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

This document is a Contract Employee Application Package issued by the Department of Veterans Affairs (VA), Veterans Health Administration, for contractor personnel seeking to work at VA facilities. The package establishes the required forms, processes, and documentation standards for onboarding contract employees across the federal healthcare system.

The application package contains multiple required forms and worksheets that contractors must complete and submit: a Background Investigation Request Worksheet (Form #1) requiring employee personal information and cross-check clearances; a VHA Service Center Contractor PIV Sponsorship Form (Form #2) capturing detailed personal identifying information including biometric data; a VHA Special Agreement Checks (SAC) Memorandum (Form #3) requiring fingerprint submission within five business days of award; and a VHA Security Center PIV Credentials Turn-In Inventory Report (Form #4) documenting credential management. Additionally, the package incorporates the VA Screening Checklist (VA Form 10-0453), Contractor Security Check Form, Fingerprint Record Prep Sheet, HIPDB/NPDB disclosure forms, VA Form 0711 (Request for Personal Identity Verification Card), Optional Form 306 (Declaration for Federal Employment), and USCIS Form I-9 (Employment Eligibility Verification). All contractors must submit these documents to the VHA Service Center located at 6100 Oak Tree Boulevard #500, Independence, Ohio 44131. The package emphasizes strict compliance timelines, particularly the five-business-day fingerprinting requirement, and establishes security protocols including background investigation verification, employment eligibility confirmation, and credential issuance procedures for contract employees at VA healthcare facilities.