Assistant U.S. Attorney - Security Forms

Attorney Ethical Obligation to Clients

Applicant Document Checklist

OF-306 - Declaration of Federal Employment

I-9 - Employment Eligibility Verification

SF-181 - Race and National Origin Identification

SF-256 - Self-Identification of Handicap

Pre-Appointment Certification for Selective Service Registration

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

OFI-36 - Single Scope, Additional Data for Single Scope Background Investigations and Other Background Investigations.
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 describing the nature, frequency, and degree of your contact. The form can be found in the above listed Dual Citzenship information bullet.

DOJ 488A - 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.

DOJ - Bar Affidavit

Three Year Commitment

Memorandum of Agreement

Employment Status Certification

Residence Information

SF-87A – Fingerprint Cards
Fingerprint cards will be mailed to you upon request and you can be fingerprinted at any local police station. Or, you can make an appointment to return your completed forms and be fingerprinted in the Human Resources Security 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.

Federal District Court Admission

Verification/certification from a state, U.S. territory or District of Columbia bar indicating that applicant is an active member in good standing.

Please either Federal Express forms directly to the following address or make an appointment to have hand delivered to:

Human Resources Office
United States Attorney's Office
District of New Jersey
970 Broad Street
Room 700
Newark, NJ 07102

For additional information, please contact:
Mary Gladney (973) 645-2809

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