Are you looking for a way to save time on your taxes? If so, you may be interested in using a fillable form. A fillable form is a document that allows you to enter your information directly into the form, which then automatically populates the appropriate fields. This can save you time and hassle when completing your taxes. In this blog post, we will provide an overview of da 2 3433 fillable form. We will also discuss how to use the form and provide tips for filing your taxes. Let's get started!
| Question | Answer |
|---|---|
| Form Name | Da 2 3433 Fillable Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | da 3433, da 2 3433, 3433 2, supplemental proponent dcs blank |
For use of this form, see AR
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DATA REQUIRED BY THE PRIVACY ACT OF 1974 |
AUTHORITY: |
Public Law |
PRINCIPAL PURPOSE: |
To determine your eligibility for service in a child care services position. |
ROUTINE USES: |
We must have your social security number (SSN) to keep your records straight because other people may have the |
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same name and birth date. The SSN has been used to keep records since 1943, when Executive Order 9397 asked |
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agencies to do so. We may also use your SSN to make requests for information about you from employers, |
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schools, banks, and other who know you, but only where allowed by law. The information we collect by using your |
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SSN will be used for employment purposes, and also for studies and statistics that will not identify you. We may |
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give information from your records to appropriated federal agencies such as the Department of Labor and the Equal |
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Employment Opportunity Commission, to resolve and/or adjudicate matters falling within their jurisdiction. Records |
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may also be disclosed to labor organizations in response to requests for names of employees and identifying |
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information. Information we have about you may also be given to federal, state, and local agencies for checking on |
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law violations or other lawful purposes. |
DISCLOSURE: |
Your responses to the collection of this information are voluntary, but we cannot determine your eligibility, which is |
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the first step toward getting the job, if you do not answer these questions. |
1. NAME
2a. SSN
3. JOB ANNOUNCEMENT/TITLE
4. ADDRESS
2b. DOB (YYYYMMDD)
5. WORK PHONE
6. HOME PHONE
7. FAX TELEPHONE NUMBER
8.
9.HAVE YOU EVER BEEN ARRESTED FOR OR CHARGED WITH A SEX CRIME, A CRIME INVOLVING A CHILD, A SUBSTANCE ABUSE FELONY OR A VIOLENT CRIME? HAVE YOU EVER BEEN ASKED TO RESIGN BECAUSE OF OR BEEN DECERTIFIED FOR A SEXUAL OFFENSE? If so, provide an description of the case disposition.
YES
NO
Note: A false statement rendered by an employee may result in adverse action up to and including removal. Under 18 U.S. Code 1001, the federal punishment for perjury is fine or imprisonment for up to 5 years, or both.
I declare under penalty of perjury that the information contained in this application form and any attachments or
documents submitted in connection with my application for this position are true and correct to the best of my
knowledge, information, and belief.
10. SIGNATURE
11.DATE (YYYYMMDD)
DA FORM |
DA FORM |
USAPA V2.00ES |