Employment Forms

• Application for Promotion or Reassignment: VA 4078 (Employees already employed at the VA)
• Application for Associated Health Occupations: VA 10-2850c (LPN's use this form)
• Application for Nurses and Nurse Anesthetists: VA 10-2850a 
• Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors: VA 10-2850 
• Optional Application for Federal Employment: OPM OF-612 (for medical support positions such as CNA's and for non-medical positions)

All applicants also send the following completed form:

• Declaration for Federal Employment: OF-306

All RN applicants also send the following completed form:

• Nursing Supplemental Information
• RN Qualification and Salary Determination

Email applications to:  HRJobs.Madison@va.gov

New Employee Orientation

• Questionnaire for Non-Sensitive Positions: OPM SF-85
• SAC (Special Agreement Check)

Equal Employment Opportunity Data Posted Pursuant to the No FEAR Act

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