Optional Form 306, Declaration for Federal Employment Instructions

Check this box if you do not know whether you waived Basic Life Insurance or any type of optional life insurance when you last worked for the Federal Government. Fill only if 'Have you been employed by the Federal Government before?' is 'Yes'.

Check this box if you do not know whether you later canceled the waiver(s) if you answered YES to item 18b. Fill only if '18b Waived life insurance - Yes' is 'Yes'.

Provide the date the applicant signed this form.

Check this box if any of your relatives, as specified in question 14, work for the agency or government organization to which you are submitting this form.

Check this box if you currently receive or have ever applied for retirement pay, pension, or other retired pay based on military, Federal civilian, or District of Columbia Government service.

Enter the date the appointee signed the declaration. Fill only if 'Have you been employed by the Federal Government before?' is 'Yes'.

Check this box if you do not receive, or have never applied for, retirement pay, pension, or other retired pay based on military, Federal civilian, or District of Columbia Government service.

Enter the date of the Appointing Officer's appointment or conversion.

Enter detailed information requested for items 7 through 15 and 18c, including your name, Social Security Number, item numbers, and ZIP Codes in all addresses. Fill only if 'Yes, Relatives Work for Government', 'Yes, Receive Retirement Pay', 'No, I did not cancel the waiver(s)' is 'Yes' for item 14 or item 15, or is 'No' for item 18c, any.

Check this box if you waived Basic Life Insurance or any type of optional life insurance when you last worked for the Federal Government. Fill only if 'Have you been employed by the Federal Government before?' is 'Yes'.

Please provide the country of which you are a citizen. Fill only if 'U.S. Citizen – No' is 'No'.

Please enter your date of birth.

Check this box if you have not registered with the Selective Service System. Fill only if the 'Were you born a male after December 31, 1959?' is Yes. Fill only if 'Born a male after December 31, 1959 – Yes' is 'Yes'.

Enter the branch of military service for your first record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Check this box if during the last 5 years you have been fired from any job for any reason, quit after being told that you would be fired, left any job by mutual agreement because of specific problems, or were debarred from Federal employment by the Office of Personnel Management or any other Federal agency.

Check this box if during the last 5 years you have not been fired from any job for any reason, have not quit after being told that you would be fired, have not left any job by mutual agreement because of specific problems, and were not debarred from Federal employment by the Office of Personnel Management or any other Federal agency.

Check this box if you are delinquent on any Federal debt, including delinquencies arising from Federal taxes, loans, overpayments of benefits, or defaults of Federally guaranteed or insured loans, and use item 16 to provide details and steps to correct or repay the debt.

Check this box if you are not delinquent on any Federal debt.

Enter the start date of your first military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the end date of your first military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the type of discharge received for your first military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter your full legal name, including first, middle, last, and any applicable suffix, and follow specific instructions for initials or missing middle names.

Check this box if you are a U.S. citizen.

Please provide the date you left your last Federal job. Fill only if 'Have you been employed by the Federal Government before?' is 'Yes'.

Check this box if you answered "YES" to item 18b and later canceled the waiver(s) for Basic Life Insurance or any type of optional life insurance. Fill only if '18b Waived life insurance - Yes' is 'Yes'.

Check this box if you answered "YES" to item 18b and did not later cancel the waiver(s) for Basic Life Insurance or any type of optional life insurance. You must also use item 16 to identify the type(s) of insurance for which waivers were not canceled. Fill only if '18b Waived life insurance - Yes' is 'Yes'.

Check this box if you are not currently under charges for any violation of law.

Check if you have been convicted, imprisoned, been on probation, or been on parole during the last seven years.

Enter the first other name you have ever used, such as a maiden name or nickname.

Enter the second other name you have ever used, such as a maiden name or nickname.

Please provide your nighttime phone number, including the area code.

Check if you have not been convicted, imprisoned, been on probation, or been on parole during the last seven years.

Check this box if you have been convicted by a military court-martial in the past 7 years. Fill only if the 'Have you ever served in the United States military?' is 'Yes'.

Please provide your daytime phone number, including the area code.

Provide the city, state, or country where you were born.

Check this box if you were not born a male after December 31, 1959.

Check this box if none of your relatives work for the agency or government organization to which you are submitting this form.

Check this box if you waived Basic Life Insurance or any optional life insurance when you last worked for the Federal Government. Fill only if 'Have you been employed by the Federal Government before?' is 'Yes'.

Enter the branch of military service. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Check this box if you were born a male after December 31, 1959.

Check this box if you have registered with the Selective Service System. Fill only if the 'Were you born a male after December 31, 1959?' is Yes. Fill only if 'Born a male after December 31, 1959 – Yes' is 'Yes'.

Check this box if you have served in the United States military, excluding active duty for training in the Reserves or National Guard.

Provide the date your military service began. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Provide the date your military service ended. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the type of discharge received. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Check this box if you have not been convicted by a military court-martial in the past 7 years.

Check this box if you are currently under charges for any violation of law.

Please enter your nine-digit Social Security Number.

Check this box if you are not a U.S. citizen.

Enter the branch of service for your third military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the start date of your third military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the end date of your third military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Enter the type of discharge for your third military service record. Fill only if 'Served in United States military (Yes)' is 'Yes'.

Check this box if you have never served in the United States military or if your only active duty was training in the Reserves or National Guard.