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AUSA Security Forms Checklist

  • SF-86 - Questionnaire for National Security Positions
    • Security investigation data for sensitive positions.
    • 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 you personal computer as shown in the Web Browser Requirements and Getting Started sections of the "Quick Reference Guide" before completing the form on-line. The following questions must be answered covering the previous 10 years: 9, 10, 11, 12, 21, 22, 23, 29.
    • 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. 

      Quick Reference Guide for the Applicant

      Frequently Asked Questions about E-Qip 
  • OF-306 - 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, and fax it back immediately to Tim Garrett at (410) 962-0122. 
  • 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.
  • Dual 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
  • Foreign Born Relatives or Associates Statement
  • OFI-36 Additional Data
    • Complete this form if you have any foreign-born relatives, foreign-born spouse and/or cohabitant (regardless of citizenship).
  • DOJ-488 - 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 Bar
    • You must obtain a letter of good standing from the bar. The letter must verify you are an active member of a state, U.S. Territory or the District of Columbia bar. 
  • Drug Testing Policy Statement
    • Review and retain this statement which applies to all applicants regardless of age being considered for a paid position.
  • Memorandum of Agreement
  • OARM 9 - Reminder of Government Attorney Ethical Obligations to Client 
    • Review, print your name, sign and date the form. 
  • SF-87A - Fingerprint Cards 
    • Fingerprint cards will be mailed to you. You can be fingerprinted at any local law enforcement agency or call Tim Garrett on (410) 209-4934 to make an appointment to return your completed forms and be fingerprinted in the Office.
    • Cards should be signed in the presence of the person fingerprinting you.
  • Derogatory Information - i.e., bankruptcy, indebtedness, arrests, income tax issues, drug use, etc. If you answered Yes to questions #23, 24, 25, 27, 28 or 29 on the SF86, 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.

Please Federal Express or hand deliver forms to the following address:

United States Attorney's Office for the District of Maryland
Human Resources Office
36 S. Charles Street, 4th Floor
Baltimore, MD 21201-3119

For additional information, please contact Lisa Savage on 410-209-4968
or Tim Garrett on 410-209-4934.

SAUSA Bar Re-Certification Form - For use by Special AUSAs only

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Updated August 25, 2015

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