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

This document is a Contract Employee Application Package for the Department of Veterans Affairs Veterans Health Administration.

The package contains seven required forms and worksheets for contract employee onboarding and security clearance processing. Form #1 is a Background Investigation Request Worksheet requiring contractors to submit updated background investigation forms within five business days of personnel additions, including employee name, Social Security number, date of birth, and place of birth for cross-checking clearances. Form #2 is the VHA Service Center Contractor PIV Sponsorship Form, collecting personal identifying information such as citizenship status, physical descriptors, and employment details. Form #3 is the VHA Special Agreement Checks (SAC) Memorandum, requiring fingerprints to be completed within five business days after notice of award and submitted to the VHA Service Center Personnel Security Office via fax. Form #4 is the VHA Security Center PIV Credentials Turn-In Inventory Report documenting employee name, company, VA turn-in location, and turn-in date with site manager certification. The document also includes a Department of Veterans Affairs Screening Checklist (VA Form 10-0453) covering required documentation for all appointees across various employment types, a Contractor Security Check Form specific to the VA New York/New Jersey Veterans Integrated Service Network, a Fingerprint Record Prep Sheet, and supporting federal forms including the HIPDB/NPDB form, Request for Personal Identity Verification Card (VA Form 0711), Declaration for Federal Employment (OF-306), and Employment Eligibility Verification (Form I-9). All forms must be completed, signed, and dated as specified, with fingerprinting and background checks required as prerequisites for contract employee deployment.