About WorkOne

PLEASE NOTE: The forms below are on the State Department website. If you experience difficulties downloading a standard form, please go to the OPM website (http://www.opm.gov/forms/) or use the GSA website (please click here). Depending upon one's computer and software, some sites appear to work better than others.

In order to view and print out the application forms you may need the freely available Adobe Acrobat Reader. You may download Adobe Acrobat Reader from the Adobe website. Please refer to the Adobe Acrobat Reader website for further help with Acrobat. Upon opening the file you can type the required information directly into the form. However, the information you type into the form cannot be saved unless the user system has the full version of Adobe Acrobat. You MUST print out the form to save it. The full version of Adobe Acrobat is NOT the same application as the Adobe Acrobat Reader mentioned above.

* Civil Service Forms
* Pre-Employment Forms (Generalists/Specialists)
* Employment Forms (Generalists/Specialists)
* Student Program Forms

Civil Service Forms:

* DS-1812 (Merit Promotion Program: Applicant Appraisal)

Pre-Employment Forms for those coming to the Generalist or Specialist oral assessment:

The forms immediately below are intended for those Specialist and Generalist candidates who have been INVITED TO THE ORAL ASSESSMENT. Please bring the forms with you on the day of your assessment.

1. DS-1950 Application for Employment (GENERALIST APPLICANTS ONLY)
2. SF-86 Questionnaire for National Security Positions
* Electronic SF-86

-- If you have been instructed to process your SF-86 through e-QIP, click here.
-- If you have previously filled out an e-QIP application, the information should be on file. Once you are re-initiated into the system, you should be able to simply update your information.
* Hard Copy SF-86

-- If you are filing a hardcopy SF-86, click on State Department Bureau of Diplomatic Security Instructions.
-- Please note that although the SF-86 asks for places you have lived and employment activity going back seven (7) years, in order to comply with investigative standards, we ask that you go back ten (10) years. Please use the continuation sheet if necessary.
3. SF-86-A Continuation Sheet for Questionnaires SF-85, SF-85P and SF-86
4. State Department Bureau of Diplomatic Security Overseas Activities Contact Data Sheet
5. State Department Bureau of Diplomatic Security Foreign relatives, friends and associates data sheet.
6. DS-4017 Statement of Interest Foreign Service Officer (GENERALIST APPLICANTS ONLY)
7. DS-4002 Authorization for Release of Credit Report
8. DS-7601 Authorization to Conduct Criminal History Inquiry for Spouse or Cohabitant; must be signed by spouse or cohabitant
9. FD-258 Fingerprint Card - Will be available and completed at the assessment

PLEASE NOTE: Although not a requirement, candidates are requested to bring to the oral assessment the Social Security Numbers of family members who might travel with them overseas.

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Employment Forms for Generalists or Specialists

The forms below are intended as a resource for those candidates who have received OFFERS OF EMPLOYMENT.

1. DS-1622 Medical History and Examination for Foreign Service - (for children 11 and under)
2. DS-1843 Medical History and Examination for Foreign Service - ( for persons 12 years and over)
3. I-9 Employment Eligibility Verification Be sure to bring the required documents with you to prove identity and employment eligibility, as indicated on the I-9 form, to include a photo ID.
4. W-4 Employee's Withholding Allowance Certificate
5. SF-1152 Designation of Beneficiaries
6. SF-85 Questionnaire for Non-Sensitive Positions
NOTE: The SF-85 is to be completed and signed by the spouse or person with whom the candidate is romantically involved AND who is not an American citizen.
7. SF-85-P Questionnaire for Public Trust Positions
8. SF-85-PS Supplemental Questionnaire for Selected Positions
9. SF-256 Self-Identification of Reportable Handicap

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Student Program Forms

PRE-EMPLOYMENT:
The forms below are intended for students who would like to apply for STUDENT PROGRAM OPPORTUNITIES at the Department of State.

1. DS-1950 Application for Employment
CAUTION: You MUST print out and mail, or fax, the DS-1950 signed form to be considered. We are unable to accept e-mailed forms and/or electronic signatures.
2. DS-4002 Authorization for Release of Credit Report
3. DS-4018 Statement of Interest Student Employment
4. SF-86 Questionnaire for National Security Positions
* Electronic SF-86
-- If you have been instructed to process your SF-86 through e-QIP, click here.
* Hard Copy SF-86
-- If you are filing a hardcopy SF-86, click on State Department Bureau of Diplomatic Security Instructions.
-- Please note that although the SF-86 asks for places you have lived and employment activity going back seven (7) years, in order to comply with investigative standards, we ask that you go back ten (10) years. Please use the continuation sheet if necessary.
5. SF-85 Questionnaire for Non-Sensitive Positions
NOTE: The SF-85 is to be completed by the spouse or person with whom the candidate is romantically involved AND who is not an American citizen.
6. SF-85-P Questionnaire for Public Trust Positions
7. SF-85-PS Supplemental Questionnaire for Selected Positions
8. SF-86 Questionnaire for National Security Positions
Please note that although the SF-86 asks for places you have lived and employment activity going back seven (7) years, in order to comply with investigative standards, we ask that you go back ten (10) years. Please use the continuation sheet below if necessary.
9. SF-86-A Continuation Sheet for Questionnaires SF-85, SF-85P and SF-86
10. State Department Bureau of Diplomatic Security Overseas Activities Contact Data Sheet
11. State Department Bureau of Diplomatic Security Foreign relatives, friends and associates data sheet.
12. Pickering Application Form - Thomas R. Pickering Foreign Affairs/Graduate Foreign Affairs Fellowship Program application. For more specific information visit the how to apply page.
13. Security Forms Instructions
14. Medical Information

EMPLOYMENT:
The forms below are intended for those SELECTED TO PARTICIPATE in the Department of State's Student Programs.

Students assigned to domestic posts (outside of the Washington D.C. area) should bring the appropriate forms to orientation.

Students assigned overseas or to field offices should bring the appropriate forms when entering on duty.

FORMS (PDF files) DOMESTIC OVERSEAS
1. Guidance for Completing Appointment Paperwork Y Y
2. Appointment Affidavits (SF-61) Y Y
3. Employment Eligibility Verification (I-9) Be sure to bring the required documents with you to prove identity and employment eligibility, as indicated on the I-9 form, to include a photo ID. Y Y
4. Statement of Prior Federal Service (SF-144) Y Y
5. Declaration of Federal Employment (OF-306) Y Y
6. Pre-Appointment Certification Statement for Selective Service Y
7. Locator Sheet Y
8. Statement of Understanding Y
9. Unemployment Insurance Benefits Y
10. Voluntary Separation Incentive Y
11. Form W-4 Employee's Withholding Allowance Certificate Y Y
12. Direct Deposit Sign-Up Form (SF-1199A) Y Y
13. Designation of Beneficiary (SF-1152) Y Y
14. Privacy Act Information Y Y
15. Time and Attendance Sheet (T&A) Y
Planning Schedule for 2006: Calendar with holidays, paydays and time/attendance sheet submission dates.

The following survey is not mandatory, but are provided here for honest feedback on how our program can be improved upon, and to evaluate the interns' work experience.

* Intern Program Evaluation Survey: Survey for Intern Program participants
* Intern Performance Evaluation: Evaluation for Bureau Coordinators to fill out

Source:
http://www.careers.state.gov/general/resources/forms.html

Disability

* DOL Web Pages on This Topic
* Laws & Regulations on This Topic

Section 503 of the Rehabilitation Act of 1973 prohibits federal contractors and subcontractors from discriminating against and requires affirmative action for qualified individuals with disabilities in all aspects of employment. Section 504 of the Rehabilitation Act of 1973 prohibits discrimination on the basis of disability in programs and activities that receive federal financial assistance and in federally conducted programs. Section 188 of the Workforce Investment Act of 1998 (WIA) prohibits discrimination against qualified individuals with disabilities in any WIA Title I-financially assisted program or activity. This law is enforced by the Office of Federal Contract Compliance Programs (OFCCP).

Title I of the Americans with Disabilities Act (ADA) prohibits employers of 15 or more workers, employment agencies, and labor organizations of 15 or more workers from discriminating against qualified individuals with disabilities.

Title II of the Americans with Disabilities Act (ADA) prohibits state and local governments from discriminating against qualified individuals with disabilities in programs, activities, and services.

The Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) prohibits discrimination against and requires affirmative action for qualified special disabled veterans, as well as other categories of veterans. This law is enforced by the OFCCP.

Section 188 of the Workforce Investment Act of 1998 (WIA) prohibits discrimination against qualified individuals with disabilities who are applicants, employees, and participants in WIA Title I-financially assisted programs and activities, and programs that are part of the One-Stop system. Section 188 also prohibits discrimination on the grounds of age, race, color, religion, sex, national origin, political affiliation or belief, and for beneficiaries only, citizenship or participation in a WIA Title I-financially assisted program or activity. This law is enforced by the Civil Rights Center.

The Department's new Web site for people with disabilities, DisabilityInfo.gov, provides one-stop access to government disability information and resources, as well as updates on President Bush's New Freedom Initiative.

Additional information on topics relevant to the people with disabilities can be found within the Disability Resources topic.

DOL Web Pages on This Topic

ADA and Section 503 Fact Sheet
Section 503 and the ADA cover persons with a wide range of mental and physical impairments that substantially limit or restrict a major life activity such as hearing, seeing, speaking, walking, breathing, performing manual tasks, caring for one's self, learning or working.

Employment of Persons with Disabilities
Employment Law Guide section on Section 503.

Employment of Vietnam Era, Special Disabled, Recently Separated, and Other Protected Veterans
Employment Law Guide section on the Vietnam Era Veterans' Readjustment Assistance Act of 1974.

Office of Federal Contract Compliance Programs (OFCCP)
Enforces Section 503 of the Rehabilitation Act of 1973 and VEVRAA.

Civil Rights Center (CRC)
Monitors and enforces Section 504 of the Rehabilitation Act of 1973 for applicants and employees of the Department of Labor. The Civil Rights Center also enforces nondiscrimination requirements in programs and activities receiving federal financial assistance and federally conducted programs. CRC also enforces Title II, Subpart A of the Americans with Disabilities Act of 1990 for all programs, services and regulatory activities relating to labor and the workforce.

disAbility Online
One-top center for information relating to issues and training for people with disabilities in the workforce.
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Laws & Regulations on This Topic

Laws
29 USC §793
Rehabilitation Act of 1973
29 USC §2938
Nondiscrimination Provisions of the Workforce Investment Act
38 USC §4212
Vietnam Era Veterans' Readjustment Assistance Act of 1974
42 USC §12112-12117
Title 1 of the Americans with Disabilities Act of 1990
42 USC §12131-12134
Title II of the Americans with Disabilities Act of 1990

Regulations
29 CFR Part 32
Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Receiving or Benefiting from Federal Financial Assistance
29 CFR Part 33
Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Conducted by the Department of Labor
29 CFR Part 35
Nondiscrimination on the Basis of Disability in State and Local Government Services
29 CFR Part 37
Implementation of the Nondiscrimination and Equal Opportunity Provisions of the Workforce Investment Act of 1998 (WIA)
29 CFR Part 1630
Regulations to Implement the Equal Employment Provisions of the Americans with Disabilities Act
41 CFR Part 60-250
Affirmative Action and Nondiscrimination Obligations of Contractors and Subcontractors Regarding Special Disabled Veterans and Veterans of the Vietnam Era
41 CFR Part 60-741
Affirmative Action and Nondiscrimination Obligations of Contractors and Subcontractors Regarding Individuals with Disabilities
41 CFR Part 60-742
Procedures for Complaints/Charges of Employment Discrimination Based on Disability Filed Against Employers Holding Government Contracts and Subcontracts

Source:
http://www.dol.gov/dol/topic/discrimination/disabilitydisc.htm

Age Discrimination

* DOL Web Pages on This Topic
* Laws & Regulations on This Topic

The Age Discrimination Act of 1975 prohibits discrimination on the basis of age in programs and activities receiving federal financial assistance. The Act, which applies to all ages, permits the use of certain age distinctions and factors other than age that meet the Act's requirements. The Age Discrimination Act is enforced by the Civil Rights Center.

The Age Discrimination in Employment Act of 1967 (ADEA) protects certain applicants and employees 40 years of age and older from discrimination on the basis of age in hiring, promotion, discharge, compensation, or terms, conditions or privileges of employment. The ADEA is enforced by the Equal Employment Opportunity Commission (EEOC).

Section 188 of the Workforce Investment Act of 1998 (WIA) prohibits discrimination against applicants, employees and participants in WIA Title I-financially assisted programs and activities, and programs that are part of the One-Stop system, on the ground of age. In addition, WIA prohibits discrimination on the grounds of race, color, religion, sex, national origin, disability, political affiliation or belief, and for beneficiaries only, citizenship or participation in a WIA Title I-financially assisted program or activity. Section 188 of WIA is enforced by the Civil Rights Center.

DOL Web Pages on This Topic

Civil Rights Center
Monitors and enforces the Age Discrimination Act in programs and activities receiving federal financial assistance.
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Laws & Regulations on This Topic

Laws
29 USC §621
Age Discrimination in Employment
29 USC §6101
Age Discrimination Act of 1975

Regulations
29 CFR Part 37
Implementation of the Nondiscrimination and Equal Opportunity Provisions of the Workforce Investment Act (WIA)
29 CFR Part 1625
Age Discrimination in Employment Act — Interpretations
29 CFR Part 1626
Procedures. Age Discrimination Act

Source:
http://www.dol.gov/dol/topic/discrimination/agedisc.htm

DOL Form CM-910

View ESA-OWCP-DCMWC's Form 1215-0166 Online htm
Agency: ESA-OWCP-DCMWC
Title: CM-910, Request To Be Selected As Payee
Form Description: CM-910, Request To Be Selected As Payee: If a black lung beneficiary is incapable of handling his or her affairs, the person or institution responsible for the beneficiary’s care is required to apply to receive the benefit payments on the beneficiary's behalf. The CM 910 is the form completed by a person wanting to be appointed as representative payee.
OMB Control Number: 1215-0166
OMB Expiration Date: Tuesday, March 31, 2009

http://www.dol.gov/libraryforms/go-us-dol-form.asp?FormNumber=329&OMBNumber=1215-0166