Inv 60 Form - Request For Determination Or Advisory Page 2

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INSTRUCTIONS FOR COMPLETING THIS FORM
GENERAL: This form is used to make a passover request or to request a suitability determination, debarment consideration, or advisory
concerning suitability matters. This form should be typed and all information appropriate to your request should be furnished in the
spaces provided. Make sure that any required attachments are secured to this form. Submit original of this form and any attachments to:
OPM-FIPC, Suitability Branch, P.O. Box 618, Boyers, PA 16018. Any questions concerning completion of this form should be
directed to OPM-FIPC.
EXAMINING OFFICES (OPM AND AGENCY): Use this form to (1) request a determination of general suitability for Federal
employment and (2) send a request to pass over a preference eligible (also requires an SF-62). Submit only when an eligible applicant is
currently within reach or will soon be within reach for certification. Make sure that requests meet referral guidelines.
PERSONNEL, SECURITY, AND SUBMITTING OFFICES: Use this form to request an advisory on suitability matters.
INSTRUCTION FOR SPECIFIC ITEMS
INSTRUCTIONS
ITEM
The subject's full name must be given in the following order - LAST, FIRST, MIDDLE. If the subject is a "Sr.", "Jr.", "III", etc.,
1
skip one space after last name and enter appropriate designation. If the subject has initials only, enter each initial in the
appropriate block. If the subject has no middle name, enter NMN on the block under "MIDDLE".
NORMAL
DOE SR
JOHN
CARR
INITIALS
C
MIDDLE
JOHN NMN
DOE
A
NO
DOE
EXAMPLES:
ENTRY
ONLY
NAME
2
Provide the subject's Social Security Number (SSN).
Provide the month, day, and year of subject's birth in that order. EXAMPLE: Enter June 7, 1970 as 06/07/1970.
3
Refer to the applications and other documents submitted by the agency. To the extent this information is available, show all other
4
names the subject was known by or is now using. If the subject is female, and is or was married, include maiden name and other
married names if married more than once.
Place of Birth (POB: Enter full name of city/town and county (or foreign equivalent). Enter name of foreign country if born
outside of the U.S.A. and its territories. Using the coding shown below, provide abbreviation for State if born in the U.S.A. or its
5
territories. EXAMPLE: The city of Knoxville, County of Knox, State of Tennessee would be shown as KNOXVILLE KNOX
TN.
CODING FOR STATES, DISTRICT OF COLUMBIA, AND U.S. TERRITORIES (ITEM 5)
HI
Alabama
AL
Hawaii
Massachusetts
MA
New Mexico
NM
South Dakota
SD
Alaska
AK
Idaho
ID
Michigan
New York
NY
Tennessee
TN
MI
Arizona
AZ
Illinois
IL
Minnesota
MN
North Carolina
NC
Texas
TX
Arkansas
AR
Indiana
IN
Mississippi
MS
North Dakota
ND
Utah
UT
California
CA
Iowa
IA
Missouri
MO
Ohio
OH
Vermont
VT
Colorado
CO
Kansas
KS
Montana
MT
Oklahoma
OK
Virginia
VA
Connecticut
CT
Kentucky
KY
Nebraska
NE
Oregon
OR
Washington
WA
Delaware
DE
Louisiana
LA
Nevada
NV
Pennsylvania
PA
West Virginia
WV
Florida
FL
Maine
ME
New Hampshire
NH
Rhode Island
RI
Wisconsin
WI
Georgia
GA
Maryland
MD
New Jersey
NJ
South Carolina
SC
Wyoming
WY
America Samoa
AS
District of Columbia
DC
Guam
GU
Northern Mariana Islands
CM
Puerto Rico
PR
Trust Territory
TT
Virgin Islands
VI
6
If subject is Male, put an "X" under "M". If subject is Female, put an "X" under "F".
Examining Offices choose one:
40 - Applicant
-OR-
42 - Passover
7
Other Offices must enter:
91 - Advisory (Suitability/Security)
(NOTE: Additional types of cases may be developed and assigned as needed by the OPM.)
8
Enter the SON assigned by OPM.
9
Complete the requested information.
10
For examining office use.
For examining office use with an agency passover request. Check box a. to confirm that an SF-62 is attached to this
form. Fill in the appropriate position sensitivity and public trust levels for b and c. If the agency failed to identify the position
11
sensitivity level and public trust level, the examining office must obtain this information from the agency before referring.
12
For examining office, personnel, security, and submitting office use.
13
thru
These items are for use by the OPM.
19
INV 60 (back)
Print Form
Save Form
Clear Form
(formerly OFI 86A)
September 2006

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