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The OPM Standard Form 15 plays a crucial role in the application process for federal employment, particularly for individuals seeking to claim preference based on their service in the military or as a result of certain disabilities. This form serves as a formal request for veterans' preference, allowing eligible applicants to demonstrate their qualifications and secure a competitive edge in the hiring process. It is essential for veterans and certain family members to understand the intricacies of this form, as it requires detailed information about military service, including dates of service, discharge status, and any disabilities that may impact employment. Additionally, the form provides a means for applicants to present supporting documentation, which can significantly influence hiring decisions. By accurately completing the OPM Standard Form 15, veterans can ensure that their sacrifices are recognized and valued within the federal workforce, paving the way for a smoother transition into civilian roles.

Preview - OPM Standard form 15 Form

 

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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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 Specifics

Fact Name Description
Purpose The OPM Standard Form 15 is used to apply for disability retirement benefits under the Federal Employees Retirement System (FERS) and the Civil Service Retirement System (CSRS).
Eligibility Employees must have at least 18 months of service and be unable to perform their job due to a medical condition.
Submission Process Applicants must complete the form and submit it to their agency's human resources office for processing.
Medical Documentation A detailed medical report from a qualified physician must accompany the application.
Review Timeline The review process typically takes several months, depending on the complexity of the case.
State-Specific Forms Some states may have additional forms or requirements. For example, California's governing law includes the California Public Employees' Retirement System (CalPERS).
Appeal Rights If an application is denied, applicants have the right to appeal the decision within a specified timeframe.
Benefits Calculation Benefits are calculated based on years of service, high-3 average salary, and the type of retirement system.
Tax Implications Disability retirement benefits may be subject to federal income tax, depending on the recipient's total income.

OPM Standard form 15: Usage Instruction

Filling out the OPM Standard Form 15 requires careful attention to detail. Completing this form accurately is crucial for ensuring that your application is processed smoothly. Once the form is filled out, it will be submitted to the appropriate agency for review.

  1. Begin by downloading the OPM Standard Form 15 from the official website.
  2. Read the instructions provided on the form carefully to understand what information is required.
  3. Fill in your personal information in the designated sections, including your name, address, and contact details.
  4. Provide your Social Security number in the appropriate field.
  5. Indicate your eligibility category by checking the relevant box.
  6. Detail your disability or condition, ensuring to include any necessary medical documentation if required.
  7. Complete any additional sections that apply to your situation, such as employment history or education background.
  8. Review your completed form for accuracy and completeness.
  9. Sign and date the form at the designated area.
  10. Make a copy of the completed form for your records before submitting it.
  11. Submit the form to the appropriate agency, following any specific submission guidelines provided.

Learn More on OPM Standard form 15

What is the OPM Standard Form 15?

The OPM Standard Form 15, also known as the Application for 10-Point Veteran Preference, is a document used by veterans to claim preference in federal employment. This form is essential for veterans who have a service-connected disability or have received a Purple Heart. By completing this form, veterans can ensure they receive the appropriate hiring preference that federal regulations provide, which can significantly enhance their chances of securing a federal job.

Who is eligible to use the OPM Standard Form 15?

Eligibility for using the OPM Standard Form 15 primarily includes veterans who fall into specific categories. These categories are:

  • Veterans with a service-connected disability rated at 10% or more.
  • Veterans who have received a Purple Heart.
  • Certain surviving spouses of veterans who meet the criteria.

It is crucial for applicants to verify their eligibility before submitting the form, as this will determine their entitlement to the 10-point preference in federal hiring processes.

How do I complete the OPM Standard Form 15?

Completing the OPM Standard Form 15 involves several steps. First, download the form from the official OPM website. After obtaining the form, follow these guidelines:

  1. Fill in your personal information accurately, including your name, address, and contact details.
  2. Indicate your veteran status and provide documentation to support your claim, such as a DD Form 214 or a letter from the Department of Veterans Affairs.
  3. Sign and date the form to certify that the information provided is true and correct.

Once completed, submit the form along with any required documentation to the appropriate federal agency as part of your job application.

Where do I submit the OPM Standard Form 15?

The OPM Standard Form 15 should be submitted to the federal agency where you are applying for a job. Each agency may have specific instructions regarding the submission process, including whether to submit the form electronically or by mail. It is advisable to check the agency’s employment website or contact their human resources department for detailed submission guidelines.

What happens after I submit the OPM Standard Form 15?

After submitting the OPM Standard Form 15, the agency will review your application and the accompanying documentation. If your claim for veteran preference is approved, you will receive the benefits associated with that preference during the hiring process. This could include being placed higher on the list of eligible candidates. If your claim is denied, you may receive a notification explaining the reasons for the denial, and you might have the option to appeal the decision or provide additional documentation.

Common mistakes

Filling out the OPM Standard Form 15 can be a straightforward process, but many people make common mistakes that can lead to delays or complications. One frequent error is not providing complete information. Applicants often leave sections blank or fail to answer questions fully. This can cause confusion and may result in a rejection of the application.

Another mistake involves misidentifying the type of disability. Some individuals may not clearly specify their condition or may select the wrong category. This misrepresentation can lead to misunderstandings about eligibility and can complicate the review process.

Many people also overlook the importance of including supporting documentation. Without the necessary medical records or documentation of their disability, the application may be deemed incomplete. It’s crucial to ensure that all required documents are attached and clearly labeled.

Inaccurate dates are another common issue. Applicants sometimes enter the wrong dates for their medical conditions or treatment. This oversight can create discrepancies in the application, making it harder for reviewers to assess the situation accurately.

Some individuals fail to sign and date the form correctly. A signature is a vital part of the application, and without it, the form may not be processed. Double-checking for a signature and the date can save time and prevent unnecessary delays.

Lastly, applicants often neglect to keep a copy of their submitted form. Having a copy is essential for tracking the application status and for reference in case any issues arise. It’s always a good idea to maintain a personal record of important documents.

Documents used along the form

When applying for disability benefits through the Office of Personnel Management (OPM), several forms and documents may accompany the OPM Standard Form 15. These documents help provide a comprehensive view of your situation and support your application. Below is a list of common forms and documents that are often used alongside the OPM Standard Form 15.

  • OPM Standard Form 3107: This form is used to apply for retirement benefits. It provides essential information about your employment history and retirement eligibility.
  • OPM Standard Form 2823: This form is a designation of beneficiary. It allows you to specify who will receive your benefits in the event of your passing.
  • Medical Documentation: Medical records or reports from healthcare providers are crucial. They substantiate your disability claim and demonstrate how your condition affects your ability to work.
  • Employment History: A detailed account of your work history can be beneficial. This document outlines your job roles, responsibilities, and any changes in your employment status due to your disability.
  • Personal Statement: A personal statement provides insight into your experiences and challenges. It allows you to express how your disability impacts your daily life and work capabilities.
  • OPM Standard Form 15A: This form is used to provide additional information about your disability. It may include specific questions related to your condition and its effects on your job performance.
  • Social Security Administration (SSA) Documentation: If you are receiving Social Security Disability benefits, including this documentation can strengthen your case. It shows that your disability has been recognized by another federal agency.

Each of these documents plays a vital role in presenting a complete picture of your circumstances. Gathering and submitting them alongside the OPM Standard Form 15 can enhance your application and increase the likelihood of a favorable outcome. Taking the time to prepare these materials thoughtfully can make a significant difference in your application process.

Similar forms

The OPM Standard Form 15 (SF-15) is a crucial document for individuals seeking veterans' preference in federal employment. It serves as a request for consideration based on military service, specifically for those who have a qualifying disability or who are the spouse or parent of a veteran. Similar to the SF-15, the DD Form 214 is essential for veterans. This form provides a record of military service and is often required to prove eligibility for various benefits, including veterans' preference in hiring processes.

Another document that parallels the SF-15 is the VA Form 21-526EZ, which is used to apply for veterans' disability compensation. Like the SF-15, this form requires detailed information about the applicant's military service and any disabilities incurred during that service. Both documents aim to facilitate the recognition of veterans' contributions and ensure they receive the benefits they deserve.

The SF-15 also shares similarities with the SF-50, which is the Notification of Personnel Action. This form is used within federal employment to document changes in an employee's status, including promotions, separations, and other personnel actions. While the SF-15 focuses on veterans' preference, the SF-50 tracks the employment history of federal employees, including veterans.

Additionally, the Form 10-10EZ, which is the application for health benefits from the Department of Veterans Affairs, aligns with the SF-15 in that both are designed to assist veterans in accessing benefits. The 10-10EZ focuses on healthcare eligibility, while the SF-15 pertains to employment opportunities, but both forms require proof of military service and eligibility.

The Form SF-86, used for security clearance applications, is another document that bears resemblance to the SF-15. While the SF-86 assesses an individual's suitability for access to classified information, it also requires a comprehensive background check that includes military service history. Both forms are critical in ensuring that veterans are recognized for their service, albeit in different contexts.

The Form 21-4138, also known as the Statement in Support of Claim, is similar to the SF-15 in that it is often used by veterans to provide additional information regarding their claims for benefits. This form allows veterans to explain their circumstances and support their requests, much like the SF-15 enables them to seek preference in hiring based on their service.

Another relevant document is the Standard Form 180 (SF-180), which is used to request military records. This form is crucial for veterans who need to obtain their service records to substantiate claims for benefits, including those made on the SF-15. Both forms emphasize the importance of documenting military service to access various entitlements.

The Form 22-5490, Application for Survivors' and Dependents' Educational Assistance, parallels the SF-15 by providing benefits to the dependents of veterans. While the SF-15 focuses on employment preference, the 22-5490 ensures that family members of service members can access educational opportunities, thereby honoring the sacrifices made by veterans.

Lastly, the Form 21-2680, which is the Examination for Housebound Status or Permanent Need for Regular Aid and Attendance, is another document that serves veterans. It assesses the need for additional care and support, similar to how the SF-15 assesses eligibility for employment preference. Both forms are vital in ensuring that veterans receive the appropriate assistance based on their service and current needs.

Dos and Don'ts

When filling out the OPM Standard Form 15, it’s important to follow certain guidelines to ensure your application is processed smoothly. Here are five things you should and shouldn't do:

  • Do read the instructions carefully before starting the form.
  • Don't leave any sections blank; provide all requested information.
  • Do double-check your personal information for accuracy.
  • Don't use abbreviations or jargon that may confuse the reviewer.
  • Do submit the form on time to meet any deadlines.

Misconceptions

The OPM Standard Form 15 is a crucial document for individuals seeking veterans' preference in federal employment. However, several misconceptions surround this form, which can lead to confusion for applicants. Here are four common misconceptions:

  • Misconception 1: The OPM Standard Form 15 is only for disabled veterans.
  • While the form is often associated with disabled veterans, it is not exclusively for them. The form can also be used by certain other categories of veterans, including those who have served in active duty and meet specific eligibility criteria.

  • Misconception 2: Submitting Form 15 guarantees a job in federal employment.
  • Filling out the OPM Standard Form 15 does not guarantee employment. It merely provides eligible veterans with a preference in hiring. The final hiring decision still rests with the federal agency based on various factors, including qualifications and available positions.

  • Misconception 3: All federal agencies use the OPM Standard Form 15 in the same way.
  • Different federal agencies may have varying interpretations and applications of the veterans' preference policy. While the form serves as a standard tool, agencies can implement their own procedures and criteria for evaluating applicants.

  • Misconception 4: Once submitted, the information on Form 15 cannot be updated or changed.
  • This is not true. Applicants can update their information if circumstances change. It is essential to keep the form accurate to ensure that the preference is applied correctly during the hiring process.

Key takeaways

When filling out and using the OPM Standard Form 15, keep these key takeaways in mind:

  • Ensure that all personal information is accurate and up-to-date. This includes your name, address, and contact details.
  • Provide a clear description of your disability. Be specific about how it affects your ability to perform job duties.
  • Gather supporting documentation. This may include medical records or letters from healthcare providers that verify your disability.
  • Check the eligibility criteria carefully. Not all disabilities qualify for benefits, so understanding the requirements is crucial.
  • Submit the form on time. There are deadlines for filing, and missing them can result in delays or denial of benefits.
  • Keep copies of everything you submit. This will help you track your application and provide evidence if needed.
  • Follow up after submission. Contact the appropriate office to confirm that your form was received and is being processed.
  • Be prepared for potential appeals. If your application is denied, understand the process for appealing the decision.