CHECKLIST OF REQUIRED FORMS:
- SF-86 - Background investigation (This form is completed through the E-Qip system, the Human Resource Specialist will be contacting you with instructions and an ID for the system)
OF-306 - Declaration of Federal Employment
- 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\
- I-9- Employment Eligibility Verification (this form will be completed at the U.S. Attorney's Office)
- SF-181 - Race and National Origin Identification (this form will be completed at the U.S. Attorney's Office)
- SF-256 - Self-Identification of Handicap (this form will be completed at the U.S. Attorney's office)
- 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:- Letter of explanation stating
why the applicant
feels s/he is a dual citizen with the U.S. and
another country;
- Loyalty
Statement
- Foreign
Born Relatives or Associates
Statement
- Letter of explanation stating
why the applicant
- 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 extensions,
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.
- A detailed explanation(s),
copies of all
- DOJ
- Bar Affidavit (Must be accompanied by proof that
you are an active member of a bar in good standing
(either by printing verification from the web site of the
applicable bar or a letter of good standing from a bar).
- SF-87A – Fingerprint Cards (These cards will be completed at the U.S. Attorney's Office)
- 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
- Provide a letter of explanation
addressing each
Please either Federal Express forms directly to the following address or make an appointment to have hand delivered to:Carol Fortin
United States Attorney's Office
53 Pleasant Street, 4th Floor
Concord, NH 03301For additional information, please contact:
Carol Fortin at (603) 230-2544 or send an emailDocuments on this page are presented in Portable Document Format (PDF) and a PDF reader is required for viewing. Download a PDF reader or learn more about PDFs