OPM Standard form 15 Template

OPM Standard form 15 Template

The OPM Standard Form 15 is a document utilized by individuals seeking employment in federal positions, specifically for those claiming veteran's preference. This form serves to verify eligibility for certain benefits and preferences afforded to veterans during the hiring process. For those ready to take the next step, fill out the form by clicking the button below.

Table of Contents

The OPM Standard Form 15 is a critical document for individuals seeking to apply for federal employment benefits due to disability or other qualifying conditions. This form is primarily used to establish eligibility for a variety of programs, including those related to veterans' benefits and federal employment. Applicants are required to provide detailed information about their medical condition, including documentation from healthcare providers. The form also includes sections that guide applicants through the process of disclosing any relevant personal information and the nature of their disability. Proper completion of this form is essential, as it directly impacts the determination of benefits. Understanding the nuances of the OPM Standard Form 15 can significantly ease the application process, ensuring that individuals receive the support they deserve in a timely manner.

OPM Standard form 15 Sample

 

APPLICATION FOR 10-POINT VETERAN PREFERENCE

 

(TO BE USED BY VETERANS & RELATIVES OF VETERANS)

 

Form Approved:

U.S. Office of Personnel Management

O.M.B. No. 3206-0001

PERSON APPLYING FOR PREFERENCE

1.Name (Last, First, Middle)

2.Home address (Street Number, City, State and ZIP Code)

VETERAN INFORMATION (to be provided by person applying for preference)

3.Veteran's name (Last, First, Middle) exactly as it appears on Service Records

4.Periods of service

Branch of service

Date entered active duty

Date Separated or Released from Active Duty (if applicable)

TYPE OF 10-POINT VETERANS' PREFERENCE CLAIMED

Instructions: Check the block indicating your veterans’ preference claim. Answer any questions associated with a block. The Required Documentation column refers you to information provided on the back of this form regarding the types of documents that are acceptable proof of your claim for preference. (Please note that eligibility for veterans’ preference is governed by 5 U.S.C. 2108, 2108a, and 5 CFR part 211. All conditions are not fully described on this form due to space restrictions.

 

 

 

 

 

 

 

 

 

 

 

 

 

Required Documentation

 

 

 

 

 

 

 

 

 

 

 

 

 

(See reverse of this form.)

 

 

5. Veterans' preference based on non-compensable service-connected disability; award of

-- -- -- -- -- -- -- -- -- -- -- -- -- ---- --

 

 

 

 

the Purple Heart; or receipt of disability pension under public laws administered by the

A and B

 

 

 

Department of Veterans Affairs (DVA).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Veterans' preference based on a compensable service-connected disability of 10% or

-- -- -- -- -- -- -- -- -- -- -- -- -- ---- --

A and C

 

 

 

 

 

more as determined by the DVA or disability retirement from a Military Service Department.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

7. Veterans' preference for a living veteran's spouse based on the fact that the veteran,

a. Are you currently married to the

 

 

 

 

 

veteran? If No, you are not eligible

 

 

 

 

 

 

 

 

 

 

because of a service-connected disability, has been unable to qualify for a Federal

for preference.

 

 

 

 

 

 

C and H

 

 

 

Government job, or any other position.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Were you married to the veteran at

 

 

 

 

 

 

 

 

 

8. Veterans' preference for a veteran's widow or widower.

the time of death? If No, you are

 

 

 

 

 

 

 

 

not eligible for preference.

 

 

 

 

 

 

A, D, E, and G

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Have you ever remarried? (Do not

 

 

 

 

 

 

(Submit G when applicable.)

 

 

 

 

 

count annulments.) If Yes, you are

 

 

 

 

 

 

 

 

 

 

 

 

not eligible for preference

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Veterans' preference for a mother of a veteran who has a service-connected disability

a. Are you married?

 

 

 

 

 

 

Disabled Veteran

 

 

 

that is permanent and totally disabling, or who is deceased provided you are or were

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C, F, and H

 

 

 

married to the veteran's father and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• your husband is totally and permanently disabled;

b. Are you separated? If Yes, go to

 

 

 

 

 

 

 

 

 

question D.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• you are widowed, divorced, or separated from the veteran's father and have not remarried;

 

c. Is your husband totally and

 

 

 

 

 

 

Deceased Veteran

 

 

 

 

 

 

 

 

 

 

 

or

permanently disabled?

 

 

 

 

 

A, D, E, and F

 

 

 

 

 

 

 

 

 

 

• you are widowed or divorced from the veteran's father and have remarried, but are now

 

d. Did the veteran die on active duty?

 

 

 

 

 

 

widowed, divorced, or separated from the husband of your remarriage.

If No to C or D, you are not eligible

 

 

 

 

 

 

 

 

 

 

 

 

for preference.

 

 

 

 

 

 

PRIVACY ACT AND PUBLIC BURDEN STATEMENT

The Veterans' Preference Act of 1944 authorizes the collection of this information. The information will be used, along with any accompanying documentation to determine whether you are entitled to 10-point veterans' preference. This information may be disclosed to: (1) the Department of Veterans Affairs, or the appropriate branch of the Armed Forces to verify your claim; (2) a court, or a Federal, State, or local agency for checking on law violations or for other related authorized purposes; (3) a Federal, State, or local government agency, if you are participating in a special employment assistance program; or (4) other Federal, State, or local government agencies, congressional offices, and international organizations for purposes of employment consideration, e.g., if you are on an Office of Personnel Management or other list of eligibles Failure to provide any part of the information may result in a ruling that you are not eligible for 10-point veterans' preference.

Public burden reporting for this collection of information is estimated to take approximately 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to OPM Forms Officer, U.S. Office of Personnel Management, Washington, D.C. 20415; The OMB Number, 3206-0001, is currently valid. OPM may not collect this information and you are not required to respond, unless this number is displayed.

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Page 1 of 2

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Standard Form 15 Revised October 2013 All other previous editions are unusable.

DOCUMENTATION REQUIRED - READ CAREFULLY

Please submit photocopies of documents because they will not be returned.

A. Documentation of Service and Separation.

For spouses and mothers of disabled veterans, who checked item 7 or

Any official document or statement from the Armed Forces showing

9, submit the following:

 

 

separation, discharge or release from active duty is under honorable

An official statement, dated 1991 or later, from the Department of

conditions (Honorable or General Discharge). Note: Only the branch of

Veterans Affairs, or from a branch of the Armed Forces, certifying:

service in which the individual served can certify active duty service

the present existence of the veterans service-connected disability;

was performed “Under Honorable Conditions.” Such documents

include, but are not limited to:

the percentage and nature of the service-connected disability or

DD-214, “Certificate of Release or Discharge from Active Duty”

 

disabilities (including the combined percentage); and

Retirement or separation orders

a notation as to whether or not the service-connected disability is

Documents showing transfer to any of the reserve corps of the Armed

 

rated as permanent and total.

 

 

 

Forces

D. Documentation of Veteran's Death

Certification: any written document from the armed forces that certifies

If death occurred while not on active military duty, submit certified

 

the service member is expected to be discharged or released from

 

copy of death certificate.

 

active duty service in the armed forces under honorable conditions not

When a veteran dies on active duty, the family does not receive a DD

 

later than 120 days after the date the certification is signed.

Official statement from military personnel records center

 

Form 214; the family receives a DD Form 1300, Report of Casualty, on

 

which there is no place to record the character of service. Thus, when

B. Documentation of Non-Compensable Service-Connected Disability

 

a veteran dies on active duty, his or her service should be presumed to

 

be under honorable conditions unless the military service specifically

(less than 10%); Purple Heart, and Nonservice-Connected Disability

 

 

indicates otherwise.

Pension. Such documents include, but are not limited to:

 

 

 

An official statement, dated 1991 or later, from the Department of E. Documentation of Service or Death During a War, in a Campaign or

Veterans Affairs or from a branch of the Armed Forces, certifying to the

Expedition for which a Campaign Badge is Authorized, or During

present existence of the veteran's service-connected disability of less

the Period Authorized, or During the Period of April 28, 1952

than 10%.

through July 1, 1955.

• An official citation, document, or discharge certificate, issued by a

Submit documentation of service or death during a war or during the

branch of the Armed Forces, showing the award to the veteran of the

period April 28, 1952, through July 1,1955, or during a campaign or

Purple Heart.

expedition for which a campaign badge is authorized.

•. An official statement, dated 1991 or later, from the Department of

F. Documentation of Deceased or Disabled Veteran's Mother's Claim

Veterans Affairs, certifying that the veteran is receiving a nonservice-

for Preference because of Her Husband's Total and Permanent

connected disability pension.

Disability.

C. Documentation of Compensable Service-Connected Disability

Submit a statement from husband's physician showing the prognosis

(10% or more). Such documents include, but are not limited to:

of his disease and percentage of his disability.

 

An official document, dated 1991 or later, from the Department of

Veterans Affairs, or from a branch of the Armed Forces, certifying that G. Documentation of Annulment of Remarriage by Widow or Widower

 

 

the veteran has a service-connected disability of 10% or more.

of Veteran.

 

 

 

 

 

 

 

 

 

 

 

• An official document or retired orders from a branch of the Armed

Submit either:

 

 

 

 

 

 

 

 

 

 

 

 

Forces, showing that the veteran was retired due to a service-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

connected disability or has been transferred to a Disability Retirement

Certification from the Department of Veterans Affairs that entitlement to

 

 

List with a service-connected disability of at least 10% or more.

 

pension or compensation was restored due to annulment; or

 

 

 

 

 

 

A certified copy of the court decree of annulment.

 

 

 

 

 

 

 

 

 

 

H. Documentation of Veteran's Inability to Work Because of a Service-

 

 

 

 

 

Connected Disability.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Answer questions 1-7 below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Is the veteran currently working? If No, go to Item 3.

2. If currently working, what is the veteran's present occupation?

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

What was the veteran's occupation, if any, before military service?

 

 

 

 

 

4. What was the veteran's military occupation

 

 

 

 

 

 

 

 

 

 

 

at the time of separation?

 

 

 

 

 

 

 

 

 

 

 

 

5.

Has the veteran been employed, or is he/she now employed, by the Federal civil service or D.C. Government?

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Title and Grade of position most recently, or currently, held

B. Name and address of agency

 

 

 

C. Dates of employment

 

 

 

 

 

 

 

 

 

 

 

From:

To:

 

6. Has the veteran resigned from, been disqualified for, or separated from a position in the Federal civil service or D.C. Government

 

 

 

 

 

 

along the lines of his/her usual occupation because of service-connected disability?

 

 

 

 

 

 

 

 

 

Yes

No

 

If Yes, submit documentation of the resignation, disqualification, or separation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Is the veteran receiving a civil service retirement pension?

 

 

 

Yes

No

 

 

 

 

 

 

 

 

If Yes, give the Civil Service annuity (CSA) or Federal employee retirement annuity number.

 

CSA#

 

 

 

 

 

Standard Form 15

Page 2 of 2Revised October 2013 All other previous editions are unusable.

Document Attributes

Fact Name Description
Purpose The OPM Standard Form 15 is used to apply for disability retirement under the Federal Employees Retirement System (FERS) and the Civil Service Retirement System (CSRS).
Eligibility Federal employees who have become disabled and are unable to perform their job duties may apply using this form.
Filing Deadline Applications must be submitted within one year of the date of the disabling condition.
Required Documentation Applicants must provide medical evidence of their disability, including a detailed medical report from a qualified physician.
Governing Law (FERS) The application process is governed by Title 5 of the United States Code, particularly sections related to federal employee benefits.
Governing Law (CSRS) For CSRS, the governing laws are also found in Title 5 of the United States Code, focusing on retirement and disability provisions.
Processing Time Once submitted, the processing of the application can take several months, depending on the complexity of the case.
Appeal Process If the application is denied, applicants have the right to appeal the decision through the Office of Personnel Management.

OPM Standard form 15: Usage Instruction

Filling out the OPM Standard Form 15 is a straightforward process. This form is essential for individuals seeking certain benefits. Completing it accurately is crucial to ensure that your application is processed smoothly.

  1. Begin by downloading the OPM Standard Form 15 from the official website or obtain a physical copy.
  2. Carefully read the instructions provided with the form to understand what information is required.
  3. Fill in your personal information at the top of the form, including your full name, address, and contact details.
  4. Provide your Social Security Number as requested. Ensure it is accurate to avoid any delays.
  5. Complete the section regarding your eligibility. Answer all questions honestly and to the best of your ability.
  6. In the next section, detail any relevant employment history. Include dates, job titles, and descriptions of duties.
  7. If applicable, describe any medical conditions that support your application. Be clear and concise.
  8. Review your responses for accuracy. Make sure there are no typos or missing information.
  9. Sign and date the form at the bottom. This confirms that all information provided is true.
  10. Make a copy of the completed form for your records before submitting it.
  11. Submit the form according to the instructions, either online or via mail, as specified.

Frequently Asked Questions

  1. What is the OPM Standard Form 15?

    The OPM Standard Form 15 is a form used by individuals to apply for preference in federal employment. It is primarily for veterans who are seeking to claim their veteran's preference when applying for jobs with the federal government.

  2. Who should use the OPM Standard Form 15?

    This form is intended for veterans who have served in the military and wish to receive preference points in their job applications. If you are a veteran, a spouse of a veteran, or a surviving spouse, you may be eligible to use this form.

  3. How do I obtain the OPM Standard Form 15?

    You can download the OPM Standard Form 15 directly from the official OPM website. It is available in PDF format, making it easy to print and fill out. You can also request a copy from your local human resources office if needed.

  4. What information do I need to provide on the form?

    The form requires basic personal information such as your name, contact details, and Social Security number. Additionally, you will need to provide details about your military service, including dates of service and branch of the military.

  5. How do I submit the OPM Standard Form 15?

    You should submit the completed form along with your job application. Ensure that you follow the submission guidelines outlined in the job announcement. This may include mailing the form or submitting it electronically, depending on the application process.

  6. What happens after I submit the form?

    Once you submit the OPM Standard Form 15, the hiring agency will review your application and the supporting documents. If you qualify for veteran's preference, you will receive additional points added to your application score, which can enhance your chances of being selected for a position.

  7. Can I update my information on the OPM Standard Form 15?

    If you need to make changes after submitting the form, you can do so by contacting the hiring agency directly. They can guide you on how to update your information or provide any additional documentation required.

  8. Is there a deadline for submitting the OPM Standard Form 15?

    Yes, the deadline for submitting the form typically aligns with the job application deadline specified in the job announcement. It is crucial to pay attention to these deadlines to ensure your application is considered.

  9. Where can I find more information about veteran's preference?

    For more information about veteran's preference, you can visit the U.S. Office of Personnel Management's website. They provide comprehensive resources and guidance for veterans seeking federal employment.

Common mistakes

Filling out the OPM Standard Form 15 can be a daunting task, and many individuals make common mistakes that could hinder their application process. One prevalent error is failing to provide complete information. Each section of the form requires specific details, and leaving any part blank can lead to delays or even denials. It is crucial to ensure that all fields are filled out accurately.

Another frequent mistake is not including the necessary documentation. The form requires supporting evidence to substantiate claims, such as medical records or other relevant paperwork. Omitting these documents can result in a request for additional information, prolonging the review process. Always double-check the list of required attachments before submitting the form.

People often misinterpret the eligibility criteria as well. Understanding what qualifies as a disability under the guidelines is essential. Some applicants may mistakenly believe they meet the criteria when they do not. It is advisable to review the definitions and requirements carefully to avoid unnecessary complications.

Inaccurate or inconsistent information can also create significant issues. For example, if the details provided on the form do not match those in supporting documents, it may raise red flags. This inconsistency can lead to confusion and may require further clarification from the applicant. Always ensure that all information is coherent and matches across all documents.

Lastly, many individuals neglect to sign and date the form. This simple oversight can render the application invalid. A signature is not just a formality; it confirms that the information provided is true and accurate to the best of the applicant's knowledge. Remember to review the entire form for completeness before submission.

Documents used along the form

The OPM Standard Form 15 is essential for individuals seeking to claim 10-point veteran preference in federal employment. When submitting this form, several other documents may be required to support the application. Below are four commonly used forms and documents that accompany the OPM Standard Form 15.

  • DD Form 214: This document serves as proof of military service. It includes information about the service member's duration of service, discharge status, and any awards received. It is crucial for verifying eligibility for veteran preference.
  • SF-15: The SF-15 is used to apply for veteran preference based on service-connected disabilities. This form provides additional details regarding the nature and extent of a veteran's disability, helping to establish the level of preference entitlement.
  • VA Rating Decision Letter: This letter from the Department of Veterans Affairs outlines the veteran's disability rating. It is important for confirming the severity of the service-connected disability and supports the claims made on the SF-15.
  • Supporting Medical Documentation: Any medical records or evaluations that substantiate the disability claim can be included. This documentation helps clarify the veteran's condition and its impact on employability.

Gathering these documents ensures a complete application for 10-point veteran preference, enhancing the chances of a favorable outcome in the federal hiring process.

Similar forms

The OPM Standard Form 15 (SF-15) is used to request preference in federal employment for veterans and certain eligible individuals. Several other documents serve similar purposes in different contexts. Here is a list of those documents:

  • Standard Form 180 (SF-180): This form is used to request military records. Like the SF-15, it helps veterans provide necessary documentation for benefits and employment preferences.
  • Veterans Administration Form 21-526EZ: This form is utilized for veterans to apply for disability compensation. It shares the goal of assisting veterans in accessing benefits that may enhance their employment opportunities.
  • Form DD-214: The Certificate of Release or Discharge from Active Duty provides proof of military service. It is essential for establishing eligibility for the SF-15 and other veteran-related benefits.
  • Standard Form 86 (SF-86): This form is used for background investigations for security clearances. While its focus is different, it similarly requires detailed personal information to assess eligibility for certain positions.
  • Form 22-1990: This application for education benefits assists veterans in accessing educational programs. It serves a parallel purpose by helping veterans transition into civilian careers.
  • Standard Form 42 (SF-42): This form is used for the employment of veterans in federal positions. It aligns with the SF-15 by streamlining the process for veterans seeking job opportunities.
  • Form 21-4170: This is a request for a change in dependency status for veterans. It helps veterans update their records, which can affect their benefits and eligibility for employment preferences.

Dos and Don'ts

When filling out the OPM Standard Form 15, it’s important to follow specific guidelines to ensure your application is processed smoothly. Here’s a list of things to do and avoid:

  • Do: Read the instructions carefully before starting.
  • Do: Provide accurate and complete information.
  • Do: Use clear and legible handwriting or type your responses.
  • Do: Double-check your entries for any errors or omissions.
  • Do: Submit the form before the deadline.
  • Don't: Leave any required fields blank.
  • Don't: Use abbreviations or jargon that may confuse reviewers.
  • Don't: Forget to sign and date the form.
  • Don't: Submit photocopies of the form unless specified.
  • Don't: Ignore the privacy notice and confidentiality guidelines.

Misconceptions

The OPM Standard Form 15 is often misunderstood. Here are five common misconceptions about this important form:

  1. It is only for federal employees. Many believe that only federal employees need to use Form 15. In reality, it is applicable to a broader audience, including certain applicants for federal jobs who may qualify for preference due to their service or disability status.
  2. It guarantees a job. Some think that submitting Form 15 automatically secures a position. This is not the case. The form is a request for veteran preference, but it does not guarantee employment.
  3. All veterans are eligible for preference. Not all veterans qualify for preference. Eligibility depends on specific criteria, such as the length of service and discharge status. It is essential to review these requirements carefully.
  4. Submitting the form is the only step needed. Many assume that just filling out and submitting Form 15 is sufficient. However, applicants must also provide supporting documentation to verify their eligibility for preference.
  5. Form 15 is the same as other employment forms. Some people confuse Form 15 with other employment-related forms. It serves a unique purpose focused on veteran preference and differs from standard job applications or resumes.

Understanding these misconceptions can help applicants navigate the process more effectively and ensure they meet all necessary requirements.

Key takeaways

Filling out the OPM Standard Form 15 can be a straightforward process if you keep a few key points in mind. This form is essential for federal employees seeking disability retirement benefits. Below are important takeaways to consider:

  1. Understand the Purpose: The OPM Standard Form 15 is used to apply for disability retirement under the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS).
  2. Complete All Sections: Ensure that every section of the form is filled out completely. Incomplete forms can lead to delays in processing.
  3. Provide Accurate Information: Double-check all personal information such as your name, address, and Social Security number for accuracy.
  4. Document Your Disability: Include medical documentation that supports your claim. This can include reports from healthcare providers.
  5. Submit Timely: File your application as soon as you become aware of your disability. There are time limits for applying.
  6. Keep Copies: Make copies of the completed form and any supporting documents before submission. This can help in case you need to reference them later.
  7. Follow Up: After submission, follow up with the Office of Personnel Management (OPM) to ensure your application is being processed.
  8. Seek Assistance: If you have questions or need help, consider reaching out to a human resources representative or a legal expert specializing in federal employee benefits.
  9. Be Prepared for Additional Requests: OPM may request more information or clarification. Respond promptly to avoid delays.
  10. Review the Guidelines: Familiarize yourself with the specific guidelines and requirements related to the OPM Standard Form 15 to ensure compliance.

By keeping these points in mind, you can navigate the process more effectively and increase the likelihood of a successful application.