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The OPM Standard Form 15 is an essential document for individuals seeking to navigate the complexities of federal employment and disability benefits. This form plays a crucial role in the application process for veterans and individuals with disabilities who wish to receive preference in hiring for federal jobs. It provides a structured way for applicants to demonstrate their eligibility for special hiring authorities, ensuring that their unique circumstances are recognized and appropriately considered. By detailing relevant medical conditions and the impact these conditions have on their ability to work, the form allows applicants to articulate their needs clearly. Furthermore, it serves as a tool for federal agencies to assess and verify claims of disability, ensuring compliance with federal regulations and promoting fair hiring practices. Understanding the nuances of this form is vital for anyone looking to leverage their rights and benefits in the federal employment landscape.

OPM Standard form 15 Example

 

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.

File Breakdown

Fact Name Description
Purpose The OPM Standard Form 15 is used to apply for disability retirement under the Federal Employees Retirement System (FERS) and the Civil Service Retirement System (CSRS).
Eligibility Employees must have at least 18 months of federal 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.
Required Documentation Medical documentation must accompany the form to support the claim of disability.
Governing Laws The form is governed by the Federal Employees Retirement System Act and the Civil Service Retirement Act.
Review Timeline The review process can take several months, depending on the complexity of the case and the completeness of the submitted documentation.

Guide to Using OPM Standard form 15

Filling out the OPM Standard Form 15 is an important step in the application process. After completing the form, it will need to be submitted according to the guidelines provided by the relevant agency. Ensure that all sections are filled out accurately to avoid delays in processing.

  1. Obtain the OPM Standard Form 15. This can typically be downloaded from the official OPM website or requested from the relevant agency.
  2. Begin with Section A. Enter your personal information, including your name, address, and contact details. Ensure that all information is current and accurate.
  3. Move to Section B. Indicate the type of disability you are claiming. Be specific and provide any necessary details.
  4. In Section C, provide information about your employment history. List your previous jobs, including dates of employment and job titles.
  5. Proceed to Section D. Here, you will need to describe how your disability affects your ability to work. Use clear and concise language.
  6. Complete Section E by providing any additional information that may support your claim. This could include medical records or personal statements.
  7. Review the entire form for accuracy. Check for any missing information or errors.
  8. Sign and date the form in the designated area. This confirms that the information provided is true and complete.
  9. Make a copy of the completed form for your records before submitting it.
  10. Submit the form as instructed, either electronically or by mail, to the appropriate agency.

Get Answers on OPM Standard form 15

What is the OPM Standard Form 15?

The OPM Standard Form 15 is a document used by individuals applying for federal employment who are seeking veteran preference. This form is essential for veterans to establish their eligibility for preference points in hiring processes. It helps ensure that those who have served in the military receive the consideration they deserve in federal job applications.

Who needs to fill out the OPM Standard Form 15?

Veterans who wish to claim preference in federal hiring must complete this form. This includes individuals who have served in the active military, naval, or air service and were discharged under conditions other than dishonorable. Additionally, certain family members of veterans may also be eligible to use this form.

What information is required on the OPM Standard Form 15?

The form requests various pieces of information, including:

  • Your personal details, such as name and contact information.
  • Your military service history, including dates of service and branch.
  • Any documentation that supports your claim for veteran preference, such as discharge papers.

Completing the form accurately is crucial to avoid delays in the application process.

How do I submit the OPM Standard Form 15?

Once completed, the form can be submitted along with your job application. It is important to follow the specific instructions provided in the job announcement regarding submission methods. Some positions may require electronic submission, while others might accept paper forms sent by mail.

What happens after I submit the OPM Standard Form 15?

After submission, your application will be reviewed by the hiring agency. They will assess your eligibility for veteran preference based on the information provided in the form. If additional documentation is needed, the agency may reach out to you for clarification or further evidence.

Can I update my OPM Standard Form 15 after submission?

Yes, you can update your form if you realize that you have made an error or if you obtain new information that affects your eligibility. It is advisable to contact the hiring agency directly to inform them of any changes and to follow their guidance on how to submit updated information.

What if I do not have all the required documentation?

If you lack certain documentation, it is still important to submit the form. Include a note explaining what documents you are missing and your plan for obtaining them. Agencies may provide guidance on how to proceed without complete documentation, but be prepared for potential delays.

Is there a deadline for submitting the OPM Standard Form 15?

Yes, the deadline for submitting the form typically aligns with the application deadline for the specific job you are applying for. It is crucial to check the job announcement for exact dates to ensure that you submit your application and the form on time.

Where can I find the OPM Standard Form 15?

The OPM Standard Form 15 can be found on the official U.S. Office of Personnel Management (OPM) website. It is available for download in PDF format. Ensure you are using the most current version of the form to avoid any issues during your application process.

What should I do if I have questions about the OPM Standard Form 15?

If you have questions regarding the form or the process, you can contact the human resources department of the agency to which you are applying. Additionally, OPM provides resources and contact information on their website for further assistance.

Common mistakes

Filling out the OPM Standard Form 15 can be a straightforward process, but many people stumble along the way. One common mistake is not reading the instructions carefully. The form contains specific guidelines that clarify what information is needed. Skipping over these instructions can lead to incomplete or inaccurate submissions, which may delay the processing of your application.

Another frequent error is failing to provide all necessary documentation. The form requires supporting materials to validate your claims for disability. Without these documents, your application may be rejected or returned for additional information. It’s essential to double-check the list of required documents and ensure everything is included before submission.

Many individuals also underestimate the importance of accuracy in their personal information. Typos or incorrect details can create confusion and lead to processing delays. Always verify that your name, address, and other personal data are correct. Taking a moment to double-check these details can save you time and hassle later on.

In addition, some applicants neglect to sign and date the form. This might seem minor, but an unsigned form is often considered incomplete. Make it a habit to review the entire form, ensuring that all required fields are filled out and that your signature is included.

Another common pitfall is not keeping a copy of the submitted form. After sending in your application, it’s wise to have a record of what you submitted. This can be invaluable if you need to follow up or if there are questions about your application later on.

Lastly, many people fail to submit their application within the specified timeframe. Each application has a deadline, and missing it can result in a denial of benefits. Mark your calendar and set reminders to ensure you submit your form on time. Being proactive can help you avoid unnecessary stress and complications.

Documents used along the form

The OPM Standard Form 15 is used to apply for a disability retirement under the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS). Several other forms and documents may accompany this application to ensure a complete submission. Below is a list of these documents, along with brief descriptions.

  • OPM Standard Form 3107: This form is used to apply for retirement benefits under FERS or CSRS. It provides essential information about the applicant’s employment history and service time.
  • OPM Standard Form 2801: This form is utilized to apply for a retirement annuity under CSRS. It collects details regarding the applicant's service and any applicable survivor benefits.
  • Medical Documentation: Supporting medical records are often required to substantiate the claim for disability retirement. These documents should detail the nature of the disability and its impact on work performance.
  • SF-50, Notification of Personnel Action: This form provides proof of employment and details regarding the employee's position, pay, and tenure. It is necessary for verifying eligibility for retirement benefits.
  • Personal Statement: A written statement from the applicant explaining the circumstances of their disability and how it affects their ability to work. This statement can provide context to the application.
  • OPM Standard Form 1515: This form is a request for information regarding the applicant’s military service, which can affect retirement calculations and benefits.
  • Authorization for Release of Information: This document allows medical providers to share relevant health information with OPM, facilitating the review process for the disability claim.

Submitting these documents along with the OPM Standard Form 15 helps ensure a thorough review of the disability retirement application. Each piece of information contributes to a clearer understanding of the applicant's situation and eligibility.

Similar forms

The OPM Standard Form 15 is used primarily for requesting a veteran's preference in federal employment. Several other documents serve similar purposes in different contexts. Here’s a brief overview of four documents that share similarities with the OPM Standard Form 15:

  • DD Form 214: This document is issued to military service members upon separation from active duty. Like the OPM Standard Form 15, it provides proof of military service and is often required to establish eligibility for veterans' benefits, including federal employment preference.
  • SF-50 (Notification of Personnel Action): This form is used by federal agencies to document personnel actions. It can indicate veterans' preference eligibility and is crucial for verifying a veteran’s status, similar to how the OPM Standard Form 15 is utilized.
  • VA Form 21-526EZ: This application for disability compensation is filed with the Department of Veterans Affairs. It helps veterans establish their service-connected disabilities, which can also impact their eligibility for federal employment preference, akin to the purpose of the OPM Standard Form 15.
  • SF-15 (Application for 10-Point Veteran Preference): This form is specifically designed for veterans seeking 10-point preference in federal hiring. It closely resembles the OPM Standard Form 15 in that both are used to apply for veteran preference and require documentation of service and disability.

Dos and Don'ts

When filling out the OPM Standard Form 15, it is crucial to follow certain guidelines to ensure accuracy and completeness. Below are some important dos and don'ts to consider.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information to avoid delays.
  • Do double-check your entries for any errors or omissions.
  • Do submit the form by the deadline specified in the instructions.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank.
  • Don't use abbreviations or acronyms that may not be understood.
  • Don't submit the form without a thorough review.
  • Don't ignore the specific formatting requirements outlined in the instructions.
  • Don't forget to sign and date the form before submission.

Misconceptions

Here are some common misconceptions about the OPM Standard Form 15, which is used for requesting disability benefits:

  • It is only for federal employees. Many believe that only federal employees can use this form. However, it is available to anyone applying for disability benefits under the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS).
  • Submitting the form guarantees approval. Some people think that filling out and submitting the form means they will automatically receive benefits. In reality, approval depends on the completeness of the application and the supporting medical evidence.
  • The form is the same for all types of disabilities. There is a misconception that one form fits all disabilities. In fact, different medical conditions may require specific documentation or additional forms.
  • It can be submitted without any medical documentation. Some individuals assume they can submit the form without any medical records. However, providing medical evidence is crucial for the evaluation of the claim.
  • The form must be filled out perfectly the first time. Many worry that any mistake will lead to automatic denial. While accuracy is important, mistakes can often be corrected if addressed promptly.
  • There is no deadline for submission. Some believe they can submit the form at any time. However, there are deadlines that applicants must meet to ensure their claims are considered.
  • Only doctors can provide supporting evidence. It is a common belief that only physicians can submit medical evidence. In fact, other healthcare providers, such as therapists and specialists, can also contribute valuable information.
  • Once submitted, the process is quick. Many expect a fast turnaround after submitting the form. The review process can take time, and applicants should be prepared for potential delays.

Key takeaways

Filling out and utilizing the OPM Standard Form 15 is an important process for individuals seeking certain benefits. Here are key takeaways to keep in mind:

  1. Purpose: The OPM Standard Form 15 is used to apply for disability retirement benefits under the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS).
  2. Eligibility: Ensure that you meet the eligibility criteria before completing the form. This includes having a minimum of five years of creditable service.
  3. Documentation: Gather all necessary documentation, including medical records and employment history, to support your application.
  4. Accuracy: Fill out the form accurately. Incomplete or incorrect information can delay processing or lead to denial.
  5. Signature: Remember to sign and date the form. An unsigned form will not be processed.
  6. Submission: Submit the completed form to your agency's human resources office. Follow their specific submission guidelines.
  7. Follow-Up: After submission, follow up with your HR office to confirm that your application has been received and is being processed.
  8. Timeframe: Be aware of the processing timeframe. It may take several months to receive a decision on your application.
  9. Appeals: Understand your rights regarding appeals. If your application is denied, you have the right to appeal the decision.
  10. Consultation: Consider consulting with a legal or financial advisor if you have questions about the process or need assistance with your application.

By keeping these takeaways in mind, individuals can navigate the process of filling out and using the OPM Standard Form 15 more effectively.