Official Federal Forms > US Office Of Personnel Management > Standard
Continuation Sheet For Questionnaires SF 86 SF 85P And SF 85 SF 86A - Official Federal Forms
| Continuation Sheet For Questionnaires SF 86 SF 85P And SF 85 Form. This is a national form and can be used in Standard US Office Of Personnel Management . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Standard Form 86A Revised July 2008 U.S. Office of Personnel Management 5 CFR Parts 731, 732, and 736 CONTINUATION SHEET FOR QUESTIONNAIRES SF 85, SF 85P, AND SF 86 For use with the SF 85, Questionnaire for Non-Sensitive Positions; SF 85P, Questionnaire for Public Trust Positions; and SF 86, Questionnaire for National Security Positions Form approved: OMB No. 3206 0005 NSN 7540-01-268-4828 86-111 INSTRUCTIONS: Use this form to continue your answers to "Where You Have Lived," "Where You Went to School," and/or "Your Employment Activities." Follow the instructions on the form for the particular questions you are answering and give information in the same sequence. Use as many continuation sheets as needed. Your Name Your Social Security Number 11 WHERE YOU HAVE LIVED (Continued) #5 Month/Year To Month/Year Status Own Rent Military housing Other (Explain) Street address Apt.# APO/FPO address City (Country) Name of person who knows you at this address APO/FPO address (if currently applicable) City (Country) Telephone number Alternate contact number Own Rent Relationship Military housing Other (Explain) Neighbor Friend #6 Month/Year To Month/Year Status APO/FPO address City (Country) Name of person who knows you at this address APO/FPO address (if currently applicable) City (Country) Telephone number #7 Month/Year Alternate contact number Own Rent Relationship Military housing Other (Explain) Neighbor Friend To Month/Year Status Street address Landlord Business associate Apt.# State ZIP Code Current address State ZIP Code Apt.# Street address Landlord Business associate Apt.# State ZIP Code Current address State ZIP Code Apt.# Other (Explain) Other (Explain) APO/FPO address City (Country) Name of person who knows you at this address APO/FPO address (if currently applicable) City (Country) Telephone number Alternate contact number Relationship Neighbor Friend Landlord Business associate State ZIP Code Current address State ZIP Code Apt.# Other (Explain) Enter your Social Security Number before going to the next page American LegalNet, Inc. www.FormsWorkFlow.com Standard Form 86A Revised July 2008 U.S. Office of Personnel Management 5 CFR Parts 731, 732, and 736 CONTINUATION SHEET FOR QUESTIONNAIRES SF 85, SF 85P, AND SF 86 Form approved: OMB No. 3206 0005 NSN 7540-01-268-4828 86-111 12 WHERE YOU WENT TO SCHOOL (Continued) #6 Month/Year To Month/Year Code Name of school Degree/diploma received? If "Yes," identify type of degree/diploma received and date awarded. State Current address State To Month/Year Code Name of school ZIP Code Telephone number Degree/diploma received? If "Yes," identify type of degree/diploma received and date awarded. State Current address State To Month/Year Code Name of school ZIP Code Telephone number Degree/diploma received? If "Yes," identify type of degree/diploma received and date awarded. State Current address State To Month/Year Code Name of school ZIP Code Telephone number Degree/diploma received? If "Yes," identify type of degree/diploma received and date awarded. State Current address State To Month/Year Code Name of school ZIP Code Telephone number Degree/diploma received? If "Yes," identify type of degree/diploma received and date awarded. State Current address State ZIP Code Telephone number ZIP Code Apt. # ZIP Code Apt. # ZIP Code Apt. # ZIP Code Apt. # ZIP Code Apt. # YES NO Street address and City (Country) of school Name of person who knows you City (Country) #7 Month/Year YES NO Street address and City (Country) of school Name of person who knows you City (Country) #8 Month/Year YES NO Street address and City (Country) of school Name of person who knows you City (Country) #9 Month/Year YES NO Street address and City (Country) of school Name of person who knows you City (Country) #10 Month/Year YES NO Street address and City (Country) of school Name of person who knows you City (Country) Enter your Social Security Number before going to the next page American LegalNet, Inc. www.FormsWorkFlow.com Standard Form 86A Revised July 2008 U.S. Office of Personnel Management 5 CFR Parts 731, 732, and 736 CONTINUATION SHEET FOR QUESTIONNAIRES SF 85, SF 85P, AND SF 86 Form approved: OMB No. 3206 0005 NSN 7540-01-268-4828 86-111 13 EMPLOYMENT/UNEMPLOYMENT INFORMATION (Continued) #5 Dates of Employment Month/Year To Month/Year Employer/Verifier Name of employer/verifier Address of employer/verifier City (Country) Physical Location Your actual work address (if different from employer address) City (Country) Supervisor (if different from employer) Name and title Work address of supervisor City (Country) Additional Periods of Activity with this Employer Month/Year To Month/Year Position title Month/Year Month/Year To Month/Year To Month/Year Position title Position title State ZIP Code State ZIP Code Type of Employment Employment code Position title/Military rank Work hours Full-Time Part-Time Telephone number Telephone number State ZIP Code Telephone number Supervisor Supervisor Supervisor Explanation/Reason for leaving #6 Dates of Employment Month/Year To Month/Year Employer/Verifier Name of employer/verifier Address of employer/verifier City (Country) Physical Location Your actual work address (if different from employer address) City (Country) Supervisor (if different from employer) Name and title Work address of supervisor City (Country) State ZIP Code State ZIP Code Type of Employment Employment code Position title/Military rank Work hours Full-Time Part-Time Telephone number Telephone number State ZIP Code Telephone number Enter your Social Security Number before going to the next page American LegalNet, Inc. www.FormsWorkFlow.com Standard Form 86A Revised July 2008 U.S. Office of Personnel Management 5 CFR Parts 731, 732, and 736 CONTINUATION SHEET FOR QUESTIONNAIRES SF 85, SF 85P, AND SF 86 Form approved: OMB No. 3206 0005 NSN 7540-01-268-4828 86-111 13 EMPLOYMENT/UNEMPLOYMENT INFORMATION (Continued) Additional Periods of Activity with this Employer Month/Year To Month/Year Position title Month/Year Month/Year To To Month/Year Position title Month/Year Position title Supervisor Supervisor Supervisor Explanation/Reason for leaving #7 Dates of Employment Month/Year To Month/Year Employer/Verifier Name of employer/verifier Address of employer/verifier City (Country) Physical Location Your actual work address (if different from employer address) City (Country) Supervisor (if different from employer) Name and title Work address of supervisor City (Coun
|
|||||||
