AUSA Pre-Employment Security Checklist
Checklist Of Required Forms:
- Security Questionnaire
- Security investigation data for sensitive positions. The following questions must be answered covering the previous 10 years: 9, 10, 11, 12, 21, 22, 23, 29.
- You have been registered in the on-line security system called E-Qip. You have been sent an e-mail from the Human Resources Office with the E-Qip web site address and answers to 3 "Golden Questions". You should retain that e-mail and refer to it when accessing the E-Qip web site. Initially, please review the "Quick Reference Guide for the Applicant" and the "Frequently Asked Questions about E-Qip". You may need to set up your personal computer as shown in the Web Browser Requirements and Getting Started sections of the "Quick Reference Guide" before completing the form on-line.
- Carefully follow the on-screen instructions and remember the information you provide will be used by investigators to conduct your background investigation. All blocks must be completely filled out with accurate and up-to-date names/dates/addresses/telephone numbers. Please follow instructions to print out signature pages, sign, and date the form.
- Hint: It will be helpful to print out a copy of the SF-86 and complete it in hard copy before sitting down at the computer and completing it online.
Quick Reference Guide for the Applicant
Frequently Asked Questions about E-Qip
- Declaration of Federal Employment
- Complete blocks 1 through 16a, sign and date block 17a.
- OF-612 - Optional Application for Federal Employment and/or Resume/Employment Application
- DOJ-555 - Disclosure and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act
- Review, sign and date the form.
- Selective Service Registration Certification - Complete this form and include your registration number if your are a male born after 12/31/1959 and are at least 18 years of age.
Citizenship/Loyalty Statement - Applicant certifies s/he is a dual
citizen of the United States and another country. Submit the above and
submit one copy of the following, if applicable:
- Letter of explanation stating why the applicant feels s/he is a dual citizen of the U.S. and another country
Born Relatives or Associates Statement
- Complete this form if you have any foreign-born relatives, foreign-born spouse that you listed on your security questionnaire.
- Complete this form, regardless of citizenship status, for (1) cohabitants; and (2) any foreign-born relatives, foreign-born spouse.
- Tax Check Waiver - Use the same ink for the candidate's signature and
date with no white-outs or erasures. Otherwise, IRS will not accept the
form. Revised form was issued 4/00. If you answered on this form that
you have had late tax filing(s), did not file tax return(s), have
numerous tax filing extensions, or was or currently on a payment plan,
the following will be required:
- A detailed explanation(s), copies of all documents pertaining to the years involved and all correspondence with IRS.
- DOJ-54 - Bar Affidavit
- Letter from the
- You must obtain a letter of good standing from the bar. The letter must verify you are an active member of a state or U.S. Territory bar.
- Drug Testing Policy
- Review and retain this statement which applies to all applicants 18 years of age and older being considered for a paid position.
- OARM-1 Memorandum of Agreement for 14-month and Term Appointment
- SF-87A -
- Fingerprint cards will be mailed to you. You can be fingerprinted at any local law enforcement agency.
- Cards should be signed in the presence of the person fingerprinting you.
Information - i.e., bankruptcy, indebtedness, arrests, income tax
issues, drug use, civil suits, etc. If you answered Yes to questions #23, 24, 25, 27,
28 or 29 on the SF86, or you answered on the IRS Waiver Form that you had or have had late tax filing(s), or you did not file tax return(s), have had numerous tax filing extensions, was or is on a payment plan, then you must:
- Provide a letter of explanation addressing each derogatory issue
- Provide supporting documents, e.g., canceled payment checks, letter from creditor, court disposition, etc.
- OARM-9 - Reminder of Government Attorney Ethical Obligations to Client
Please Federal Express or hand deliver forms to the following address:
United States Attorney's Office
Attention: Human Resources
Southern District of Iowa
110 East Court Avenue, Suite # 286
Des Moines, Iowa 50309
For additional information, please contact Human Resources at 515-473-9337