Fillable Printable Form INV 60

Form INV 60

OPM -USE ONLY

OPM Case #

Request for Determination or Advisory

(See instructions on reverse)

Credit

Income To

1. Subject's Name (Last) (First) (Middle) 2. SSN 3. DOB

4. Other Names Used 5. POB (City, County, Country) State 6. Sex

7. Investigation Code 8. Submitting Office Number (SON)

Address

9. Requesting Official's Signature

Telephone Number (include area code)

Facsimile

PART A: EXAMINING OFFICE AND AGENCY USE

10. All announcements and position titles for which this determination will be used

11. Passover Request

a. SF 62 attached

b. The sensitivity level of the position is:

12. Identification of applications and related materials, statement of issues requiring suitability determination and other information pertinent to the determination

or advisory being requested. Annotate whether this is a competitive service position, and confirm that the applicant is eligible and within reach.

PART B: OPM-USE

13. Passover requests

14. Acceptability relative to known suitability matters

Issue Characterization Level A B C

Final Determination

1. Acceptable

2. Ineligible on suitability

3. Ineligible for failure to reply

4. Cancel all applications and eligibilities

a. Not sustained (see item 18)

b. Eligible for further certification

c. Sustained d. Suspend pending further investigation

15. Debarment Action

a. None

b. Debarred from competing in examination for, or accepting appointments to, positions in the

competitive Federal service until

16. Application is 17. Applicant notification

a. Attached

b. Retained in OPM's Investigative File

a. Applicant has been notified of the action

b. Applicant has not been notified of the action

18. Other action or remarks

19. Signature of OPM Representative File Date (mm/dd/yyyy)

M F

Date

Commercial

INV 60

(formerly OFI 86A)

September 2006

Printed Name

c. The public trust level of the position is:

Title

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

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.,

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".

EXAMPLES:

NORMAL

ENTRY

DOE SR JOHN CARR INITIALS

ONLY

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.

Refer to the applications and other documents submitted by the agency. To the extent this information is available, show all other

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

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)

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

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

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.

thru

These items are for use by the OPM.

INSTRUCTIONS

DOE

NAME

MIDDLE

DOE JOHN

NMN

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland New Jersey

New Hampshire

Nevada

Nebraska

Montana

Missouri

Mississippi

Minnesota

Michigan

Massachusetts

South Carolina

Rhode Island

Pennsylvania

Oregon

Oklahoma

Ohio

North Dakota

North Carolina

New York

New Mexico

Wyoming

Wisconsin

West Virginia

Washington

Virginia

Vermont

Utah

Texas

Tennessee

South Dakota

America Samoa

Puerto Rico

District of Columbia

Trust Territory Virgin Islands

Guam Northern Mariana Islands

MD NJ

CMAS

TT VI

INV 60 (back)

(formerly OFI 86A)

September 2006

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