Inv 60 Form - Request For Determination Or Advisory

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OPM -USE ONLY

Request for Determination or Advisory

OPM Case #

Credit

(See instructions on reverse)

Income To

1. Subject's Name (Last)

(First)

(Middle)

2. SSN

3. DOB

4. Other Names Used

5. POB (City, County, Country)

State

6. Sex

Address

7. Investigation Code

8. Submitting Office Number (SON)

9. Requesting Official's Signature

Printed Name

Date

Telephone Number (include area code)

Facsimile

Commercial

PART A: EXAMINING OFFICE AND AGENCY USE

10. All announcements and position titles for which this determination will be used

11. Passover Request

b. The sensitivity level of the position is:

a. SF 62 attached

c. The public trust level of the position is:

12. Identification of applications and related materials, statement of issues requiring suitability determination and other information pertinent to the determination

or advisory being requested. Annotate whether this is a competitive service position, and confirm that the applicant is eligible and within reach.

PART B: OPM-USE

13. Passover requests

a. Not sustained (see item 18)

b. Eligible for further certification

c. Sustained

d. Suspend pending further investigation

14. Acceptability relative to known suitability matters

Final Determination

Issue Characterization Level

1. Acceptable

3. Ineligible for failure to reply