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Employment Security Forms

Special Assistant U.S. Attorney - Security Forms

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 Citizenship information bullet.

      Bar Certification

      SAUSA Tax Waiver Form

      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:
      Edna Syjongtian (973) 645-2809

      Updated July 18, 2023