S02 VA ID PACKAGE UPDATED 10-29-2025.pdf

This is a Contract Employee Application Package issued by the Department of Veterans Affairs (VA), Veterans Health Administration, specifically for the VHA Service Center located in Independence, Ohio. The package contains required forms and documentation for contract employees seeking positions within the VA system.

The application package includes multiple forms and checklists required for contract employee onboarding and security clearance processing. Form #1 is a Background Investigation Request Worksheet requiring contractor submission of employee information (name, SSN, date of birth, place of birth, and previous investigations) within five business days of contract award. Form #2 is the VHA Service Center Contractor PIV Sponsorship Form collecting detailed personal identification data including citizenship status, physical characteristics, and employment information. Form #3 is the VHA Special Agreement Checks (SAC) Memorandum requiring fingerprint completion within five business days of award notice, with results faxed to the VHA Service Center Personnel Security Office. Form #4 is a PIV Credentials Turn-In Inventory Report tracking employee credentials at VA facilities. The package also includes a Department of Veterans Affairs Screening Checklist (VA Form 10-0453) documenting required documentation completion for all appointees; a Contractor Security Check Form; a Fingerprint Record Prep Sheet; an HIPDB/NPDB form for healthcare practitioners; VA Form 0711 (Request for Personal Identity Verification Card); Declaration for Federal Employment (Optional Form 306); and USCIS Form I-9 (Employment Eligibility Verification). These forms collectively establish the security, identity verification, and employment authorization documentation requirements for contract personnel working with the VA.