Get OPM Standard form 15 Form

Get OPM Standard form 15 Form

The OPM Standard Form 15 is a crucial document used by individuals seeking disability retirement benefits from the federal government. This form helps applicants provide the necessary information to support their claims, ensuring a smoother review process. If you are ready to take the next step in your application, click the button below to fill out the form.

Structure

The OPM Standard Form 15, also known as the Application for 10-Point Veteran Preference, plays a crucial role in the federal hiring process for veterans seeking employment. This form is designed to help eligible veterans assert their preference for federal jobs, which can significantly enhance their chances of being selected for positions within government agencies. Key elements of the form include the requirement for veterans to provide documentation that supports their claim for 10-point preference, such as a DD-214 or other relevant military records. Additionally, the form outlines the categories under which veterans may qualify for this preference, including those with service-connected disabilities and certain family members of veterans. Understanding how to accurately complete and submit this form is essential for veterans aiming to navigate the federal job market effectively. The information provided on this form not only assists in determining eligibility for preference but also ensures that veterans receive the recognition they deserve for their service to the country.

OPM Standard form 15 Preview

 

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.

Print Form

Save Form

Page 1 of 2

Clear Form

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 Data

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 are unable to perform their job duties due to a medical condition may qualify for disability retirement.
Submission Process Applicants must complete the form and submit it to their agency's human resources office for processing.
Supporting Documentation Medical documentation from a qualified healthcare provider is required to support the application.
Review Timeline The review process can take several months, depending on the complexity of the case and the agency's workload.
State-Specific Forms Some states may have additional forms or requirements. For example, California requires adherence to the California Government Code § 21153.
Appeal Rights If the application is denied, applicants have the right to appeal the decision within a specified timeframe.
Impact on Benefits Approved disability retirement can affect other benefits, including health insurance and life insurance coverage.

How to Use OPM Standard form 15

Filling out the OPM Standard Form 15 is an important step in the process that may lead to benefits or considerations related to federal employment. After completing the form, you will need to submit it to the appropriate agency for review. Below are the steps to guide you through filling out the form.

  1. Begin by downloading the OPM Standard Form 15 from the official OPM website or obtain a physical copy.
  2. Read the instructions carefully to understand the requirements and ensure you have all necessary information at hand.
  3. Fill in your personal information at the top of the form, including your name, address, and contact details.
  4. Provide your Social Security number in the designated section.
  5. Indicate the specific reason for your request by checking the appropriate box. Ensure that your selection aligns with your circumstances.
  6. Complete the section regarding your employment history, including job titles, dates of employment, and any relevant details.
  7. If applicable, detail any medical or other documentation that supports your request. Be sure to include any relevant dates or conditions.
  8. Sign and date the form at the bottom. This is essential to validate your submission.
  9. Make a copy of the completed form for your records before submitting it.
  10. Submit the form according to the instructions provided, whether electronically or via mail, to the designated agency.

Key Facts about OPM Standard form 15

What is the OPM Standard Form 15?

The OPM Standard Form 15 is a form used by individuals applying for federal employment to request preference based on their veteran status. This form is essential for veterans who wish to claim their eligibility for hiring preferences in federal job applications.

Who is eligible to use the OPM Standard Form 15?

Eligibility for the OPM Standard Form 15 is primarily for veterans who have served in the military and have been honorably discharged. Specific criteria, such as the length of service and the nature of discharge, may apply. It is advisable for applicants to review the eligibility requirements outlined by the Office of Personnel Management (OPM).

How do I obtain the OPM Standard Form 15?

The OPM Standard Form 15 can be easily accessed online through the official OPM website. It is available for download in PDF format, allowing applicants to print and fill it out. Alternatively, it may also be available at certain federal agencies or veteran service organizations.

What information do I need to provide on the form?

When completing the OPM Standard Form 15, applicants must provide personal information, including their name, contact details, and Social Security number. Additionally, details regarding military service, such as dates of service and branch, are required. Supporting documentation, such as a DD Form 214, may also need to be submitted.

Where do I submit the OPM Standard Form 15?

After completing the form, applicants should submit it to the appropriate federal agency where they are applying for a job. Each agency may have specific submission guidelines, so it is important to check their requirements. Some agencies may allow electronic submissions, while others may require mailed copies.

What happens after I submit the form?

Once the OPM Standard Form 15 is submitted, the agency will review the application and the accompanying documentation. The agency will determine the applicant's eligibility for veteran preference. Applicants may receive a notification regarding their status, but processing times can vary depending on the agency.

Can I appeal if my request for veteran preference is denied?

Yes, if an applicant's request for veteran preference is denied, they have the right to appeal the decision. The appeal process typically involves contacting the agency's human resources department for guidance on the steps to take. It is important to act promptly, as there may be deadlines for filing an appeal.

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

There is generally no specific deadline for submitting the OPM Standard Form 15 itself. However, it should be submitted along with the job application or within the timeframe specified in the job announcement. Applicants should pay attention to any deadlines mentioned in the job posting to ensure their preference is considered.

What should I do if I have questions about the form?

If you have questions regarding the OPM Standard Form 15, it is advisable to reach out to the human resources department of the agency to which you are applying. Additionally, veteran service organizations can provide assistance and guidance in completing the form and understanding the process.

Common mistakes

Filling out the OPM Standard Form 15 can be a straightforward process, but many people make common mistakes that can delay their applications. One frequent error is not providing complete information. Each section of the form requires specific details. Omitting any required information can lead to processing delays or even denial of the application.

Another mistake is failing to sign and date the form. Without a signature, the application is considered incomplete. Many applicants overlook this step, thinking that filling out the information is sufficient. Always double-check to ensure that both the signature and date are included before submitting the form.

Inaccurate information is also a common issue. Some applicants might misinterpret questions or provide outdated information. It is crucial to read each question carefully and ensure that all details are current and accurate. Mistakes in this area can lead to complications in the review process.

People often neglect to review the instructions provided with the form. The guidelines outline essential steps and requirements. Ignoring these instructions can result in submitting an incomplete or incorrect application. Taking the time to read the instructions can save significant headaches down the line.

Lastly, many individuals fail to keep a copy of their completed form. Without a record, it becomes challenging to track the application status or address any issues that may arise. Keeping a copy ensures that applicants have a reference point for future inquiries or follow-ups.

Documents used along the form

The OPM Standard Form 15 is a critical document used for applying for disability retirement benefits. It is essential to understand that several other forms and documents may accompany this application to ensure a complete and accurate submission. Below are some commonly used documents that are often submitted alongside the OPM Standard Form 15.

  • OPM Standard Form 2801: This is the Application for Death Benefits. It is used to apply for benefits following the death of a federal employee or retiree. This form gathers necessary information about the deceased and the beneficiaries.
  • OPM Standard Form 3107: This form is the Application for Immediate Retirement. Employees use it to apply for retirement benefits under the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS). It provides details about the employee's service and retirement options.
  • Medical Documentation: This may include various medical records, evaluations, and reports that support the claim for disability. These documents help establish the severity and impact of the medical condition on the individual's ability to work.
  • OPM Standard Form 15A: This form serves as a supporting statement for the claim for disability retirement. It allows applicants to provide additional information about their medical condition and its impact on their daily activities and employment.

Submitting these documents along with the OPM Standard Form 15 can enhance the chances of a successful application for disability retirement benefits. Ensuring all necessary forms are completed accurately and submitted together is crucial for a smoother review process.

Similar forms

The OPM Standard Form 15 is used for requesting a waiver of the 5-year service requirement for certain federal employees. Here are four documents that are similar to the OPM Standard Form 15:

  • Standard Form 50 (SF-50): This form is used to document personnel actions, including appointments, promotions, and separations. Like the SF-15, it is essential for tracking employment history within federal agencies.
  • Standard Form 144 (SF-144): This is a statement of prior federal service. It helps establish eligibility for certain benefits and programs, similar to how the SF-15 establishes eligibility for a waiver.
  • Standard Form 85 (SF-85): This form is used for background investigations for non-sensitive positions. It shares the purpose of gathering necessary information for federal employment, much like the SF-15 gathers information for service requirement waivers.
  • Standard Form 256 (SF-256): This form is used to collect information on race and ethnicity for equal employment opportunity purposes. Both the SF-256 and SF-15 aim to ensure compliance with federal policies regarding employment.

Dos and Don'ts

When filling out the OPM Standard Form 15, it is important to be careful and thorough. Here are some guidelines to help you navigate the process effectively.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information to avoid delays.
  • Do double-check your entries for any errors or omissions.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank; this can lead to processing issues.
  • Don't rush through the form; take your time to ensure everything is correct.

Following these steps can help ensure that your application is processed smoothly and efficiently. If you have any questions, consider reaching out for assistance.

Misconceptions

Understanding the OPM Standard Form 15 is crucial for anyone navigating federal employment benefits. Here are seven common misconceptions about this form that need clarification:

  1. It is only for veterans.

    This form is not exclusive to veterans. While veterans may use it, it is also available to individuals with disabilities and other qualifying conditions.

  2. Submitting the form guarantees a job.

    Filling out the OPM Standard Form 15 does not guarantee employment. It only establishes eligibility for certain hiring preferences.

  3. It can be submitted at any time.

    There are specific timeframes for submitting the form based on job announcements. Late submissions may not be considered.

  4. Only certain disabilities qualify.

    Many disabilities qualify under this form. It is important to review the criteria to ensure eligibility.

  5. It requires extensive documentation.

    While some documentation is necessary, it does not have to be overly complex. Basic proof of eligibility is often sufficient.

  6. Once submitted, it cannot be changed.

    You can update or amend your submission if new information arises or if corrections are needed.

  7. Only federal jobs require this form.

    This form is primarily for federal positions, but some state and local agencies may also recognize it for their hiring processes.

Clarifying these misconceptions will help individuals navigate the application process more effectively. Always ensure you have the latest information and guidance when dealing with federal employment forms.

Key takeaways

When filling out and using the OPM Standard Form 15, it's essential to understand its purpose and requirements. Here are some key takeaways to keep in mind:

  • Eligibility Requirements: Ensure that you meet the eligibility criteria for the specific preference you are claiming. This form is primarily used to request veterans' preference in federal employment.
  • Accurate Information: Provide accurate and complete information. Any discrepancies can delay the processing of your application.
  • Documentation: Attach all necessary supporting documents. This may include discharge papers or other proof of service, which validate your claim.
  • Submission Process: Submit the form as instructed in the job announcement. Follow the guidelines carefully to avoid any issues with your application.
  • Follow-Up: After submission, consider following up if you do not receive confirmation. This ensures your application is being processed and helps address any potential issues promptly.

By keeping these points in mind, you can navigate the process of filling out and using the OPM Standard Form 15 more effectively.