USM 3C Application for Group Special Deputation

Scanned copies of this form will not be accepted. Only electronically fillable forms will be accepted unless otherwise instructed by SDP.
U.S. Department of Justice
United States Marshals Service
Application

OMB Number 1105-0094 (Exp. 09/30/2025)

for Group Special Deputation

SPONSORING FEDERAL AGENCY
* 1. Sponsoring Federal Agency:

* 2. Swearing in Location:

* 3. Point of Contact:

* 4. Work E-mail Address:

* 6. District Address - Street:

* 5. Phone Number:
* 7. City:

* 8. State:

* 9. ZIP Code:

AGENCY/DEPARTMENT BEING SPONSORED
* 10. Agency/Department Being Sponsored:
* 13. Phone Number:

* 11. Agency/Department Point of Contact:

* 14. Agency/Department Address - Street:

* 15. City:

* 12. Work E-mail Address:
* 16. State:

* 17. ZIP Code:

LIMIT OF SPECIAL DEPUTATION AUTHORITY
* 18. Name of Task Force, Operation, or Mission:
This Deputation is valid from

to
(MM/DD/YYYY)

.
(MM/DD/YYYY)

NOTE: Special Deputations cannot be back-dated and are not retroactive. Special Deputations will be valid from
the date the applicant(s) are sworn-in to the expiration date indicated on Page 1, Question 18 of this form.

* 19. Provide a justification for the special deputation, to include a description of the mission and an explanation of why the applicant requires U.S.C. Title 18 authority to support that
mission (500 character limit).

* 20. Total number of group special deputation applicants:
* 21. I have reviewed the attached form submitted by the applicants for Special Deputation and verify that the information submitted by them is true and accurate.
NOTE: Do not sign until after all group applicants have signed.

Printed Name:
Date:

Authorized Signature:
Sponsor, U.S. Marshal, Chief Deputy, or Designee (Must be electronically signed or digitally signed with certificate)

SDP Staff Only:

Approval

Disapproval

Application Incomplete

Other

Printed Name:
Date:

Authorized Signature:
Assistant Chief Inspector, Special Deputation Program or Designee
Page 1 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
22. Agency/Department Being Sponsored (From Page 1):
23. Applicant's District/Division/Task Force (Swearing in Location) (From Page 1):
24. I certify that the following statements are true and accurate. (False or fraudulent information knowingly provided on this form is criminally punishable pursuant to federal law, including
Title 18 U.S.C. Section 1001.)
•
•
•
•
•
•
•
•
•

•

•

I am a citizen of the United States (includes naturalized citizens).
I am employed with a federal, state, or local law enforcement agency.
I have successfully completed the basic law enforcement training program approved by my employer.
I have at least one year previous law enforcement experience to include general arrest authority.
I have not been convicted of a crime of domestic violence as defined in Title 18 U.S.C., Section 922 (g)(9) Lautenberg Amendment.
I have qualified with my primary authorized firearm within the past year.
I understand I am not authorized to participate in federal drug investigations unless authorized by DEA or FBI.
I have read and agree to comply with the deadly force and use of less than lethal device policies of either my agency or the U.S. Department of Justice.
I have included a copy of my employer's authorization letter, and my employer is aware of all misconduct reporting requirements during the period of my special
deputation. I shall promptly inform the sponsoring agency if the following occur during the period of deputation: I am subject to criminal investigation or criminal charges
through arrest, information, or indictment; or if my serious misconduct (unlawful violence, improper profiling, bias, or deprivation of civil rights) becomes the basis of a
settlement, judgment, sustained complaint, or finding of unlawful violence, improper profiling, bias, or deprivation of civil rights; or my conduct is the subject of a
misconduct investigation that is likely to lead to discipline that would result in my suspension or removal from employment. My employer has agreed that if I am subject to
a misconduct investigation during my period of special deputation, the outcome (substantiated/unsubstantiated) of any such investigation and any formal disciplinary
action(s) issued to me shall be reported forthwith to the sponsoring agency.
I understand that SpDUSMs, acting under the authority of their federal deputation, may only conduct electronic surveillance in non-USMS investigations in strict
adherence to federal and state law, and United States Department of Justice policy, and only with the explicit approval and under the supervision, control and scope of
authority of the non-USMS sponsoring agency, whose responsibility it is to ensure that all ELSUR conducted by its sponsored SpDUSM personnel is conducted lawfully
and consistent with United States Department of Justice policy. SpDUSM may not conduct electronic surveillance pursuant to their SpDUSM authority on non-sponsoring
agency cases. Violation of these proscriptions will result in this special deputation being revoked.
USMS ONLY - I understand that Special Deputy United States Marshals (SpDUSM) are prohibited from conducting electronic or financial surveillance in USMS and
USMS-adopted investigations without the written approval of the USMS Investigative Operations Division, Technical Operations Group.

Page 2 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
24a. First Name MI Last Name (do
not include punctuation)

24b. SSN
(Last 4
digits)

24c. DOB
(MM/DD/
YYYY)

24d. Firearms
Qualification Date
(MM/DD/YYYY)

24e. Firearm
Make

24f. Firearm
Model

24g.
Firearm
Caliber

24h. Signature

Page 3 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
24a. First Name MI Last Name (do
not include punctuation)

24b. SSN
(Last 4
digits)

24c. DOB
(MM/DD/
YYYY)

24d. Firearms
Qualification Date
(MM/DD/YYYY)

24e. Firearm
Make

24f. Firearm
Model

24g.
Firearm
Caliber

24h. Signature

Page 4 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
24a. First Name MI Last Name (do
not include punctuation)

24b. SSN
(Last 4
digits)

24c. DOB
(MM/DD/
YYYY)

24d. Firearms
Qualification Date
(MM/DD/YYYY)

24e. Firearm
Make

24f. Firearm
Model

24g.
Firearm
Caliber

24h. Signature

Page 5 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
24a. First Name MI Last Name (do
not include punctuation)

24b. SSN
(Last 4
digits)

24c. DOB
(MM/DD/
YYYY)

24d. Firearms
Qualification Date
(MM/DD/YYYY)

24e. Firearm
Make

24f. Firearm
Model

24g.
Firearm
Caliber

24h. Signature

Page 6 of 8

* = Required Field

Form USM-3C
Rev. 12/25

Application for Group Special Deputation (continued)
24a. First Name MI Last Name (do
not include punctuation)

24b. SSN
(Last 4
digits)

24c. DOB
(MM/DD/
YYYY)

24d. Firearms
Qualification Date
(MM/DD/YYYY)

24e. Firearm
Make

24f. Firearm
Model

24g.
Firearm
Caliber

24h. Signature

CLICK HERE to submit form to svc-iaews-prod@usdoj.gov (Attach any supporting documentation)
Page 7 of 8

* = Required Field

Form USM-3C
Rev. 12/25

INSTRUCTIONS TO COMPLETE THIS FORM
1. All Group Special Deputation Applications must be accompanied by a copy of the signed authorization letter (on official letterhead) from the applicants'
employer. The letter must indicate that the employer concurs with their employees' participation and that the applicants have no pending internal
investigations with the organization.
2. Complete all fields. Scanned copies of this form will not be accepted. Only electronically fillable forms will be accepted unless otherwise instructed by
SDP. If the form must be scanned before being submitted, scan ALL pages (1-8). Submissions that are missing pages cannot be processed by USMS.
3. If the signatures cannot be electronic on the USM-3C, please attach the scanned applicant table (pages 3-8) with handwritten signatures as a second
attachment. Must include ALL pages 3-8.
4. Any changes that you make to this form after you sign it must be initialed and dated by you. Under certain limited circumstances, USMS may modify the
form consistent with your intent.
5. You must use U.S. Postal Service 2-letter state abbreviations when you fill out this form. Do not abbreviate the names of cities or foreign countries.
6. All telephone numbers must include area codes.
7. If you need additional space to add more employees, please submit another Form USM-3C.
8. Special Deputations cannot be back-dated or retroactive. Special Deputations will be valid from the date the applicant(s) are sworn-in to the expiration
date indicated on Page 1, Question 18 of this form.
9. All answers on pages 3-7, numbers 24a-24g, must be electronically typed. Handwritten answers cannot be processed and will be subject to rejection.

Privacy Act Statement
The authority for collection of the information on this form is 28 CFR subpart T, 0.112, 28 U.S.C. 561 through 569. The USMS is authorized to deputize selected persons to perform the functions
of a Deputy U.S. Marshal whenever the law enforcement needs of the USMS so require, to provide courtroom security for the Federal judiciary, and as designated by the Associate Attorney
General pursuant to 28 CFR 0.19(a)(3). This form serves as a record of the special deputations granted by the USMS to assist in tracking, controlling and monitoring the Special Deputation
Program. Your Social Security number is requested as an additional identifier pursuant to Executive Order 9397. Disclosure of the information on this form is voluntary, however, failure to
provide the information may result in your disqualification for special deputation.
This form may be routinely disclosed: To a federal, state or local law enforcement agency regarding that agency's USMS deputized employees; Where a record, either alone or in conjunction
with other information, indicates a violation or potential violation of law - criminal, civil, or regulatory in nature - the relevant records may be referred to the appropriate federal, state, local,
territorial, tribal, or foreign law enforcement authority or other appropriate entity charged with the responsibility for investigating or prosecuting such violation or charged with enforcing or
implementing such law; and as otherwise provided in USMS Privacy Act system of records notice Justice/USM-004, Special Deputation Files, 72 FR 33515 (June 18, 2007).
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspects of this collection of
information, including suggestions for reducing this burden, to U.S. Marshals Service, Tactical Operations Division, Attn: Special Deputation Program, Washington, DC 20530-0001.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Page 8 of 8

* = Required Field

Form USM-3C
Rev. 12/25