Form 511, 2015, Bureau Of Reclamation Pre-Appointment Background Check List For Critical Sensitive Positions Page 3
ADVERTISEMENT
1
2
3
4SLE 01-01
Appendix B
Reclamation Manual
Directives and Standards
Form B3. Bureau of Reclamation Request for Waiver of Pre-Appointment Investigative
Requirement for a Non-Critical/Critical-Sensitive Law Enforcement Officer
(LEO) Position Approval Form.
U.S. DEPARTMENT OF THE INTERIOR
REQUEST FOR WAIVER OF PRE-APPOINTMENT INVESTIGATIVE REQUIREMENT
FOR A NON-CRITICAL/CRITICAL-SENSITIVE LEO POSITION
ORIGINATING MANAGEMENT OFFICE (where candidate is to be appointed)
CANDIDATE’S NAME
PROPOSED POSITION TITLE
ORGANIZATION
PROPOSED EOD (DATE)
A waiver of the pre-appointment investigative requirement is being requested for emergency reasons and such
action is necessary in the national interest. A justification for this request is attached. If approved, I will ensure
that the individual will not have access to any classified national security information nor receive delegation of
law enforcement authority prior to the granting of a national security clearance (if a requirement of the position).
Forms required for the investigation were submitted to the bureau/office security officer on ______ (date).
IMMEDIATE SUPERVISOR SIGNATURE & DATE
PRINTED NAME
HIGHER LEVEL SUPERVISOR SIGNATURE & DATE
PRINTED NAME
SERVICING HUMAN RESOURCES OFFICER (or designee)
Based on my review of the individual's previous employment record and knowledge of this candidate's
background, there appears to be no derogatory information which would preclude employment in a
Noncritical/Critical-Sensitive position pending completion of the required investigation.
SIGNATURE & DATE
PRINTED NAME
RECLAMATION SECURITY OFFICER (or designee)
(send to 84-45000)
The results of the mandatory Pre-appointment Background Check in 446 DM 2 are attached.
SIGNATURE & DATE
PRINTED NAME
BUREAU DIRECTOR of LAW ENFORCEMENT - APPROVAL
SIGNATURE & DATE
PRINTED NAME
DIRECTOR, OFFICE OF LAW ENFORCEMENT AND SECURITY - APPROVAL
SIGNATURE & DATE
PRINTED NAME
ATTACHMENTS: (1) Justification for this Request, & (2) Results of Mandatory Checks (DI-1990)
ORIGINAL: EMPLOYEE'S OPF
cc: EMPLOYEE'S SECURITY FILE - 1
Modification B3 of DI-1912
(511) 02/02/2015
Page B3
SUPERSEDES SLE 01-01 (363) 09/29/2009 and minor revisions approved 09/29/2010
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal