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Assistant U.S. Attorney - Security Forms
| SF-86 / 86A Security Questionnaire | Security investigation data for sensitive positions. The SF86 form is provided here for your completion, but you will be transferring this data on it electronically via e-QIP. You will be provided further information on e-QIP later. |
| Instructions for SF-86/86A | |
| SF-86 - Revision to SF-86 Form | Change to SF-86 question 21. |
| eQIP Applicant Brochure | eQIP system reference guide. The eQIP system is used to electronically file the SF-86 form. The electronic filing of the SF-86 form is now mandatory. |
| OF-306 | Declaration of Federal Employment |
| OF-612 | Optional Application for Federal Employment and/or Resume |
| DOJ-555 | Disclosure and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act |
| I-9 | Employment Eligibility Verification |
| SF-181 | Ethnicity and Race Identification |
| SF-144 | Statement of Prior Federal Service |
| SF-256 | Self-Identification of Handicap |
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Dual Citizenship - Applicant certifies s/he is a dual citizen with the U.S. and another country Submit the above and submit one copy of the following, if applicable:
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| DOJ-488 |
Tax Check Waiver - Use the same ink for the candidate's signature
and date with no white out or erasures. Otherwise, IRS will not
accept the form. Revised form was issued 4/00. If you answered
on this form that you had or have had late tax filing(s), did
not file tax return(s), have numerous tax filing
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| DOJ - Bar Affidavit | Verification that the applicant is an active member in good standing of a state, U.S. Territory, or District of Columbia bar. |
| Residence Information | |
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OFI-36 - Single Scope, Additional Data for Single Scope Background Investigations and Other Background Investigations. If applicable please call for form. |
This form is only applicable under the following conditions:
Immediate family members are resident aliens or U.S. citizens other than by birth; Current spouse is foreign born Co-inhabitant(s) and any other persons to whom applicant is bound by affection or obligation who may be subject to duress by a foreign power |
| If the OFI-36 is applicable, also complete the Foreign National Relatives or Associates form | Describe the nature, frequency, and degree of your
contact. The form can be found in the above listed Dual Citizenship information bullet. |
| Rules of Behavior | Rules of Behavior - Information Systems Security Principles |
| OARM-9 | Reminder of Government Attorney Ethical Obligations to Client. |
| OARM 1B | Memorandum of Agreement for Experienced Attorneys |
| Letter of Good Standing | Provide a letter of good standing from the bar in which you are an active member. |
| SF-87A - Fingerprint Cards |
Fingerprint cards will be mailed to you upon request and you can be fingerprinted at any local police station. Fingerprint cards need to be completely filled out and in BLACK ink ONLY. |
| Email Address | Must provide email address on either resume or on a separate piece of paper. |
| Derogatory Information - i.e., bankruptcy, indebtedness, arrests, income tax issues, drug use, etc. | Provide a letter of explanation addressing each derogatory
issue Provide supporting documents, e.g., canceled payment checks. |
Please mail forms directly to the following address or make an appointment
to have hand delivered to:
United States Attorney's Office
District of Connecticut
157 Church Street
Floor 23
New Haven, CT 06510
Attn: Human Resources Office
For additional information, please contact:
Eileen Lombardi at (203) 821 -3700