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CHAPTER 14

APPENDIX A

MILITARY SPOUSE PPP SELF-CERTIFICATION CHECKLIST

IMPORTANT: This form must be submitted with your application each time you 

apply to a Department of Defense (DoD) position on USAJOBS in order to receive 

Military Spouse Preference.

Applicant’s Name: 

Military Sponsor’s Name: 

Date of Marriage to Military Sponsor: 

Military Sponsor’s Last or Current Duty Station: 

Military Sponsor’s New (or Future Sequential) Duty Station: 

Date of relocation or anticipated relocation to Sponsor’s New Duty Station: 

INSTRUCTIONS - Read items 1-12 and click on each “Choose an Item”. Choose the 

words from the drop-down menu that best describes your status as a military spouse. 

Completion of each item is verification that you have read and understand that the 

information you provide is truthful and can be used to help to verify your eligibility as a 

military spouse preference applicant. A new self-certification checklist must be submitted 

with each application and must be dated within the last 30 days. Upon completion of this 

form, we recommend saving a copy to your USAJOBS account for future use. 

1. I a U.S. Citizen.

2. an active duty military member of the U.S. Armed Forces 

(including the U.S. Coast Guard and full- time National Guard or Reserve).

3. My sponsor’s Permanent Change of Station (PCS) orders in

conjunction with retirement or separation from active duty.

4. I that preference only applies to positions within the 

commuting area of my sponsor’s current permanent duty station.
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5. I that loss of spousal status due to divorce, death of my sponsor, 

or my sponsor’s retirement or separation from active duty will result in terminating my

eligibility for spouse preference.

6. I that the acceptance or declination of a temporary position does 

not impact my priority placement status. “Temporary” positions include:

a. Positions filled by temporary or term appointment, including NonAppropriated Fund (NAF) time-limited appointments, regardless of duration

or work schedule;

b. Positions filled by permanent appointment with intermittent or seasonal

work schedules; and

c. NAF positions with a “flexible” work schedule, or any NAF position for

which the employment category is identified as “flexible.”

7. I that I am only eligible for preference for ONE job offer of a

permanent position. A “permanent position” is defined as a Federal appropriated or

non-appropriated position which has a fixed full-time or part-time work schedule.

8. I that accepting or declining a permanent position will result in

terminating my eligibility for military spouse preference at my current location.

9. I received a job offer for a permanent position within the 

commuting area of my military sponsor’s current permanent duty station.

10. I currently occupying a permanent appropriated or nonappropriated position at the current duty station.

11. I on a telework agreement with my current Federal job that allows 

me to work for them on a permanent basis after relocating to my military sponsor’s 

current duty station.

12. I had on-the-job performance or conduct problems within the last 

12 months.

Certification Statement: I, certify that I have 

read and understand the information contained in this self-certification checklist and my 

responses are accurate and truthful. 

Date:
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Documents that may be required to be submitted with each application: (Note: DoD 

agencies may require some or all of these documents. Please refer to the job announcement 

to ensure all required documentation is submitted with your application. It is highly 

recommended that you save all these documents to your USAJOBS account in order to 

facilitate applying to multiple positions.

• Military Spouses without prior Federal work experience

o Narrative resume

o PCS orders

o Marriage certificate or license

o Signed self-certification checklist

o Veteran’s preference documentation (e.g., DD-214, VA letter,

o Statement of Service), if applicable

o Transcripts, if applicable

• Military Spouses with prior Federal work experience

o Narrative resume

o PCS orders

o Marriage certificate or license

o SF-50s, if applicable (e.g., LWOP, highest grade held, overseas

appointments, etc.)

o Documentation of performance rating of record (dated within the last 12

months), if applicable

o Signed self-certification checklist

o Veteran’s preference documentation (e.g., DD-214, VA letter, Statement of

Service), if applicable

o Transcripts, if applicable

PRIVACY ACT STATEMENT: Sections 1301, 3302, 3502 of Title 5, U.S. Code 

provide for the issuance of rules governing the competitive service and authorize 

solicitation of this information.

Gaining and releasing activities use this information to place registrants, report actions, 

and update data as well as refer names to potential employers or to provide information to 

you about potential employment. Furnishing the requested information is voluntary, but 

failure to provide it may result in missed opportunity for proper placement or 

reemployment under the respective placement assistance program.