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To find a form, enter the form number (example: 12-1234 or 1234) or a word from the form's title or subject.
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Number Title Issue Date Revision Date # Pages
VA-40-0895-16 Certification Regarding Plan Preparation (39.32 and 39.82) 01/23/2014 10/2010 2
VA-40-0895-17 Certification Regarding Documentation of Grant Accomplishment (39.120) 01/23/2014 10/2010 1
VA-40-0895-2 Certification of Compliance with Provisions of the Davis-Bacon Act 01/23/2014 10/2010 1
VA-40-0895-3 State or Tribal Government Cemetery Grants Service Space Program Analysis - Buil 03/19/2014 10/2010 3
VA-40-0895-6 Certification of State or Tribal Government Matching Architectual & Engineering 03/19/2014 10/2010 1
VA-40-0895-7 Certification Regarding Debarment, Suspension, and other Responsibility Matters 01/23/2014 10/2010 2
VA-40-10007 Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery 12/05/2016 11/2016 2
VA-40-10088 Request for Reimbursement of Casket/Urn 05/13/2015 04/2015 2
VA-40-1330 Claim For Standard Government Headstone or Marker 02/24/2014 02/2014 4
VA-40-1330M Claim for Government Medallion for Placement in a Private Cemetery 01/20/2015 01/2015 2
VA-4107 Your Rights to Appeal our Decision 07/06/2016 06/2016 2
VA-4107c Your Rights to Appeal our Decision - Contested Claims 07/06/2016 06/2016 2
VA-4107VHA Your Rights To Appeal Our Decision 07/06/2016 06/2016 2
VA-4597 Your Rights to Appeal our Decision 01/12/2017 12/2016 2
VA-4597a Your Rights to Appeal our Decision Concerning the Reasonableness of Your Fee Agreement 01/12/2017 12/2016 2
VA-4597b Your Rights to Appeal Decision on Your Motion for Review Clear & Unmistakable 01/12/2017 12/2016 2
VA-4637 Employee Educational Data 10/21/2014 10/2011 20
VA-4637(ES) Employee Educational Data 10/07/2015 10/2011 20
VA-4667b Supervisory Appraisal of Employee for Promotion 03/12/2014 03/1992 4
VA-4667c Supervisory Appraisal of Employee for Promotion - Narrative Appraisal 03/12/2014 12/1993 3
VA-4670 Position Classification Worksheet for Research Positions 05/09/2014 01/1991 1
VA-4676a Employee Supplemental Qualifications Statement 07/18/2014 09/1992 3
VA-4939 Complaint of Employment Discrimination 03/20/2017 03/2017 2
VA-5655 Financial Status Report (Fillable) 03/19/2014 06/2009 2
VA-5655blank Financial Status Report (Print Version/non-fillable) 07/18/2014 06/2009 2
VA-646 Statement of Accredited Representative in Appealed Case 01/12/2017 06/2015 2
VA-8 Certification of Appeal 01/23/2014 06/2008 1
VA-8824i CAATS Contractor Access Request Form 05/09/2014 05/2014 1
VA-9 Appeal to Board of Veterans' Appeals 07/13/2015 07/2015 5
 
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