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Get OPM OFI Form 36 1992-2024

OFI Form 36 Revised February 1992 U.S. Office of Personnel Management OPM -FIPC USE ON LY ADDITIONAL DATA FOR SINGLE SCOPE BACKGROUND INVESTIGATIONS AND OTHER BACKGROUND INVESTIGATIONS Part A 1. Relation Code for Each Part B 1. Name Part C IMMEDIATE FAMILY MEMBERS WHO ARE RESIDENT ALIENS OR U*S* CITIZENS OTHER THAN BY BIRTH Question 17 SF 86. Provide Information if your parent s brother s sister s and/or child ren is/are foreign-born* Use the same relation code below as that shown on the SF 86. If you have more than one foreign-born immediate family member of the same category list each person s name after the code e*g* 8 Joseph. If any citizenship is derivative show the parent s from whom the citizenship was derived their date and palce of entry into the U*S* and citizenship data* Use a separate sheet of paper if additional space is required* 2. Alien Registration or Naturalization Certificate Number SPOUSE Question 18 SF 86. Provide information if your current spouse is foreign-born* If any citizenship is derivative show the parent s from whom the citizenship was derived their date and place of entry into the U*S* and citizenship data* Use separate sheet of paper for additional space. 3. Date of Citizenship PERSONS SHARING LIVING QUARTERS AND OTHERS Question 19 SF 86. Under certain clearance requirements you are asked to provide data regardless of citizenship status for 1 cohabitants and 2 any other persons to whom you are bound by affection or obligation who may be subject to duress by a foreign power. For those foreign-born listed on SF 86 you need to provide information not previously provided* Include aliases former married names and maiden name show NEE in front of maiden name. For additional space use separate sheet and same number format. a* Name of Person Last first middle 2. Date of Birth 1. Other name Used Last first middle and dates used 3. Place of Birth Include country if outside the U*S* 4. Social Security Number 6. Alien or Naturalization if citizenship is derivative show the parent s from whom the citizenship was derived their date and place of entry into the U*S* and citizenship data 1. Relation Code for Each Part B 1. Name Part C IMMEDIATE FAMILY MEMBERS WHO ARE RESIDENT ALIENS OR U*S* CITIZENS OTHER THAN BY BIRTH Question 17 SF 86. Provide Information if your parent s brother s sister s and/or child ren is/are foreign-born* Use the same relation code below as that shown on the SF 86. Provide Information if your parent s brother s sister s and/or child ren is/are foreign-born* Use the same relation code below as that shown on the SF 86. If you have more than one foreign-born immediate family member of the same category list each person s name after the code e*g* 8 Joseph. If you have more than one foreign-born immediate family member of the same category list each person s name after the code e*g* 8 Joseph. If any citizenship is derivative show the parent s from whom the citizenship was derived their date and palce of entry into the U*S* and citizenship data* Use a separate sheet of paper if additional space is required* 2. .

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