The OPM Standard Form 15 is a crucial document used by individuals seeking disability benefits from the federal government. This form helps to establish eligibility for various programs and ensures that applicants provide the necessary information for their claims. If you need to fill out this form, click the button below to get started.
The OPM Standard Form 15 plays a crucial role in the federal employment process, particularly for individuals seeking to claim veterans' preference in hiring. This form serves as a vital tool for veterans, enabling them to provide necessary documentation that supports their eligibility for preference points during the hiring process. By filling out this form, veterans can indicate their service history, including dates of active duty and the nature of their discharge. Additionally, the form requires applicants to disclose any relevant awards or decorations received during their military service. It’s essential for veterans to ensure that all information is accurate and complete, as this can significantly impact their chances of securing a federal job. Understanding the nuances of the OPM Standard Form 15 is key for veterans navigating the complexities of the federal employment landscape, allowing them to advocate for their rights and benefits effectively.
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
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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Clear Form
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?
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?
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?
If Yes, submit documentation of the resignation, disqualification, or separation.
7. Is the veteran receiving a civil service retirement pension?
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.
Filling out the OPM Standard Form 15 is an important step in the application process for certain benefits. To ensure accuracy and completeness, follow these steps carefully.
The OPM Standard Form 15 is a document used to apply for a disability preference in federal employment. This form is essential for individuals who are claiming a 10-point veteran's preference based on a service-connected disability. It serves as a way for veterans to demonstrate their eligibility for certain hiring advantages within the federal government.
Eligibility for using Form 15 primarily includes veterans who have a service-connected disability rated at 10% or more. This form is also available to certain family members of veterans who are entitled to preference. It's important to review the specific criteria outlined by the U.S. Office of Personnel Management (OPM) to ensure eligibility.
Form 15 can be obtained directly from the OPM website or through various federal agency human resources offices. The form is available for download in PDF format, making it easy to print and fill out. Additionally, physical copies may be available at local veteran service organizations.
Form 15 requires several key pieces of information, including:
Completing the form accurately is crucial for ensuring that your application is processed without delays.
Once completed, Form 15 can be submitted via mail or electronically, depending on the instructions provided by the agency you are applying to. It’s advisable to check the specific submission guidelines for the agency to which you are applying, as these can vary.
After submission, your application will be reviewed by the appropriate agency. You may receive a notification confirming receipt of your form. The review process can take some time, so it’s important to be patient. If additional information is needed, the agency will reach out to you directly.
Yes, if your request for disability preference is denied, you have the right to appeal the decision. The appeal process typically involves submitting a written request for reconsideration, along with any additional supporting documentation. Be sure to follow the specific instructions provided in the denial notice for the best chance of a successful appeal.
Additional resources regarding Form 15 can be found on the OPM website, as well as through veteran service organizations and local employment offices. These resources often provide guidance on completing the form and navigating the federal hiring process.
Failing to provide complete personal information. Ensure that your name, address, and contact details are accurate and up to date.
Not checking for signature requirements. Some sections may need a signature, and missing this can delay processing.
Overlooking the deadline for submission. Submitting the form late can result in denial of benefits.
Providing insufficient medical documentation. Ensure that all required medical evidence is included to support your claim.
Ignoring instructions for specific sections. Each part of the form has unique requirements; read the instructions carefully.
Not using the correct form version. Always check that you are using the most recent version of the OPM Standard Form 15.
Failing to review for errors. Typos and inaccuracies can lead to unnecessary complications.
Submitting without a copy for personal records. Keep a copy of your completed form for your own reference.
Neglecting to follow up on the status of the application. It’s important to check in to ensure your submission was received and is being processed.
Relying solely on online resources for guidance. While helpful, always refer to the official OPM website or contact them for specific questions.
The OPM Standard Form 15 is crucial for individuals seeking disability retirement benefits. However, several other forms and documents often accompany it to ensure a complete application. Below is a list of these essential documents, each serving a specific purpose in the application process.
Each of these documents plays a vital role in the application for disability retirement benefits. Submitting a complete and thorough application increases the chances of approval and ensures that all necessary information is available for review.
The OPM Standard Form 15 (SF-15) is similar to the Department of Veterans Affairs (VA) Form 21-526EZ, which is used for disability compensation claims. Both forms serve to establish eligibility for benefits based on service-related conditions. The VA Form 21-526EZ requires veterans to provide information about their military service and any disabilities they are claiming, while the SF-15 focuses on veterans’ preference in federal employment. Each form requires documentation to support the claims being made, ensuring that applicants provide sufficient evidence for their requests.
Another document comparable to the SF-15 is the Equal Employment Opportunity Commission (EEOC) Form 5, which is used for filing a charge of discrimination. Like the SF-15, the EEOC Form 5 is designed to protect rights and ensure fair treatment. Both forms require detailed information about the individual’s situation, including any relevant dates and circumstances. The SF-15 specifically addresses veterans' preference, while the EEOC Form 5 focuses on discrimination in the workplace, but both aim to uphold individuals' rights in employment settings.
The Federal Employment Opportunity Commission (FEOC) Form 462 is also similar to the SF-15 in that it addresses employment opportunities for veterans. This form is used to collect data on the employment of veterans in federal agencies. Both documents emphasize the importance of veterans' status in federal employment and require similar supporting documentation to demonstrate eligibility. The SF-15 is specifically for claiming veterans’ preference, while the FEOC Form 462 is more about reporting and analyzing employment practices regarding veterans.
Additionally, the U.S. Office of Personnel Management (OPM) Form 1203-FX is relevant as it is used for applying to federal jobs. This form allows applicants to claim various preferences, including veterans' preference. Similar to the SF-15, the 1203-FX requires applicants to provide detailed information about their qualifications and any supporting documentation. Both forms aim to ensure that veterans receive appropriate consideration in the hiring process, reinforcing their rights and benefits as former service members.
Lastly, the SF-50, Notification of Personnel Action, can also be seen as similar to the SF-15. The SF-50 is used to document employment actions for federal employees, including veterans. While the SF-15 is focused on applying for veterans' preference, the SF-50 records the employment status and rights of veterans once they are in the federal workforce. Both documents are essential in maintaining accurate records and ensuring that veterans receive the benefits and considerations they are entitled to within federal employment.
When filling out the OPM Standard Form 15, it is important to approach the process with care and attention to detail. Below is a list of things you should and shouldn't do to ensure your application is completed correctly.
Things You Should Do:
Things You Shouldn't Do:
Understanding the OPM Standard Form 15 can be challenging due to several misconceptions. Here are some common misunderstandings explained:
This form is actually designed for individuals seeking federal employment benefits, not just current federal employees. Anyone applying for certain benefits can use it.
While the form is often associated with disability claims, it can also be used for other qualifying conditions. It’s important to review eligibility criteria carefully.
Filling out the form does not automatically ensure that you will receive benefits. Each application is reviewed on a case-by-case basis.
Many people find the form straightforward. Clear instructions are provided, and assistance is available if needed.
You do have the right to appeal a denial. There are established procedures to follow if you believe your application was unjustly rejected.
The OPM Standard Form 15 is applicable to individuals of all ages, as long as they meet the necessary qualifications for benefits.
Addressing these misconceptions can help individuals navigate the process more effectively. Understanding the facts can lead to better outcomes when applying for benefits.
When filling out and using the OPM Standard Form 15, keep these key takeaways in mind: