US · guidance
BOP Program Statement 6021.05 § 27
ASSISTANCE
Questions regarding procedures, protocols, or participation in the COSTEP must be referred to
the COSTEP Coordinator, Health Services Division, Central Office.
6021.05 2/26/2026 PROPERTY OF US GOVERNMENT 16
REFERENCES
Program Statements
None referenced
Bureau Forms
BP-A0771 Conditional Senior COSTEP Agreement
BP-S772 Junior COSTEP Agreement
Other References
Public Health Service Commissioned Corps Personnel Manual.
Other Forms
OF-306 Declaration for Federal Employment
OF-612 Optional Application for Federal Employment
PHS-50 Application for Appointment as a Commissioned Officer in the U.S. Public
Health Service Commissioned Corps
PHS-1122-1 Application for Training for PHS Commissioned Personnel
PHS-1662 Request for Personnel Action – Commissioned Officer
PHS-1813 Reference Request for Applicants to the U.S. Public Health Service
Commissioned Corps
PHS-4469-1 Junior Commissioned Officer Applicant Training and Extern Program
(JRCOSTEP) Evaluation Questionnaire
PHS-4772 Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP)
Status Report
PHS-5141-1 Oath of Office – U.S. Public Health Service Commissioned Corps
PHS-6279 Junior Commissioned Officer Applicant Training and Extern Program
(JRCOSTEP) Statement of Duties
PHS-6373 Extramural Training Agreement
SF-85 Office of Personnel Management Questionnaire for Non-Sensitive Positions
SF-85P Questionnaire for Public Trust Positions
SF-87 Fingerprint Chart
SF-88 Report of Medical Examination
SF-93 Report of Medical History
ACA Standards
None referenced
Records Retention Requirements
Requirements and retention guidance for records and information applicable to this program are
available in the Records and Information Disposition Schedule (RIDS) on the Bureau’s intranet
site.
6021.05 2/26/2026 PROPERTY OF US GOVERNMENT 17
History
PS 6021.05 dated 2026-02-26
Provenance
- Source
- bop.gov
- Retrieved
- 2026-09-20
- Edition
- bop-ps-2026-09-20
- Content hash
96ef8d53038f19a30d3de4a18771a6fcdd85c9e62db71596000cbcf4f3b86f38
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