Fillable Printable Public Trust Position
Fillable Printable Public Trust Position
Public Trust Position
PUBLIC TRUST POSITION
TO REQUEST CERTIFICATION FOR A PUBLIC TRUST POSITION
The candidate must submit the following investigative forms:
1. SF 85P, Questionnaire for Public Trust Position (ORIGINAL AND COPY)
2. SF 87, Fingerprint Charts (TWO SETS)
3. Employment Application (ONE SET)
4. OF 306, Declaration for Federal Employment (ORIGINAL COPY)
5. GSA 3665, Authorization to Obtain Credit Report (ORIGINAL COPY)
PART A - CANDIDATE
NAME
LAST FIRST MI
SOCIAL SECURITY NUMBER
PART B - THE PUBLIC TRUST POSITION
POSITION TITLE OCCUPATION SERIES NUMBER GRADE
DUTY STATION
CITY COUNTRY OR STATE
PUBLIC TRUST POSITION LEVEL (Check one only)
ADP COMPUTER DUTIES
HIGH PUBLIC TRUST MODERATE PUBLIC TRUST
Check here if the
position include sensitive
ADP-computer duties
PART C - FUNDS INFORMATION
NAME OF FUNDS MANAGER FUNDS MANAGER CORRESPONDENCE SYMBOL
ACCOUNTING CLASSIFICATION ACT NUMBER
PART D - REQUESTER CERTIFIES (check one only)
This person does not hold a certification at this level, or is a GSA employee who is reassigned or promoted from a different
position classification series, GSA Region, or GSA C.O. Service or Staff Office. A GSA employee currently certified at this
or a higher public trust level does not need to submit investigative forms.
This person occupies this position, but the public trust level of the position is changed.
This is a request for periodic reinvestigation of a person in a high public trust position or a law enforcement officer in a
moderate public trust position.
REQUESTED
BY
THIS
REQUEST
AUTHORIZED
BY
SIGNATURE
SIGNATURE
TITLE
CORRESPONDENCE SYMBOL
HEAD OF C.O. SERVICE OR STAFF OFFICE,
REGIONAL ADMINISTRATOR, OR DESIGNEE
DATE
DATE
GENERAL SERVICES ADMINISTRATION GSA FORM 3648 (REV. 8-98)
Prescribed by ADM P 9732.1C
