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James A. Haley Veterans’ Hospital - Tampa, Florida


Important Forms

Eligible employees have 60 days after entering on duty date to make health insurance decisions and 31 days for life insurance benefits. Take a minute to review the available insurance programs. On your first day you will receive additional benefits information and your HR Processing and Records representative. FastFacts provides additional insurance benefits information for New Federal Employees.

Form Description
New Employee Orientation Agenda The agenda for the three day hospital orientation. Bring two forms of identification (passport, military ID, college ID, voter card) and voided check.
Prior Federal Serivce (SF-144)* This form is used to list all of your Federal government civilian and uniformed service. If you have not had any of these, Mark Yes on question 4 and fill in question 8. Make sure you sign the document and date.
Ethnicity and Race Identification (SF-181)* This form is used to collect statistical information on the composition of the workforce.
Employment Eligibility Verification (I-9)* Complete Section 1. Bring two forms of ID when you come in for your physical appointment. A list of acceptable documents is listed. List of acceptable documents are listed.
Self Identification Of Reportable Handicap (SF-256)* This form is used to collect statistical information for agency reports on hiring, placement, and advancement of handicapped individuals. You will complete personal information in top boxes. Find code which describes the impairment. Enter code in the top right hand box.
Direct Deposit Form Sign-Up Form (FMS-2231)* Direct Deposit. You will out Section 1, 2, 3, and sign 5. (Type of payment will be Net Pay) Make sure routing number is correct along with your account number. Last digit of routing number will go in check digit box.
Employee Educational Data Form (VA-4637) This form is used to reflect your highest education level achieved. You will complete either Section A or Section B. You will complete Part II. To get you six digit program code, refer to the Instructional Program.
2010 Employee's Withholding Allowance Certificate (W-4 Form)* This form ensures the correct federal income tax is withheld from your paycheck.
Employee Record Card (VA-4644a) This form is to list emergency contact information.
Additional Reference Documents Description
VA Employee Handbook An introduction to VA and its human resources policies, regulations, and benefits.