United States Department of Veterans Affairs
Office of Academic Affiliations

Application Forms

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  • The VA Form 10-2850d Application for Health Professions Trainees is to be used for all residents and clinical trainees, whether Paid or Without Compensation (WOC).
  • The VA Form 10-2850d is to be used instead of
    VA Forms 10-2850, 102850a, 10-2850b and 10-2850c for all clinical trainees.

The forms below are required of all clinical trainees.
Additional forms may be required depending on your type of appointment.
Any additional forms will be available through your local facility.

Application Forms In Adobe Acrobat

Form Numbers

Required for
Trainees at VA...
Application for Health Professions Trainees

VA 10-2850d 

All Trainees
Declaration for Federal Employment

 OF 306 

All Trainees*
Appointment Affidavits
NOTE: Your signature on this form
must be witnessed by a Notary Public

SF 61 

All Trainees*
Request for Personal Identity Verification Card

VA Form 0711

All Trainees
Questionnaire for Non-Sensitive Positions
(all trainees except physician residents) 

OPM's online e-QIP
Human Resources Staff
will provide directions

> than 180 days in
aggregate **
Questionnaire for Non-Sensitive Positions
(physician residents)

OPM's online e-QIP
Human Resources Staff
will provide directions

> than 1 year
appointment and continuously
at VA for over a year ***

 
VA Rules of Behavior

VA Handbook 6500 Appendix G

Please sign this form in the
Mandatory Training for Trainees
online course.

* Department of Defense Trainees who are not paid by VA are exempt from completing Forms SF-61 and OF-306.

** OPM's online eQIP uses an online form that is completed by non-physician-resident trainees who are appointed for more than 180 days in aggregate. Your local Human Resources staff will provide you with an access code and a link to eQIP if you are required to complete the online eQIP.

*** OPM's online eQIP uses an online form that is completed by physician-residents who have a greater than one year, continuous appointment and are at the VA continuously for greater than a year. Your local Human Resources staff will provide you with an access code and a link to eQIP if you are required to complete the online eQIP.