51 fields, 4 pages
GSA5047
Actual Place of Residence Determination
52 fields, 4 pages
GSA5041
Overseas Employment Agreement Assignment to a Foreign Area (Without Return Rights)
9 fields, 1 page
Who completes GSA Form 5043?
The form is written in the first person by the employee.
Official sources and the blank
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Questions about Form GSA5043
Who issues GSA Form 5043?
The form is printed by the General Services Administration as GSA 5043 7/2018. GSA hosts it in its forms library, and GSA's page lists HRM 9301.1 as its authority or regulation.
When is GSA Form 5043 used?
Its subtitle says it is for an employee returning to the same post of duty following leave. The employee agrees to remain in GSA service for a stated number of months from arrival at that post.
What if the employee leaves before 12 months?
The form says that, unless separated for reasons beyond their control and acceptable to GSA, the employee is indebted for transportation and per diem for themselves and transportation of the immediate family for the leave trip and return, and bears the cost of return to the place of actual residence, less a setoff.
What if the employee serves 12 months but not the full period?
The form says the employee bears the cost of return transportation, offset by an amount equal to the cost of moving household goods, personal effects and any family members who did not accompany the employee home for leave.
How is it different from GSA Form 5044?
GSA Form 5044 is for an employee returning to a different post of duty following leave. Its debt terms also cover family members who traveled between posts and household goods moved from the former post to the current one.
Who signs GSA Form 5043?
Only the employee. The form has lines for the date, the signature of the employee and the place of actual residence in the U.S. at the time of appointment or transfer.