Fill in a Valid Apd 5A Template

The APD 5A form is a crucial document used by the New York City Police Department to gather personal history from individuals applying for civilian positions. This comprehensive questionnaire collects essential information about an applicant's background, including personal data, residence history, and family information. It is vital for applicants to complete this form accurately and thoroughly, as it plays a significant role in the hiring process.

To begin your application process, please make sure to fill out the APD 5A form by clicking the button below.

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The APD 5A form is an essential document utilized by the New York City Police Department to gather personal history information from applicants seeking civilian titles. This form requires applicants to provide detailed responses, including their full name, social security number, and various personal identifiers. Knowledge of previous names, citizenship status, and travel history is crucial, as these details facilitate a thorough background check. The form emphasizes the importance of truthfulness and completeness in every response. The penalties for false statements can be severe, leading to disqualification from appointment or even prosecution. Additionally, applicants must ensure they complete two copies of the form, notarized as instructed, and return them promptly to their assigned investigator. Notably, the document provides specific instructions for alterations, ensuring clarity and accuracy throughout the process. Given that Civil Service lists remain valid for up to four years, timely submission becomes vital for potential candidates. The APD 5A form plays a significant role in the hiring process, ensuring that only qualified individuals are considered for positions within the department.

Apd 5A Example

	POLICE DEPARTMENT				APD-5A
	CITY OF NEW YORK			CIVILIAN TITLES
Personal History of: _____________________
	Surname		First Name		M.I.
Applicant for appointment as:
Exam No. __________ List No. __________		Social Security No.:

The answers to questions in this questionnaire must be printed in BLACK INK BY THE APPLICANT. TWO (2) copies of this questionnaire are furnished, BOTH are to be completed, notarized in the space provided on page 18, and returned to your assigned investigator as directed. If the space is insufficient to complete your answer to any question, use pages eighteen through twenty-two (18-22) which have been provided for that purpose. Indicate the question number and continue your answer. If a question is not applicable, indicate such by entering “N/A” or “NONE”. Do not leave any question blank. Mistakes made should ONLY be corrected by drawing a single line through the mistake, placing your initials at the end. MISTAKES ARE NEVER TO BE CORRECTED WITH OPAQUE CORRECTION FLUID.

Applicants are cautioned to answer every question, truthfully, completely and without evasion. Both the N.Y. State Civil Service Law and the Personnel Rules of the City of New York, (which have the force and effect of the law) provide penalties for making a false statement of material fact in any application, or for practicing any fraud or deception in obtaining or attempting to obtain municipal employment. Such penalties include rejection for appointment, revocation of appointment, and prosecution.

Civil Service lists are valid for a period of up to four (4) years from the date of promulgation. Once the Civil Service list expires, appointment from that list is no longer possible. For this reason, all candidates are urged to submit all documents as expeditiously as possible. All candidates are cautioned that failing to appear for scheduled appointments could jeopardize chances for appointment.

THE NEW YORK CITY POLICE DEPARTMENT

IS AN EQUAL OPPORTUNITY EMPLOYER

Page 1

	Control No	Exam No.
	.
	________________________________	_________ List No.Soc
		. Sec. No.
APD-5A	Surname	__________________________________
	First Name	____________________
	Mid. Init	______
	.

PD 407-151A(Rev. 09-10)

I. PERSONAL DATA

Last Name	First Name	Mid. Init.	Social Security No.
a. Have you ever had a legal name change? If so,
From: ________________________	To: ____________________ Reason: ____________________________

Court: _________________________________________________ Index No.: ___________________________

If by marriage, date of marriage: _____________________________

b. List below, any other name, alias, nickname, by which you have been known, including maiden name if you are a married female, with the reason for such use:

c. Do you have any tattoos, brands, body piercings, or other body art? Yes  No 

If yes, include the location and complete description, including symbolized meaning and reason for getting same.

Sex: Male  Female 

3. Date of Birth: Month: __________ Day: _________ Year: ________

4.Birth Certificate:

Certificate Number

City or Town

County

State

Citizenship:

Citizen of the U.S.A.?

Yes 

No 

a. What country were you born in? __________________________________

b. If not born in U.S.A., date entered U.S.A. _______________________________

c. If you are a naturalized citizen of the U.S.A., list below,

Naturalization Certificate No.

Date

Court

City

State

d. Do you have dual citizenship with another country? Yes  No 

If yes, what country? ______________________________ When was it obtained? _________________________

How was it obtained? ___________________________________________________________________________

Do you have a U.S. Resident Alien Card?

Yes 

No 

Expiration: __________________

If yes, how was it obtained? (Lottery, etc.) ___________________________________________________________

Alien Registration No. __________________________________________________

Do you have a U.S. passport? Yes 

No 

If yes, passport no. ________________________ Date Issued ____________ Expiration Date ________________

a. Have you ever reported a passport lost or stolen?

Yes 

No  If yes, describe the circumstances of

the loss to include the date, location and police report number: __________________________________________

______________________________________________________________________________________________

b. Do you now have or have you ever had a foreign passport?

Yes  No  If yes, date issued ___________

Date of Surrender/Expiration ________________

Issuing Country____________________________________

c. Have you ever applied for a travel visa to travel to or from any country? If so, Date _______________________

Country ________________

Reason_______________________________________________________________

Has a visa ever been denied? ______________________________________________________________________

8.What countries outside of the U.S.A. have you traveled to? Include dates and how long you were in the country:

Country & Town, or City	Dates	Length of Stay	Purpose of Visit

Initial this page to indicate that you have provided complete and accurate information: __________

Page 2

9.Marital Status:

	Single  Married  Legally Separated  Divorced  Widowed  Registered Domestic Partner/Civil Union 

	Spouse/Registered Domestic Partner

	Name			Home Address (number/street/apt.)			City	State	ZIP


	D.O.B.			Occupation
N/A	D.O.B.			Occupation


	Home Phone			Work Address (number/street/apt.)			City	State	ZIP
	(	)

	Work Phone			Cell Phone		Email
	(	)		(	)

	Is There, Or Has There Ever Been, An Order Of Protection Or Restraining Order Issued Against This Individual?
	Yes 		No 

	Former Spouse/Registered Domestic Partner

	Name			Home Address (number/street/apt.)			City	State	ZIP


	D.O.B.			Occupation
N/A	D.O.B.			Occupation


	Home Phone			Work Address (number/street/apt.)			City	State	ZIP
	(	)

	Work Phone			Cell Phone		Email
	(	)		(	)

	Is There, Or Has There Ever Been, An Order Of Protection Or Restraining Order Issued Against This Individual?
	Yes 		No 

	Former Spouse/Registered Domestic Partner

	Name			Home Address (number/street/apt.)			City	State	ZIP


	D.O.B.			Occupation
N/A	D.O.B.			Occupation


	Home Phone			Work Address (number/street/apt.)			City	State	ZIP
	(	)

	Work Phone			Cell Phone		Email
	(	)		(	)

	Is There, Or Has There Ever Been, An Order Of Protection Or Restraining Order Issued Against This Individual?
	Yes 		No 

	Former Spouse/Registered Domestic Partner

	Name			Home Address (number/street/apt.)			City	State	ZIP


	D.O.B.			Occupation
N/A	D.O.B.			Occupation


	Home Phone			Work Address (number/street/apt.)			City	State	ZIP
	(	)

	Work Phone			Cell Phone		Email
	(	)		(	)

	Is There, Or Has There Ever Been, An Order Of Protection Or Restraining Order Issued Against This Individual?
	Yes 		No 

Initial this page to indicate that you have provided complete and accurate information: __________

Page 3

II.RESIDENCE RECORD

10.Starting with your present address and working back, list each address (including temporary addresses) at which you have resided. Please include military and college (campus and/or off-campus) addresses. All foreign addresses must be included:

FROM	TO
Mo. Yr.	Mo.	Yr.

Street

Address

Apt.

No.

City or

Town

County of

Zip

State Code

PRESENT

a. Do you now or have you ever owned/co-owned any home/co-op/condo or other property? Yes  No . If yes, list

AddressCity/ TownStateZipCounty

b. With whom do you co-own? ____________________________________________________________________

c. All Residence telephone number(s): (Area Code) _____-_____-________

d. All Cell phone number(s): (Area Code) _____-_____-________

e. Email address(es): _____________________________________, _____________________________________

f. Do you now have or have you ever had an account on a social networking site, such as MySpace, Facebook or Twitter? Yes  No 

If yes, indicate address(es) ______________________, ______________________, ______________________

III.FAMILY RECORD

11.List below all of your living or deceased children, including natural, adopted, and/or foster care. Include any other children who have ever resided with you. Provide the name and contact information of the other parent or guardian.

Child’s Name (Last, First)			Sex	D.O.B.	Does Child Reside with You? Yes  No			 If No, Enter Full Address

Who has Custody of Child? Include Name and Relationship						Name of other Parent

Parent’s D.O.B.		Parent’s Home Address						Parent’s Contact Phone No.

Parent’s Occupation	Parent’s Work Address						Candidate’s Current Relationship with other Parent


Child’s Name (Last, First)			Sex	D.O.B.	Does Child Reside with You? Yes  No			 If No, Enter Full Address

Who has Custody of Child? Include Name and Relationship						Name of other Parent

Parent’s D.O.B.		Parent’s Home Address						Parent’s Contact Phone No.

Parent’s Occupation	Parent’s Work Address						Candidate’s Current Relationship with other Parent

Initial this page to indicate that you have provided complete and accurate information: __________

Page 4

	Child’s Name (Last, First)			Sex	D.O.B.	Does Child Reside with You? Yes  No				 If No, Enter Full Address

	Who has Custody of Child? Include Name and Relationship						Name of other Parent

	Parent’s D.O.B.		Parent’s Home Address							Parent’s Contact Phone No.

	Parent’s Occupation	Parent’s Work Address						Candidate’s Current Relationship with other Parent


	Child’s Name (Last, First)			Sex	D.O.B.	Does Child Reside with You? Yes  No				 If No, Enter Full Address

	Who has Custody of Child? Include Name and Relationship						Name of other Parent

	Parent’s D.O.B.		Parent’s Home Address							Parent’s Contact Phone No.

	Parent’s Occupation	Parent’s Work Address						Candidate’s Current Relationship with other Parent


	Child’s Name (Last, First)			Sex	D.O.B.	Does Child Reside with You? Yes  No				 If No, Enter Full Address

	Who has Custody of Child? Include Name and Relationship						Name of other Parent

	Parent’s D.O.B.		Parent’s Home Address							Parent’s Contact Phone No.

	Parent’s Occupation	Parent’s Work Address						Candidate’s Current Relationship with other Parent

a. Additional children listed on pages 18-22?						Yes  No 
b. What provisions have you made for the support of the children listed above?									________________________________

_______________________________________________________________________________________________

c. Do any of your children receive child support or other supportive income? (Social Security, disability) Yes  No  If yes, explain: __________________________________________________________________________________

_______________________________________________________________________________________________

IV. FAMILY RECORD AND REFERENCES

12.List the full names of biological mother and father; stepmothers/stepfathers; grandfathers; grandmothers; father-in-law; mother-in-law, living or deceased. The complete address for each must be listed (include city and state).

	Father’s Name	Home Address (number/street/apt.)					City	State ZIP

	Work Address (number/street/apt.)		City	State	ZIP		Occupation

	Home Phone		Work Phone			Cell Phone

	D.O.B.			Email

	Place of Birth (Village or Town, City, State, Country)

Initial this page to indicate that you have provided complete and accurate information: __________

Page 5

Mother’s Name	Home Address (number/street/apt.)					City	State ZIP

Work Address (number/street/apt.)		City	State	ZIP		Occupation

Home Phone		Work Phone			Cell Phone

D.O.B.			Email

Place of Birth (Village or Town, City, State, Country)

N/A

Stepfather’s Name	Home Address (number/street/apt.)					City	State ZIP

Work Address (number/street/apt.)		City	State	ZIP		Occupation

Home Phone		Work Phone			Cell Phone

D.O.B.			Email

Place of Birth (Village or Town, City, State, Country)

N/A

Stepmother’s	Name	Home Address (number/street/apt.)					City	State ZIP

Work Address (number/street/apt.)			City	State	ZIP		Occupation

Home Phone			Work Phone			Cell Phone

D.O.B.				Email

Place of Birth (Village or Town, City, State, Country)

N/A

	Father-in-law’s Name	Home Address (number/street/apt.)					City	State	ZIP

	Work Address (number/street/apt.)		City	State	ZIP		Occupation

	Home Phone		Work Phone			Cell Phone

	D.O.B.			Email

	Place of Birth (Village or Town, City, State, Country)


	N/A

	Mother-in-law’s Name	Home Address (number/street/apt.)					City	State	ZIP

	Work Address (number/street/apt.)		City	State	ZIP		Occupation

	Home Phone		Work Phone			Cell Phone

	D.O.B.			Email

	Place of Birth (Village or Town, City, State, Country)

Initial this page to indicate that you have provided complete and accurate information: __________

Page 6

N/A

Grandmother’s Name	Home Address (number/street/apt.)					City	State ZIP

Work Address (number/street/apt.)		City	State	ZIP		Occupation

Home Phone		Work Phone			Cell Phone

D.O.B.			Email

Place of Birth (Village or Town, City, State, Country)

N/A

Grandfather’s Name	Home Address (number/street/apt.)					City	State ZIP

Work Address (number/street/apt.)		City	State	ZIP		Occupation

Home Phone		Work Phone			Cell Phone

D.O.B.			Email

Place of Birth (Village or Town, City, State, Country)

a.List the full names of all biological brothers and sisters; half-brothers/half-sisters; stepbrothers/stepsisters; uncle; aunt; great aunt; great uncle; first cousin; nephew; niece; fiancé or fiancée, living or deceased (include females’ maiden names). The complete address for each must be listed (must include city and state).

N/A	Name		Relationship
N/A

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship
N/A

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email

Initial this page to indicate that you have provided complete and accurate information: __________

Page 7

N/A	Name		Relationship

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship
N/A

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email

b.List any person(s) who has ever resided with you, whether related to you or not (include females’ maiden names). The complete address for each must be listed (must include city and state).

N/A	Name		Relationship

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship
N/A

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email


N/A	Name		Relationship

Home Address (number/street/apt.)			City	State	ZIP	D.O.B.

Work Address (number/street/apt.)			City	State	ZIP	Occupation

Home Phone		Work Phone		Cell Phone			Email

Initial this page to indicate that you have provided complete and accurate information: __________

Page 8

c.List 5-6 people who know you well, such as social and family friends, co-workers, military acquaintances. Do not include relatives, employers or housemates, or other individuals listed elsewhere.

Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email


Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email


Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email


Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email


Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email


Name		How do you know this person?
		(for example: friend, teacher,
		family friend, co-worker)
Home Address (number/street/apt.)		City	State	ZIP	D.O.B.

Work Address (number/street/apt.)		City	State	ZIP	Occupation

Home Phone	Work Phone		Cell Phone			Email

Initial this page to indicate that you have provided complete and accurate information: __________

Page 9

V.FOREIGN CONTACTS (OR LANGUAGE)

13a. Do you speak, read, write, or understand a foreign language? Yes  No . If Yes, list language(s) and educational level of proficiency: ____________________________________________________________________

b.How often is each language(s) used? ________________________________________________________________

c.With whom is each language used? ____________________________ How often?__________________________

d.Is this person inside or outside of the United States? Inside  Outside 

If outside, list country ____________________________________________________________________________

VI. EDUCATION RECORD

14. List all schools you have attended beginning with the 9th grade:

School Name,

City, State and Zip Code

Month and Year

Attended

From To

Number of Credit Hours

Completed

Semester Quarter

Type of Degree

(e.g. H.S. Diploma,

B.A., M.A.)

Month and Year

of Graduation,

Degree

a.List any other schools attended, including but not limited to, trade, vocation, business, professional and occupational licenses, training courses, internships, certificate programs, etc. List the dates of attendance.

_______________________________________________________________________________________________

b.	High school diploma from an accredited U.S. Institution? Yes  No 	G.E.D.	Yes  No 
	If “Yes”, G.E.D.-Issuing State _____________________ Date Issued ___________		Other ___________________

c.Were you ever the subject of any disciplinary action at any educational institution which you attended?

Yes  No  If “yes” give details on pages 18 through 22. (School name, disposition date, etc.)

VII. EMPLOYMENT RECORD

15.Have you ever been fired or suspended from any job, or has any form of disciplinary action been taken against you by any employer? Yes  No . If Yes, explain below.

______________________________________________________________________________________________

List below, starting with your current employment-or unemployment - and working back, each period of employ- ment and period of unemployment you have had. Include within the sequence any period of active military ser- vice. If you were discharged from any employment, or requested to resign, so state under “Reason for leaving employment”. DO NOT LEAVE ANY TIME PERIODS UNACCOUNTED FOR.

From		To		 Full Time	Name of Supervisor:
Mo.:	Yr.:		PRESENT	 Part Time

Company Name (it unemployed, so state)					Type of work you performed:

Street Address of Company

Employer’s Telephone Number:

City, State and Zip Code

Reason for leaving employment:

From		To		 Full Time	Name of Supervisor:
Mo.:	Yr.:	Mo.:	Yr.:	 Part Time

Company Name (if unemployed, so state)					Type of work you performed:

Street Address of Company

Employer’s Telephone Number:

City, State and Zip Code

Reason for leaving employment:

Continue employment entries on Page 11

Initial this page to indicate that you have provided complete and accurate information: __________

Page 10

Click for Apd 5A File

File Breakdown

Fact Name	Description
Purpose of APD-5A	The APD-5A form collects personal history information from applicants seeking appointment to the New York City Police Department.
Ink Requirement	Applicants must complete the form using BLACK INK to ensure clarity and legibility.
Submission Copies	Two copies of the completed questionnaire are required. Both must be notarized and submitted to the assigned investigator.
Handling Corrections	Any mistakes should only be corrected with a single line through the error, followed by the applicant's initials. Opaque correction fluid is strictly prohibited.
Truthful Responses	Applicants are legally obligated to provide truthful and complete answers. Failing to do so may result in penalties, such as revocation of appointment.
Expiration of Civil Service Lists	Civil Service lists for appointments are valid for up to four years. Once expired, candidates may no longer be appointed from that list.
Equal Opportunity Statement	The New York City Police Department is an equal opportunity employer, prohibiting discrimination in hiring processes.
Personal History Section	This section requires detailed personal information, including name changes, social security number, and citizenship status.
Residence Record	Applicants must provide a history of all residences, including temporary ones, and any associated split ownership details.
Family Record	The form necessitates information about children, including custody arrangements, and requires updating on children's support provisions.

Guide to Using Apd 5A

Completing the APD 5A form is a crucial step in your application process. This form gathers important personal information that the Police Department needs to proceed with your application. To fill it out correctly, follow the steps outlined below carefully.

Gather Your Information: Before you start filling out the form, have all necessary personal documents ready, such as your Social Security number, birth certificate, and any legal documents for name changes.
Use Black Ink: Make sure to use a black pen to write your answers. This ensures that they are readable and acceptable.
Complete Two Copies: Fill out two copies of the APD 5A form. Both copies need to be notarized later on.
Print Your Answers: Write all answers clearly in print format as instructed. Avoid cursive writing to maintain clarity.
Provide Full Names: Enter your surname, first name, and middle initial at the top of the form.
Fill in Personal Data: Respond to questions in the personal data section completely. If a question does not apply to you, indicate “N/A” or “NONE.”
Address Any Mistakes: If you make a mistake, draw a single line through the incorrect information, initial it, and write the correct information nearby. Do not use correction fluid.
Use Additional Pages if Necessary: If you run out of space for an answer, continue on pages 18 to 22 as required, indicating the question number.
Notarize: Once both copies are complete, seek a notary public to notarize the forms in the designated space on page 18.
Submit Promptly: Return the notarized forms to your assigned investigator as soon as possible to ensure your application proceeds without delay.

Each step plays a vital role in ensuring your form is processed correctly. Take your time to provide honest and thorough answers, as this can significantly influence your application outcome.

Get Answers on Apd 5A

What is the purpose of the APD 5A form?: The APD 5A form is a personal history questionnaire that applicants must complete as part of the process for a position within the New York City Police Department. It is used to gather comprehensive information about the candidate’s background, including personal data, residence history, and family information.
How should I fill out the APD 5A form?: Applicants must complete the form using black ink, ensuring clear and legible answers. Two copies of the questionnaire should be filled out and notarized as instructed. If you run out of space for any question, you can use additional pages provided to continue your response.
What happens if I make a mistake on the form?: If you make a mistake while filling out the APD 5A form, the correct procedure is to draw a single line through the error and initial it. Do not use correction fluid, as this is not permitted and can lead to issues.
What information do I need to provide for the residency section?: In the residency section, you need to list all addresses where you have lived, starting with your current address and working backward. This includes military and college addresses, if applicable. Make sure to provide complete addresses, along with the time frames for each residence.
Is it mandatory to answer all questions?: Yes, it is crucial to answer every question on the APD 5A form. If a question does not apply to you, indicate that by entering “N/A” or “NONE” rather than leaving it blank. Failing to answer can result in delays or rejection.
What should I do if I have lived outside the U.S.?: You must include any international addresses where you have resided, along with the dates of stay and the reasons for being there. This is essential for creating a complete picture of your background.
Aren't there penalties for providing false information?: Indeed, providing false information on the APD 5A form can have serious consequences. The New York State Civil Service Law imposes penalties that include rejection of your application, revocation of any appointment, and even legal prosecution for fraud or deception.
Is my social media history required on the form?: If you have ever had accounts on social media platforms, you must list those addresses on the form. This requirement is part of ensuring transparency and a thorough evaluation of your background.
How long are the civil service lists valid?: Civil service lists are valid for up to four years from the date they are issued. After that period, you may not be eligible for appointment from that list. Thus, submitting your documents promptly is highly recommended.
What roles do my marital and family status play in the application?: Your marital status and details about your family structure are important components of the APD 5A form. Providing complete and accurate information about your children, former spouses, and any protective orders is critical for a full evaluation of your background.

Common mistakes

Completing the APD-5A form can be a challenging task, and several mistakes can hinder your application process. Understanding these common errors can help streamline your submission and improve your chances of being considered for appointment. Here are nine typical mistakes individuals make when filling out the form.

One significant error is not using black ink as specified, which is crucial. Applicants must ensure that every answer is written in black ink; otherwise, the forms may be rejected or cause delays. Furthermore, it is equally important to complete both copies of the questionnaire as instructed. Failing to submit two copies can lead to unnecessary complications.

Leaving questions blank is another common mistake. Each question must have an answer, even if the response is "N/A" or "NONE." Applicants should remember that omissions can raise flags during the review process, which may jeopardize their application.

When you make a mistake, it’s essential to correct it properly. Many applicants mistakenly use correction fluid, which is not permitted. Instead, draw a single line through the incorrect answer and place your initials next to it. By adhering specifically to this instruction, you demonstrate attention to detail and compliance with the form's guidelines.

Another frequent oversight is not providing complete information. Each section requires thorough responses, particularly when detailing personal history and residency. Incomplete information may create gaps that reviewers will question, leading to delays in the application process.

Some applicants also forget to indicate their initial on each page. This small detail can easily be overlooked but serves as a verification step, affirming that the applicant has completed the questionnaire accurately. Neglecting to initial can result in the need for further verification of supplied information.

Confusion often arises regarding name changes. Not listing all legal names and aliases can be problematic. It’s essential to provide this information to avoid any potential discrepancies or misidentifications during the vetting process.

Not keeping track of deadlines is another major mistake. Individuals should be mindful that time constraints exist, including submitting all required documents promptly. A missed deadline can result in loss of candidacy for the available positions, underscoring the importance of timely submissions.

Lastly, failing to verify the correctness of personal information can lead to significant issues. Reviewers will check for consistency with official documents. Ensuring that all details are accurate helps prevent any confusion or red flags during background checks.

Documents used along the form

The APD 5A form is an essential document for applicants seeking appointments within the New York City Police Department. It gathers vital personal history information that helps verify an applicant's qualifications and suitability for civil service roles. Along with the APD 5A form, several other forms and documents are typically required to ensure a comprehensive evaluation of applicants. Here’s a closer look at these forms and documents:

Background Investigation Questionnaire: This document collects detailed information about an applicant's background and history. It includes questions about previous employment, education, and any legal difficulties. This thorough vetting process is vital for positions requiring high levels of trust and integrity.
Medical Examination Form: Applicants must submit this form to confirm their fitness for duty. It requires a medical professional to evaluate the applicant’s health, ensuring they can meet the physical demands of the job.
Release of Information Consent Form: This form allows the police department to obtain necessary information from third parties, such as previous employers or educational institutions. It is crucial for facilitating background checks.
Fingerprinting Form: Necessary for completing a background check, this form requires applicants to provide their fingerprints. It helps identify any criminal history and is a standard procedure in many law enforcement applications.
Tax Information Release Form: This document grants permission for the department to review the applicant’s tax history. This is often important for evaluating financial responsibility and overall suitability for civil service roles.
Social Media Disclosure Form: This form asks applicants to disclose any social media accounts and relevant content. The police department reviews this information to ensure that applicants represent values consistent with their standards.
Character Reference List: Applicants must provide names and contact information for individuals who can vouch for their character and suitability for employment. This list usually includes friends, supervisors, or co-workers who can offer insight into the applicant's personality and work ethic.

Collecting these documents in conjunction with the APD 5A form allows for a thorough evaluation of an applicant's qualifications. Each piece of information plays a pivotal role in ensuring that only the most suitable candidates are considered for roles within the police department. Being prepared with these forms will help streamline the application process and enhance an applicant’s chances of securing a position.

Similar forms

Form I-9 (Employment Eligibility Verification): Similar to the APD 5A, the I-9 requires personal data and answers to questions regarding citizenship and employment eligibility. Both forms emphasize the importance of truthfulness in provided information.
Background Check Authorization Form: Like the APD 5A, this document collects personal history and legal information, often including name, address, and Social Security number, as well as consent for background checks.
Job Application Form: This form gathers information about the applicant's work history, education, and personal details, resembling the APD 5A's focus on personal history and verification for employment consideration.
W-4 Form (Employee's Withholding Certificate): This document requires identification details, such as name and social security number, similarly to the APD 5A, although the focus of the W-4 is on tax withholding allowances.
DMV License Application: Applicants must provide personal data and residency history on both the DMV form and the APD 5A. Each highlights the necessity for accuracy and completeness in the responses.
Student Enrollment Form: This form collects personal information about students, including citizenship status and previous schools attended, much like the APD 5A gathers detailed personal history for appointment consideration.
Security Clearance Application (SF-86): This application requires comprehensive personal, family, and background information, paralleling the APD 5A's extensive inquiries into an applicant's history and affiliations.
Credit Application: This document requests sensitive personal information, such as Social Security numbers and identification, akin to the APD 5A’s need for personal data in assessing eligibility for appointments.

Dos and Don'ts

Five important do's and don'ts while filling out the APD 5A form:

Do use black ink when answering the questionnaire. This ensures legibility and adherence to instructions.
Don’t leave any questions unanswered. If a question doesn’t apply to you, write “N/A” or “NONE” instead.
Do carefully correct any mistakes by striking through the error with a single line and initialing next to it. Avoid using correction fluid!
Don’t rush through the form. Take your time to provide complete and truthful answers to all questions.
Do ensure you submit all required documents promptly to avoid jeopardizing your application.

Misconceptions

Misconceptions about the APD-5A form can lead to confusion during the application process. Here are six common misunderstandings:

The APD-5A is optional. Many applicants believe that submitting the APD-5A form is not mandatory. In reality, it is a required component of the application process for certain civilian positions within the New York City Police Department.
Only one copy of the form needs to be submitted. Some candidates assume that submitting a single copy of the APD-5A is sufficient. However, two copies are required, both of which must be signed and notarized before submission.
Errors can be corrected freely. There is a misconception that applicants can freely correct mistakes made on the form. Instead, errors must be corrected with care, using a single line to cross out the error and initialing it. Use of any correction fluid is strictly prohibited.
Questions can be left blank if they do not apply. Many candidates think they can skip questions that do not apply to them. However, all questions must be answered, and if a question is not relevant, applicants should indicate this by writing “N/A” or “NONE.”
Failure to disclose past involvement with law enforcement is acceptable. Some people believe that omitting previous legal issues is harmless. In fact, the application requires complete transparency; failing to provide truthful information can lead to rejection or further legal consequences.
The Civil Service list has no expiration. It is a common belief that once a Civil Service list is established, it remains valid indefinitely. Conversely, these lists are only valid for four years, so timely submission of all required documents is crucial for consideration.

Key takeaways

Complete All Sections: Ensure that every section of the APD 5A form is filled out. Do not leave any questions blank. If a question doesn’t apply to you, indicate “N/A” or “NONE.”
Use Black Ink: Fill out the form using black ink only. This will ensure that your responses are clear and easy to read.
Correct Mistakes Properly: Should you need to correct any errors, draw a single line through the mistake and initial it. Avoid using correction fluid, as this is not permitted.
Submit on Time: Complete and submit the form as quickly as possible. Remember, civil service lists are valid for only four years, so timely submission is crucial.

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Documents used along the form

Similar forms

Dos and Don'ts

Misconceptions

Key takeaways