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Division 4 D7 |
Direct Operations (DO) Packet
SUBMIT IN DUPLICATE, EACH WITH ORIGINAL BLUE INK SIGNATURES.
THIS FORM HAS BEEN REVISED.
The current form revision date is July 2008. All others
are obsolete, and will be rejected.
"A "DO" SECURITY PACKAGES MUST BE SUBMITTED FOR ALL MEMBERS INVOLVED IN FINGERPRINTING, SECURITY, AIR OPERATIONS, COAST GUARD MARINE SAFETY ASSIGNMENTS, COAST GUARD STATION WATCHSTANDERS, CERTAIN DISTRICT LEVEL POSITIONS, NATIONAL POSITIONS, AND WHEN DIRECTED BY COAST GUARD COMMAND PERSONNEL.
1. D-4 Direct Operations Check-Off Sheet
Send original, retain copy.
2. Two (2) FBI Applicant Fingerprint Cards: Form FD-258
Effective 12/17/04, same
as OS. Previously was three cards.
Must use
appropriate USCG / DHS cards with correct URI information preprinted on
them. Cards must be filled out and signed in BLACK ink only.
a. Print all requested information except your
OCA #, FBI #, and miscellaneous information unless they apply.
b. Your armed forces number (MNU) should be your
Auxiliary ID number.
c. Race codes are:
A: Asian or
Pacific Islander
B: Black
I: American Indian
or Alaskan Native
W: White
U: Unknown
Note; H is not used. Hispanic is not a rce, but an ethnic indicator
per the FBI.
For Black Hispanics, enter B.
For White Hispanics: enter W
3. Fair
Credit Reporting Act Form: Form DHS 11000-0 (Replaces DOT 1631)
Disclosure and Authorization Pertaining to Consumer Reports Pursuant
to the Fair Credit Reporting Act. This form replaces the original form
issued by the DOT. Submit in duplicate. Form is to be filled out in black
ink and signed in blue ink.
4.
Questionnaire for National Security Positions: Form SF-86.
a:
PDF
Version
b. MS Word Version
Two (2) copies required, filled out in BLACK INK. Sign with original signatures in BLUE
INK on all copies.
It is strongly recommended that a blank copy of the SF-86 be printed
out as a work copy.
An SF-86 must be submitted regardless of
current security clearance status. A current security clearance, as
indicated in the SF-86, simply relieves the SECCEN of not having to
do a duplicate investigation. The form is still required to verify current
status.
Note:
Unless you have a program that allows saving PDF documents, the PDF
version cannot be saved online; all data will be lost after leaving the
government website. The alternative is to use the MS Word version.
The MS version can also be sent in an encrypted state to the DDSL for review via
e-mail. When encrypting (saved with a password), be sure to use an
alternative file name, not the original file name. That way in the event
something goes wrong with the encryption process, you will still have the
original document. This process is only for review. The actual application, and
related forms, must be sent to the DDSL for review and processing. Under
no circumstances is an unencrypted SF-86 to be sent in open e-mail.
4a.
SF-86 Continuation
Sheets
Use this form to continue entries for residences, schools attended and
employment. For other entries that exceed what the form provides for, simply
attach a blank paper to the SF-86 with the appropriate information. Be sure to
indicate what block number you are referencing. Submit in
duplicate if this form is used. Form is to be filled out in black ink and
signed in blue ink.
Regardless
of which method is utilized, two copies must be submitted with the package.
* Each copy of the SF-86 must have an original signature on it in BLUE
INK. You may fill in one copy, photo copy it, then sign both in blue ink.
A third copy should be retained for future reference.
* This form is time sensitive. If completing now, do not sign until
directed to do so by the DDSL.
* All blocks must be filled in. Use N/A where information is not
applicable. If something is unknown or you cannot recall, so state. But be
prepared to explain on another page, or to the SECCEN at a later date.
* Place Social Security Number on the bottom of each page, beginning with
page #2. Page 1 has it on top.
* If you check yes to block #21 of the SF-86, you must submit a Release
of Medical Information in duplicate.
NOTE: It is imperative that the instructions for filling out the SF-86 be read in its entirety. This form can be intimidating and confusing if the instructions are not read thoroughly, and followed explicitly.
5.
Authorization
for Release of Information. (Form SF-86 page 10)
Do not use the SF-85, as this form is incorporated within the SF-86 form as
page 10. Use the SF-85 for new member and Operations Support. Form is to be
filled out in black ink and signed in blue ink. Submit in duplicate.
6. Verification of US Citizenship Form Form is to be filled out in black ink and signed in blue ink. Choose either the Word or PDF version.
7.
Proof of US Citizenship. Original Document Required
(See Verification of US Citizenship form for approved types of
documentation). This document must be returned to applicant/member). DO NOT
SUBMIT.
8. Copy of US Citizenship Documentation (Copy of above item 7 is submitted with security package.)
9.
Verification of US Citizenship by Authorized Officer
(Fingerprint Technician; Flotilla Commander; FSO-PS; DDSL; DEA-S.
Note: Fingerprinting must be done by a member of the U.S. Coast Guard
(Active, Reserve or Auxiliary) ONLY.
10.
Prior Security Clearance Cover Sheet
Only for those applicants who, within
the past ten (10) years, have been subject to a United States government
background investigation (federal investigation only), and/or granted a security
clearance.
If a prior (10 years) security clearance has been granted, failure to
submit this form may result in a prolonged and unnecessary investigation.
Retiree
Instructions
If you are retired and receiving a pension and/or Social Security,
please follow the above "Retiree" instructions.
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Transmittal Protocols Note: Upon completion, and when directed to do so, this package goes directly to the DDSL for review and secure mailing. No member of the Division, other than the DDSL, is permitted to review the material contained within the SF-86. This package is CONFIDENTIAL. All forms, with the exception of
fingerprint cards, are to be filled out in black Ink and signed in blue Ink.
Fingerprint cards are filled out and signed in black ink only. |
Page last updated: 07/16/09 21:58