S02 - Attachment 10 -TMS Profile Request.docx

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration Office of Health Information (10P7) Washington DC 20420

In Reply Refer To: TMS

The following information is required to create an employee/contractor profile in the VA Talent Management System (TMS). Please note the information in the request does not leave the VA firewall. Once completed this page can be securely faxed to:

Richard O’Neal at (404) 828-5017 or you may send via encrypted email to Richard.oneal@va.gov OR VHA19LMSHelp@va.gov.

Social Security Number:

Date of Birth:

First Name:

Middle Initial:

Last Name:

Email address:

Profile Type:

VHA OHI or OIA Office/Service:

VHA OHI or OIA Task Manager/Supervisor:

If Profile Type is Contractor, please provide the following information:

Company Name:

Purchase Order Number:

VHA OHI COTR (if known):

Additional Comments:

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