Employment Forms
Assistant U.S. Attorney - Security Forms
- Attorney Ethical Obligation to Clients
- Applicant Document Checklist
- 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
- 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 or
Edna Syjongtian (973) 645-2811 or
Marsha Morris (973) 645-2810