Ps Form 2025 PDF Details

In the realm of contracting with the United States Postal Service® (USPS®), the PS Form emerges as a critical tool for ensuring that individuals engaged in contractual services are thoroughly vetted for their suitability and reliability. Tailored specifically to gather detailed information from potential contract personnel, this form requires applicants to type or print their responses clearly, supporting the USPS's due diligence process. It covers an array of topics necessary for a comprehensive background check, including personal identification, employment history, citizenship status, criminal background, and even military service details. Applicants are also prompted to disclose information about their driving and legal history, emphasizing the form's role in assessing risks and ensuring the security of the postal service's operations. What makes the PS Form unique is the Privacy Act Statement, underscoring the voluntary nature of information provision yet hinting at possible ramifications—such as denied access to postal facilities or services—for withholding information. Additionally, the form transparently outlines the potential uses of gathered data, ranging from legal proceedings to audits, hence underlining the USPS's commitment to privacy and lawful use of personal information. The meticulous design of the questionnaire, coupled with a stern warning against providing false information, exhibits the USPS's thorough approach in safeguarding its integrity and the security of its vast operational network.

QuestionAnswer
Form NamePs Form 2025
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusps form 2025 form, ps form 2025, usps questionnaire, form 2025

Form Preview Example

Contract Personnel Questionnaire

Prepare in duplicate. Type or print all responses. If answer is No, state so. Attach sheets if more space is needed.

Privacy Act Statement: Your information will be used as a basis for an investigation to determine your fitness and suitability for contractual services to the U.S. Postal Service® (USPS®). Collection is authorized by 39 U.S.C. 3061. Providing the information is voluntary, but if not provided you may be denied access to Postal Service premises, denied access to the mail, or denied participation under a USPS contract. We may disclose your information as follows: in relevant legal pro- ceedings; to law enforcement when the USPS or requesting agency becomes aware of a violation of law; to a congressional office at your request; to entities or individuals under contract with USPS; to entities authorized to perform audits; to labor organizations as required by law; to federal, state, local or foreign government agencies regarding personnel matters; to the Equal Employment Opportunity Commission; to the Merit Systems Protection Board or Office of Special Counsel.

1.

Print Your Full Name (Last, First, Middle Name)

2. Print Your Mailing Address (Include Apartment/Suite Number)

 

 

 

 

3.

City, State and ZIP+4 Code™

4a. Home Telephone Number

4b. Work Telephone Number

 

 

(Include Area Code)

(Include Area Code)

 

 

 

 

5.List Other Names Used. (i.e., maiden name, names by former marriages, names changed legally or otherwise, aliases, nicknames. Specify which and dates used.)

6. Social Security Number (SSN)

7.Date of Birth (MM/DD/YYYY)

8.Place of Birth (City and State/Country)

9. Sex

Male

Female

10. Type of Screening (Check one)

 

 

 

11.

Are You Presently a Highway Contract Driver?

Yes

No

 

Contractor

Contractor’s Employee

Sub-Contractor

ADP

Other

 

(If Yes, include Contract Number and Termini.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Contractor’s Name and Mailing Address

 

 

 

12. Highway Contract Number and Termini (If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Have You Had a Security Screening by USPS or Other Federal Agencies

 

 

 

 

 

 

Within the Last Year?

Yes

No

Agency:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.Dates and Places of Residence. (If actual places of residence differ from the mailing addresses, furnish and identify both. Begin with present residence and go back for the past five years.)

From

To

Number and Street

City

State

(MM/YYYY)

(MM/YYYY)

 

 

 

ZIP+4 Code

16.Employment. (List ALL periods of employment for the past five years starting with your present employment. Include dates when unemployed. Give name under which employed if different from name now used.)

From

(MM/YYYY)

To

(MM/YYYY)

Employer’s and

Supervisor’s Names

Employer’s Address

(City, State, Zip+4Code)

Occupation

Reason for

Leaving

Your Name During

Period of Employment

17a. Are You a United States Citizen?

Yes

No

17b. Are You a Citizen of American Samoa or Any Other Territory Owing Allegiance to the United States?

Yes

No

17c.

Provide Alien Registration Number if not a United States Citizen

 

 

 

 

 

 

 

 

 

 

 

 

 

18a.

Do You Have a Valid License? (Driver/Chauffeur) If “Yes”, include License

 

 

18b.

Commercial Driver’s

 

 

Number, State, and Expiration Date.

Yes

No

 

License

Yes

No

PS Form 2025, March 2012, (Page 1 of 2) PSN 7530-01-000-9519

 

 

 

 

(Continued on Page 2)
Type of Discharge
Charge

19.

Your Selective

 

19a. Are you a male born after December

 

19b.

Have you registered with the Selective Service System?

If “Yes”,

 

31, 1959?

If “No”, go to 20a. If Yes,

 

 

provide your registration number. If “No”,

 

 

 

Service Record

 

 

 

 

 

 

 

go to 19b.

Yes

No

 

show the reason for your legal exemption.

Yes

No

 

 

 

 

19c.

Registration Number

19d. Legal Exemption Explanation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20a.

Military Service (Past or Present). (If Yes, complete Items 20b, 20c, 20d, 20e, and 20f.)

 

 

Yes

No

 

 

 

 

 

 

 

 

20b. Dates of Service (MM/YYYY)

20c. Branch of Service (Army, Navy, Air Force,

 

20d. Serial Number (If none, provide Grade or Rating at

Marines, etc.)

 

 

 

time of separation)

 

 

 

 

 

 

 

 

 

 

 

To

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20e. Were You Discharged from the Military Service Under Honorable Conditions? (If your discharge was changed to “honorable” or

 

 

“general” by a Discharge Review Board, answer “Yes”. If you received a clemency discharge, answer “No”.) If No, enter the date

 

 

and type of discharge you received in the blocks below.

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

Discharge Date (MM/YYYY)

20f. While in Military Service, Were You Ever Convicted by Court Martial?

Court Martial Date (MM/DD/YYYY)

Place (City and State/Country)

 

 

Yes No

Disposition

21a.

Have You Ever Been Convicted of, or Forfeited Collateral, for Any Felony/Misdemeanor Violation (Except Traffic Violations)?

 

 

 

(Generally, a felony is defined as any violation of law punishable by imprisonment of one year or longer.)

Yes

No

21b. During the Last 10 Years Have You Forfeited Collateral, Been Convicted, Been Imprisoned, Been on Probation, or Been

 

 

 

on Parole for any Violation of Law? (Do not include violations reported in question 21a.)

Yes

No

21c.

Have You Ever Been Convicted of, or Forfeited Collateral for Any Assaults, Firearms or Explosives Violations?

 

 

Yes

No

21d. Are You Now Under Charges for Any Violation of Law?

 

 

 

 

 

Yes

No

If any answers to 21a - 21d are “Yes”, provide date, place, court location, charge, and disposition on an attached sheet.

 

 

 

21e. Are You Delinquent on any Federal Debt? (Include delinquencies arising from Federal taxes, overpayment of benefits, or other

 

 

 

debts to theU.S. Government plus defaults on Federally guaranteed or insured loans such as student and home mortgage loans.)

Yes

No

Date (MM/YYYY)

Place (City and State)

Court

Charge

 

Action Taken

 

 

 

 

 

 

 

 

 

 

If necessary, attach additional sheets.

22.In the Past 5 years, Have You Been Convicted of any Traffic Violations (Other Than Parking) or Currently Have Charges

Pending? (If Yes, complete information below.)

 

 

Yes

No

Date (MM/YYYY)

Place (City and State)

Court

Charge

Action Taken

 

 

 

 

 

 

 

If necessary, attach additional sheets.

Check Here if Your Driver’s Abstract from Department of Motor Vehicles is Attached.

Warning

Review this form carefully to ensure you have answered all questions fully and correctly. Failure to answer all questions may result in your being denied access to mail and/or Postal Service premises. A fine not to exceed $250,000 or imprisonment of not more than five years or both is provided by law (18 U.S.C. 1001) for making a false statement or concealing any material fact on this Questionnaire.

Certification

I certify that the statements made by me on this questionnaire are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.

Applicant’s Signature

Date Signed (MM/DD/YYYY)

 

 

I attest I have advised the Applicant to truthfully complete this Questionnaire, and the Applicant has passed the Drug Screening Test (If applicable, provide documentation).

Contractor’s Signature (Sign and print name)

Telephone Number (Include area code)

Date Signed (MM/DD/YYYY)

 

 

 

For Use of Postal Service Official Responsible for Reviewing for Completeness and Legibility. (See Administrative Support Manual 272.23, Contractor

Clearance, for complete instructions.)

USPS Official Signature (Sign and print name)

Telephone Number (Include Area Code)

Date Signed (MM/DD/YYYY)

Organization, City, State, and ZIP+4 Code

PS Form 2025, March 2012 (Page 2 of 2)

How to Edit Ps Form 2025 Online for Free

ps 2025 can be completed online easily. Simply open FormsPal PDF tool to do the job quickly. Our development team is always working to enhance the tool and insure that it is much easier for clients with its multiple functions. Bring your experience to a higher level with continuously improving and fantastic possibilities we offer! In case you are seeking to start, here's what it will take:

Step 1: Hit the orange "Get Form" button above. It will open our pdf tool so you can start filling in your form.

Step 2: The editor will give you the ability to customize nearly all PDF documents in a variety of ways. Change it by including your own text, correct what's originally in the document, and put in a signature - all close at hand!

It will be straightforward to complete the form with this practical guide! This is what you have to do:

1. Firstly, while filling out the ps 2025, start out with the form section that includes the following fields:

Part # 1 in filling in usps questionnaire

2. The third stage is to submit all of the following blank fields: Employment List ALL periods of, Give name under which employed if, From, MMYYYY, MMYYYY, Employers and, Supervisors Names, Employers Address, City State ZipCode, Occupation, Reason for, Leaving, Your Name During, and Period of Employment.

The best ways to fill out usps questionnaire portion 2

Lots of people often make mistakes when completing Occupation in this area. Ensure that you revise whatever you type in right here.

3. This next section should also be relatively simple, a Are You a United States Citizen, Yes, b Are You a Citizen of American, Yes, c Provide Alien Registration, a Do You Have a Valid License, Yes, b Commercial Drivers License, Yes, and Continued on Page - each one of these form fields will have to be filled out here.

The right way to complete usps questionnaire step 3

4. This next section requires some additional information. Ensure you complete all the necessary fields - Your Selective Service Record, c Registration Number, a Are you a male born after, Yes d Legal Exemption Explanation, b Have you registered with the, Yes, a Military Service Past or Present, Yes, b Dates of Service MMYYYY, From, c Branch of Service Army Navy Air, Marines etc, d Serial Number If none provide, time of separation, and e Were You Discharged from the - to proceed further in your process!

Completing segment 4 in usps questionnaire

5. When you reach the end of your file, there are several more points to undertake. Notably, a Have You Ever Been Convicted of, Generally a felony is defined as, b During the Last Years Have You, on Parole for any Violation of Law, d Are You Now Under Charges for, If any answers to a d are Yes, e Are You Delinquent on any, debts to the US Government plus, Yes, Yes, Yes, Yes, Yes, Date MMYYYY, and Place City and State should be filled in.

usps questionnaire writing process clarified (step 5)

Step 3: After you have reread the information entered, press "Done" to finalize your form. Try a 7-day free trial account at FormsPal and acquire instant access to ps 2025 - which you'll be able to then begin using as you wish inside your FormsPal account page. At FormsPal.com, we aim to be sure that your information is stored private.

Ps Form 2025 isn’t the one you’re looking for?

Related Documents