Header and office
Voucher No. and Schedule No. at the top right, a PAID BY box, and lines for the department and bureau, agency, or establishment and its location.
SF1154
Public Voucher for Unpaid Compensation Due a Deceased Civilian Employee
Standard Form 1154 (SF 1154), Public Voucher for Unpaid Compensation Due a Deceased Civilian Employee, is a two-page payment voucher for compensation still due a civilian employee of the United States or the District of Columbia who has died. The header prints Standard Form 1154, September 1967, Title 4, GAO Manual, 1154-109. GSA hosts a copy in its forms library.
The front names the department and bureau, agency, or establishment, lists the payees with the amount for each, gives the gross amount chargeable to appropriations and funds, and carries an authorized certifying officer's certification, the accounting classification and a record of how payment was made. The back summarizes the unpaid compensation item by item, subtracts amounts deducted or withheld, and lists any previous partial payments.
The PDF prints no step-by-step instructions, filing address or privacy notice. You can fill it out free in your browser on this page and download the result without an account.

Voucher No. and Schedule No. at the top right, a PAID BY box, and lines for the department and bureau, agency, or establishment and its location.
Rows for the names and addresses, including ZIP codes, of the payees, an AMOUNT column, and the net amount due as per the summary on the reverse.
The name of the civilian employee, the day, month and year of death, and the gross amount chargeable to appropriations and funds, as distributed below.
The certifying officer's certification with date and title, an accounting classification block, and a line for check numbers drawn on Treasurer, U.S., or a named bank, or a cash amount.
Lump sum payment for annual leave, salary or pay for which checks have not been issued, travel reimbursement, allowances, cash awards for employee's suggestions, unnegotiated checks deposited and unapplied U.S. Savings Bond balances.
Outstanding travel advances, civil service retirement, employee life insurance, health benefits and other deductions, the net amount due, and previous partial payments by voucher number, date paid and D.O. symbol.
Enter the department and bureau, agency, or establishment, its location, and the voucher and schedule numbers.
Enter each type of unpaid compensation, the total chargeable to appropriations, special funds, etc., the amounts deducted or withheld, and the net amount due.
Enter each payee's name, address and amount, the net amount due from the reverse, the employee's name and date of death, and the gross amount chargeable.
The authorized certifying officer signs and enters the date and title, and the accounting classification block is filled in.
Record the check numbers or the cash amount. The form says a cash payment needs the payee's signature, and with more than one payee a receipt for each is attached to the voucher.
The PDF prints no step-by-step instructions. These steps follow the order of its blocks.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF prints no filing address, delivery method or deadline. The top of the voucher names the department and bureau, agency, or establishment and its location.
The form says that if payment is made in cash, the payee's signature acknowledging receipt is required, and that with more than one payee a receipt should be obtained for the amount paid to each and attached to the voucher.
A table at the bottom of the back records earlier partial payments of unpaid compensation by voucher number, date paid and D.O. symbol.
The header prints Standard Form 1154, September 1967, Title 4, GAO Manual, 1154-109. GSA's page gives the current revision date as 09/1967 and lists no authority or regulation.
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The top of the voucher names the department and bureau, agency, or establishment and its location. The form does not say which office prepares the voucher.
The voucher states the amount of unpaid compensation due a named civilian employee of the United States or the District of Columbia and the date of death.
Rows list the names and addresses, including ZIP codes, of the payees with an amount for each. The form says a payee paid in cash signs to acknowledge receipt.
Signs and gives a date and title under the statement that the items listed are correct and proper for repayment from the appropriation(s) and/or fund(s) indicated.
The form prints roles and blocks rather than instructions. These are the parties it names.
The agency’s own page for Form SF1154.
The official blank form, to print or fill by hand.
No tool matches that search.
The header prints Standard Form 1154, September 1967, Title 4, GAO Manual, 1154-109. GSA hosts a copy in its forms library.
An authorized certifying officer signs the certification and adds a date and title. A payee signs only when payment is made in cash, to acknowledge receipt.
Lump sum payment for annual leave, salary or pay for which checks have not been issued, reimbursement for travel expenses, allowances, cash awards for employee's suggestions, unnegotiated checks deposited, and unapplied balances on U.S. Savings Bond purchases.
The back lists outstanding travel advances, civil service retirement, employee life insurance, health benefits and other amounts deducted or withheld, followed by the net amount due.
The front has rows for several payees with an amount for each. If payment is made in cash, the form says a receipt should be obtained for the amount paid to each and attached to the voucher.
The form describes the deceased as a civilian employee of the United States or the District of Columbia.