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Office of Academic Affiliations

Sample Appointment Letter

Use on Facility Letterhead

Date

Dear Sir or Madam:

Welcome to the Department of Veterans Affairs and (facility name). You are appointed on an intermittent basis at our facility as (medical /dental resident/fellow) from (date) to (date) under the authority of Title 38 U.S.C. 7406. During your period of appointment with our facility, you will be paid indirectly by the VA using a disbursement agreement with (the name of the disbursing agent or affiliate) and will be authorized to perform services as directed by the (supervisor) .

Unless you have prior service as a Federal employee, acceptance of this letter, as signified by your signature below, and completion of the attached Appointment Affidavits (SF 61) prior to the start of your training, will serve as your appointment authorization for this period. If you have prior federal service, you are requested to report to our Human Resources Management Office by (date) for additional appointment information and/or processing. Please bring this letter with you, as well as any documents you may have relating to that prior service.

Sincerely yours,

 

(Appointment Authority)

 

Enclosure: Standard Form 61

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I agree to serve in the above capacity under the conditions indicated.

Signature ____________________________________          Date _________________
              (Name of Resident)

Disbursement Agreement