Department of Defense Education Activity

Privacy, Information Collections, and Forms Management

DoDEA Forms

DoDEA Forms 

DoDEA Worksheets

 

Other Commonly Used Forms

Department of Defense Forms (DD)

  • DD 67 - Forms Process Action Request
  • DD 200 - Financial Liability Investigation of Property Loss
  • DD 250 - Material Inspection and Receiving Report
  • DD 362 - Statement of Charges/Cash Collection Voucher
  • DD 1131 - Cash Collection Voucher
  • DD 1149 - Requisition and Invoice/Shipping Document
  • DD 1150 - Request for Issue/Transfer/Turn-In
  • DD 1155 - Order for Supplies or Services
  • DD 1348-1A - Issue Release/Receipt Document
  • DD 2564 - Annual Freedom of Information Act Report 
  • DD 2875 - System Authorization Access Request 
  • DD 2930 - Privacy Impact Assessment 
  • DD 2930a - Adapted Privacy Impact Assessment 
  • DD 2936 - Request for Approval for DoD Internal IC
  • DD 2946 - DoD Telework Agreement
  • DD 3112 - Personnel Accountability & Assessment Notification for COVID-19 Exposure

Secretary of Defense Forms (SD)

Standard Forms (SF)

OMB Forms

OPM Forms

  • OPM 71 - Request for Leave or Approved Absence
  • OPM 630 - Application to Become a Leave Recipient Under the Voluntary Leave Transfer Program
  • OPM 630-A - Request to Donate Leave to Leave Recipient Under the Voluntary Leave Transfer Program
  • OPM 630-B - Request to Donate Leave to Leave Recipient Under the Voluntary Leave Transfer Program
  • OPM 630-C - Transfer of Leave Records for Leave Recipient Under the Voluntary Leave Transfer Program

Department of Labor Forms

  • WH-380-E - Certification of Health Care Provider for Employee’s Serious Health Condition under the Family and Medical Leave Act
  • WH-380-F - Certification of Health Care Provider for Family Member’s Serious Health Condition under the Family and Medical Leave Act
  • WH-381 - Notice of Eligibility/Rights and Responsibilities Under the Family and Medical Leave Act
  • WH 382 - Designation Notice Under the Family and Medical Leave Act
  • WH 384 - Certification for Military Family Leave for Qualifying Exigency Under the Family and  Medical Leave Act
  • WH385 -  Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Under the Family and  Medical Leave Act
  • WH385-V - Certification for Serious Injury or Illness of a Veteran for Military Caregiver Under the Family and  Medical Leave Act

Department of the Army Forms (DA)

Report a Breach of PII

A PII breach is a loss of control, compromise, unauthorized disclosure, unauthorized acquisition, unauthorized access, or any similar term referring to situations where persons other than authorized users and for an other than authorized purpose have access or potential access to personally identifiable information, whether physical or electronic. This includes, but is not limited to, posting PII on public-facing websites; sending PII via e-mail to unauthorized recipients; providing hard copies of PII to individuals without a need to know; loss of electronic devices or media on which PII is stored; use of PII by employees for unofficial business; and all other unauthorized access to and use of PII. 

 
Immediate Actions to be Taken if a PII Breach Occurs:

The most important thing to do if you discover that a breach of PII has occurred or is ongoing is to STOP IT as soon as possible.

1. If there is a suspected or confirmed Privacy breach, fill out Form DD2959, Breach of Personally Identifiable Information (PII) Report, to report it immediately.

2. After you complete the form, submit it to the  within 24 hours after discovery.

NOTE: The DD2959 form should also be used to report updates to previous submissions.

 
Repercussions for DODEA Personnel Who Breach PII Security:

 DoDEA employees responsible for a PII breach will be required, at minimum, to complete a the Safeguarding PII Course and submit their certificate of completion to their supervisor and DoDEA CPO. DoDEA supervisors must report to the  within 15 days of the breach what disciplinary and/or administrative actions were assessed against those personnel responsible for a breach. 

 

Notification of Affected Parties:
  • The DoDEA office responsible for the breach is also responsible for generating the letters after receiving notice from the CPO that notifications are required. 
  • The letters have to be generated, signed, and mailed within 10 days. 
  • The office responsible for the breach will ensure the letters are mailed within 10 days.