Exhibit H-3 SF 85P .pdf

This is Standard Form 85P, the Questionnaire for Public Trust Positions, which is a comprehensive background investigation form used by the U.S. Office of Personnel Management for public trust and sensitive positions. The 11-page form requires detailed personal information including employment history, education, residences, citizenship, military service, relatives, criminal record, drug use, and financial records going back 7 years.

The form includes specific sections for authorization to release information and medical information, with certifications that must be signed and dated. Key requirements include providing Social Security number, complete address history, employment verification, educational background, and references. The form emphasizes that false statements can result in fines up to $10,000 and/or imprisonment. Supporting documentation like legal name changes, birth certificates, and financial records may be required. The form states it takes approximately 60 minutes to complete and must be filled out completely and accurately, with no abbreviations allowed for cities or foreign countries.