REQUIRED VA DOCUMENTS

A complete packet of forms must be sent to the service point of contact at the VA for the service in which you have chosen to rotate four weeks prior to the start of the rotation.  Failure to meet the four week deadline will necessitate choosing another rotation or having your rotation delayer.  See the Application Checklist for forms and complete all as required. 

 

The VA Packet may be scanned and emailed securely to the appropriate VA contact or mailed via US mail.

 

 

Application Checklist for Associated Health Trainees

 

Statement of Commitment and Understanding

 

VA Form 10-2850 Application for Health Professions Trainees 

 

Fingerprint Appointment Schedule


PIV Data Sheet

  • PIV Acceptable Forms of Identification (bring with you to Fresno)

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    Fingerprint Request Form

  • Courtesy Fingerprint Form (for all appointments done outside of Fresno)


  • VA Computer Access Form


    Without Compensation (WOC) Assignment Letter (MS word doc) – to be filled in by staff at UCSF Fresno and signed by the student.  Return with VA packet.


    You will be asked to complete the OF 306 Declaration for Federal Employment and the USCIS I-9 Employment Eligibility Verification forms in the PIV Office at the Fresno VA.

     

    Contact List - Veteran’s Administration Health System, Fresno CA

     

    Michelle Nunez (559-225-6100 x 5417 or Michelle.Nunez@va.gov

    Heather Garner (559-225-6100 x 3789 or Heather.Garner@va.gov