USMS Medical Forms

OMB 1105-0099

As a law enforcement agency, the United States Marshals Service has unique medical requirements that prevent USMS from using current medical-related Standard and Optional forms. These forms have been developed to allow USMS to ensure that the applicants, contract employees and current federal employees who work in operational law enforcement positions are physically fit enough to perform their duties safely and successfully.

The latest form for USMS Medical Forms expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form USM-600 USM-600 District/Aviation Security Officers (DSO/ASO) Physical Requirements Form and Instruction
Form CSO-012 CSO-012 Request to Reevaluate Court Security Officer's Medical Qualifications Form and Instruction
Form USM-522P USM-522P Physician Evaluation Report for USMS Operational Employees - Pregnancy Only Form and Instruction
Form USM-522A USM-522A Physician Evaluation Report for USMS Operational Employees Form and Instruction
1105-0099-Description of Proposed Changes.docx Supplementary Document
usm600-20180104.pdf Supplementary Document
1105-0099 Changes - 2017 - Justification.docx Justification for No Material/Nonsubstantive Change
Memo - USMS.docx Justification for No Material/Nonsubstantive Change
usm522p UPDATED.pdf Supplementary Document
1105-0099-Supporting Statement-2019 renewal.doc Supporting Statement A
USM-600 District/Aviation Security Officers (DSO/ASO) Physical Requirements Form and Instruction
CSO-012 Request to Reevaluate Court Security Officer's Medical Qualifications Form and Instruction
USM-522P Physician Evaluation Report for USMS Operational Employees - Pregnancy Only Form and Instruction
USM-522A Physician Evaluation Report for USMS Operational Employees Form and Instruction

All Historical Document Collections

201911-1105-001 Approved without change	Extension without change of a currently approved collection	2019-11-26
201712-1105-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-01-16
201703-1105-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-03-30
201605-1105-001 Approved without change	Revision of a currently approved collection	2016-09-21
201302-1105-001 Approved without change	New collection (Request for a new OMB Control Number)	2013-08-05

OMB Details

USM-522A Physician Evaluation Report for USMS Operational Employees

Federal Enterprise Architecture: Health - Health Care Services

Form USM-522A

Physician Evaluation Report for USMS Operational Employees

Fillable Printable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.