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Outline

The OPM Standard Form 15 plays a crucial role in the federal employment process, specifically for individuals seeking disability benefits. This form is designed to gather essential information about a person's medical condition and how it affects their ability to work. It serves as a key document for applicants to provide evidence of their disability, allowing them to access necessary support and resources. By detailing medical history, treatment plans, and the impact of the disability on daily activities, the form helps federal agencies assess eligibility for benefits. Additionally, it includes sections for healthcare providers to offer professional insights, ensuring a comprehensive understanding of the applicant's situation. Completing this form accurately is vital, as it can significantly influence the outcome of a disability claim.

Sample - 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.

Form Information

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 completed at least 18 months of creditable service and be unable to perform their job duties due to a medical condition.
Submission Process Applicants must complete the form and submit it to their agency's human resources office for processing.
Supporting Documentation Medical evidence and other relevant documents must accompany the form to support the claim for disability retirement.
Review Timeline The review process can take several months, depending on the complexity of the case and the completeness of the submitted information.
State-Specific Forms Some states may have additional forms or requirements. For example, California requires adherence to the California Government Code § 21153.
Filing Deadline There is typically a one-year deadline from the date of separation from service to file for disability retirement.
Decision Authority The Office of Personnel Management (OPM) is responsible for making the final decision on disability retirement applications.
Appeal Process If a claim is denied, applicants have the right to appeal the decision within a specified timeframe.

Detailed Guide for Filling Out OPM Standard form 15

After obtaining the OPM Standard Form 15, you'll need to carefully complete it to ensure that all necessary information is accurately provided. This form is essential for the process that follows, so attention to detail is important.

  1. Begin by entering your personal information at the top of the form. This includes your name, address, and contact details.
  2. Next, provide your Social Security number. Make sure to double-check for accuracy.
  3. Fill in the date of your application. This helps track your submission.
  4. In the designated section, indicate the type of claim you are filing. Be specific about the nature of your claim.
  5. Complete the section regarding your employment history. Include all relevant positions and dates of employment.
  6. Describe any medical conditions that may support your claim. Be clear and concise in your descriptions.
  7. Attach any necessary documentation that supports your claim. This could include medical records or other relevant papers.
  8. Review the entire form for any errors or omissions. Accuracy is key.
  9. Finally, sign and date the form at the bottom. This certifies that all information provided is true to the best of your knowledge.

Once the form is completed, you will need to submit it according to the instructions provided. Keep a copy for your records before sending it off.

Obtain Answers on OPM Standard form 15

  1. What is the OPM Standard Form 15?

    The OPM Standard Form 15, also known as the "Application for 10-Point Veteran Preference," is a form used by veterans to claim preference in federal employment. This preference can provide veterans with a significant advantage when applying for jobs within the federal government.

  2. Who is eligible to use Form 15?

    Eligibility for using Form 15 is primarily for veterans who have served in the military and have a service-connected disability. Additionally, the form is available to certain relatives of veterans who are deceased or unable to apply themselves. It is important to review the specific eligibility criteria outlined by the Office of Personnel Management (OPM).

  3. How do I complete the OPM Standard Form 15?

    To complete the form, you will need to provide personal information, including your name, contact details, and military service history. You must also include documentation that supports your claim for 10-point veteran preference, such as your DD Form 214 or a letter from the Department of Veterans Affairs. Take your time to ensure that all information is accurate and complete.

  4. Where do I submit the completed Form 15?

    After completing the form, you should submit it to the agency where you are applying for a job. Each federal agency may have its own submission process, so be sure to check their specific instructions. You can often find this information on their official website or by contacting their human resources department.

  5. What happens after I submit the form?

    Once you submit the OPM Standard Form 15, the agency will review your application and the accompanying documentation. They will determine your eligibility for veteran preference. If you qualify, this preference will be factored into your application process, potentially enhancing your chances of being hired.

  6. Can I appeal if my claim for preference is denied?

    If your claim for 10-point veteran preference is denied, you do have the right to appeal the decision. The appeal process typically involves contacting the agency that made the decision and providing any additional information or documentation that may support your claim. It is advisable to act promptly and follow the specific appeal procedures outlined by the agency.

Common mistakes

Filling out the OPM Standard Form 15 can be a straightforward process, but many individuals make common mistakes that can lead to delays or complications in their applications. Understanding these pitfalls can help ensure a smoother experience. One frequent error is failing to provide complete information. Applicants often overlook sections or skip required fields, which can result in the form being returned for corrections.

Another mistake is not including the necessary documentation. The OPM Standard Form 15 requires specific supporting documents to substantiate claims. Without these, the application may be deemed incomplete. Similarly, some people forget to sign the form. A missing signature can halt the processing of the application, causing unnecessary delays.

Inaccurate information is another common issue. Providing wrong dates, incorrect Social Security numbers, or misrepresenting employment history can lead to complications. It's essential to double-check all entries for accuracy before submitting the form. Furthermore, many applicants fail to keep a copy of their completed form. Having a record can be invaluable for reference and follow-up purposes.

Some individuals neglect to read the instructions thoroughly. Each section of the form has specific guidelines that must be followed. Ignoring these can lead to errors that may affect the outcome of the application. Additionally, failing to meet deadlines can be detrimental. Applicants should be aware of submission timelines to ensure their forms are processed promptly.

Lastly, many people do not seek assistance when needed. If there are uncertainties about how to fill out the form or what documents are required, reaching out for help can prevent mistakes. Utilizing available resources can enhance the accuracy of the application and improve the chances of a successful outcome.

Documents used along the form

The OPM Standard Form 15 is an essential document used in the federal employment process, particularly for individuals seeking veterans' preference. However, several other forms and documents often accompany it to provide a comprehensive view of an applicant's qualifications and eligibility. Below is a list of these documents, each serving a unique purpose in the application process.

  • OPM Standard Form 256: This form is used for requesting a reasonable accommodation for applicants with disabilities. It ensures that individuals can participate fully in the hiring process.
  • SF-86 (Questionnaire for National Security Positions): Required for positions that involve national security, this form collects information about an applicant's background to assess their suitability for sensitive roles.
  • SF-15 (Application for 10-Point Veteran Preference): This form is specifically for veterans who wish to claim a 10-point preference in hiring. It outlines the necessary documentation to support the claim.
  • DD Form 214: This document serves as a certificate of release or discharge from active duty in the military. It is crucial for veterans to establish their eligibility for preference in federal employment.
  • Resume: A detailed account of an applicant's work history, education, skills, and accomplishments. It provides a snapshot of qualifications beyond what is captured in standardized forms.
  • Cover Letter: This letter accompanies a resume and provides an opportunity for applicants to explain their interest in the position and highlight relevant experiences.
  • OF-306 (Declaration for Federal Employment): This form is used to collect information about an applicant's background, including any prior federal employment and potential conflicts of interest.
  • SF-50 (Notification of Personnel Action): This document records federal employment history, including promotions, transfers, and separations, and may be necessary for verifying previous federal service.
  • Transcripts: Academic transcripts may be required to verify educational qualifications. They provide evidence of completed courses and degrees relevant to the job application.

In conclusion, these forms and documents play a critical role in the federal employment process. They ensure that applicants are evaluated fairly and comprehensively, taking into account their unique qualifications and circumstances. Understanding the purpose of each document can help candidates navigate the application process more effectively.

Similar forms

The OPM Standard Form 15 is a key document used in the federal employment process, particularly for individuals seeking veterans' preference. Several other forms share similarities with this document in terms of purpose and structure. Here are four such documents:

  • Standard Form 180 (SF-180): This form is used to request military records. Like the SF-15, it serves veterans by facilitating access to important documentation needed for benefits and employment opportunities.
  • Standard Form 86 (SF-86): This is the Questionnaire for National Security Positions. It collects personal information for background checks. Both forms are critical in the employment process and require detailed information from applicants.
  • Standard Form 50 (SF-50): This is the Notification of Personnel Action. It documents federal employment actions. Similar to the SF-15, it is essential for verifying employment status and benefits eligibility.
  • Veterans Affairs Form 21-526EZ: This is an application for disability compensation and related compensation benefits. Like the SF-15, it is designed to assist veterans in accessing benefits and requires specific information about the applicant's military service.

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 is a list of things you should and shouldn't do:

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information.
  • Do sign and date the form where indicated.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank.
  • Don't use abbreviations unless specified in the instructions.
  • Don't submit the form without reviewing it for errors.
  • Don't forget to check the submission deadline.

Misconceptions

The OPM Standard Form 15 is often misunderstood. Clarifying these misconceptions is essential for those navigating the federal employment process. Here are four common misconceptions:

  • Misconception 1: The form is only for veterans.
  • This is incorrect. While the form is primarily used by veterans to claim preference in federal hiring, it can also be used by certain eligible family members and individuals with disabilities.

  • Misconception 2: Submitting the form guarantees a job.
  • This is misleading. Completing and submitting the OPM Standard Form 15 does not guarantee employment. It simply provides a mechanism to claim preference points that can enhance an applicant's competitiveness.

  • Misconception 3: The form is only needed once.
  • This is not true. Applicants may need to submit the form multiple times for different job applications or if their eligibility status changes. Keeping the form updated is crucial.

  • Misconception 4: All federal jobs require this form.
  • This is a common misunderstanding. Not all federal positions require the OPM Standard Form 15. It is specifically for positions that allow for veteran preference. Always check the job announcement for specific requirements.

Key takeaways

When filling out and using the OPM Standard Form 15, it is essential to keep several key points in mind to ensure accuracy and compliance. Here are some important takeaways:

  • Understand the Purpose: The OPM Standard Form 15 is used to apply for veteran preference in federal employment. Knowing its purpose helps you provide the necessary information.
  • Gather Required Documentation: Before starting the form, collect all relevant documents that prove your eligibility for veteran preference, such as discharge papers.
  • Complete All Sections: Ensure that every section of the form is filled out completely. Incomplete forms may lead to delays or rejection of your application.
  • Use Clear and Concise Language: Write clearly and avoid jargon. This will help reviewers understand your situation without confusion.
  • Review for Accuracy: Double-check all entries for accuracy. Mistakes can result in complications or misinterpretation of your eligibility.
  • Submit on Time: Pay attention to submission deadlines. Timely submission is crucial to ensure your application is considered during the hiring process.
  • Keep Copies: Always keep copies of your completed form and any submitted documentation. This will be useful for future reference or if issues arise.

By following these guidelines, you can effectively navigate the process of filling out and submitting the OPM Standard Form 15, enhancing your chances of securing veteran preference in federal employment.