Questions? 1, RmD1447, Reno, NV 89502, 718 Smyth Road, Bldg. 2. I was contacted regarding derogatory information that was developed in my background investigation. 1 Rm C610, Albany, NY 12208, 222 Richmond Ave., Bldg. PIV badge (cardholder) appointments may be scheduled using the On-Line Scheduling Tool at http://www.va-piv.com. Please select an Activity below for your Appointment and click the Continue button. You should be electronically fingerprinted at the closest VA fingerprinting facility. 165 Rm C240, Long Beach, CA 90822, 11301 Wilshire Blvd., Bldg. 16 Rm 308, Portland , OR 97239, 913 NW Garden Valley Blvd., Bldg. hb```c``` ,@Q {`|sJ``h``@ X, .xI% (Registration Required), Survivors Education & Assistance Benefits (Chapter 35), Veterans Education Assistance Program (VEAP), Veterans Information Portal (WebLGY) (Registration Required), Service Members' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI), Service-Disabled Veterans Insurance (S-DVI), Batteries (for Hearing Aids & Other Devices), Manage Your Prescriptions at Your Local VA Medical Center, Manage Your Prescription Refills with My HealtheVet (Registration Required), Health (Please contact your local VA Medical Center), Track Your Appointments with My HealtheVet (Registration Required), Domiciliaries (Please contact your local VA Medical Center), Talent Management System (TMS) (Registration Required), Direct Deposit Sign-Up Form SF 1199A (PDF), Personal Identification Verification (PIV) Card, Security Investigation Center/Background Investigations, Security Investigation Center/Background Clearances, Freedom of Information Act (FOIA)/Privacy Act Requests, 214138 Statement in Support of Claim (PDF), 221995 Request for Change of Program or Place of Training (PDF), 221990 Application for Education Benefits (PDF), 212680 Exam for Housebound Status or Permanent Need for Regular Aid and Attendance (PDF), 1010ez Application for Health Benefits, Office of Operations, Security, and Preparedness, VA USAccess Scheduler - For PIV Card Appointments Only, Call TTY if you If you are a VA employee, your supervisor writes justification for your security clearance requirement and seeks approval through the local HR office. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Benefit & Claim Status (Registration Required), Veteran Rapid Retraining Assistance Program (VRRAP), Web Automated Verification of Enrollment (W.A.V.E.) 6589) in VA Human Resources. Once you have been fingerprinted, it takes a minimum of 2 business days (and up to 14 business days) for your fingerprints to complete the review process. In other instances, generally you are asked to complete the investigative form for an investigation only after a conditional offer of employment has been made for a position requiring an investigation. Use the up and down arrows to navigate this combo box. DOC Instructions for Personal Identity Verification Credential Request form VA Northern California Health Care System Martinez - PIV Office, 150 Muir Road, Bldg. No. A lot of that information is already on my resume. VA.gov | Veterans Affairs You can be fingerprinted locally at VA San Francisco or VA Martinez. Immediately notify the PSAC office. Amanda Deem. 24 Rm 123, Battle Creek, MI 49037. Have at minimum a completed and successfully adjudicated Special Agreement Check (SAC) which includes a name and 10 fingerprint check. Only accredited programs recognized by the Council for Higher Education Accreditation (CHEA) or the Department of VA Higher Education can be accepted as trainees. 218 Rm 1, Los Angeles, Ca. Can I access and complete eQIP from my personal computer at home? No appointment is required. Please switch auto forms mode to off. Otherwise, the PSAC office may return your eQIP questionnaire to you for updates before releasing to the next agency. This will take you to the page listed. Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Email:VHACHAAffiliationsGroup@va.gov. I'm physically handicapped; will that hurt my chances for a job? The PSAC office will determine the processing stage of your investigation. Bldg. The SOI/SON number for James A. Haley is as follows: SOI: 4047 | SON: VAL9 Fingerprint form Form - OF 306 Training Certificate - TMS Mandatory Training for Trainees Two Valid IDs (Names must match) Form - VAF 10-2850d Proof of COVID Vaccination or obtain an exemption for medical or religious reasons- email to Trainee Coordinator ADDITIONAL REQUIREMENTS (aka PIV Cards) If you do not have an active PIV card to complete the fingerprinting process prior to arriving in Sacramento. Actually, the U.S. Office of Personnel Management, the Department of Defense, and a few other agencies share this responsibility. 109 Bee Street To take this survey, you must have had clinical training at a VA facility during this academic year. 27. Your VA Coordinator will notify you when this has been done. 2, Room 211, Batavia, New York 14020, 76 Veterans Ave., Bldg. Click here to Create a new PIV Card Applicant Accoun, http://center.puget-sound.med.va.gov/sites/employees/default.aspx, Fingerprint capture and clearance is required prior to the badging appointment, if it has been. 1. Attention A T users. To access the menus on this page please perform the following steps. 4 Rm 2A-103, San Francisco, CA 94121, 1700 N Wheeling Street Building A, 2nd floor Aurora, CO 80045, 3141 Centennial Blvd Colorado Springs, CO, 3773 Cherry Creek North Drive, Suite 470A West Tower, Denver, CO 80209, 2121 North Ave, Bldg. Therefore, we are notifying the field in advance of this change in the onboarding process for non-US citizen trainees. To access the combo box on this page please perform the following steps. 1 Rm 130, Tuscaloosa, AL 35404, 2400 Hospital Road, Bldg. The resume is part of the application process. The courts have upheld this principle. 2. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Benefit & Claim Status (Registration Required), Veteran Rapid Retraining Assistance Program (VRRAP), Web Automated Verification of Enrollment (W.A.V.E.) 4 Rm 121, Canandaigua, NY 14424, Castle Point Campus of VA Hudson Valley HCS, 2094 Albany Post Road, Montrose, NY 10548, 423 East 23rd Street, Rm 77475, New York, NY 10010, 245 West Houston Street, 300F/300R, New York, NY 10014, 79 Middleville Road, Bldg. Rm 1A219, Cape Coral, FL 33909, 1201 NW 16th Street, Rm 1E104, Miami FL 33125, Gulf Coast Veterans Healthcare System (JACC), 9500 Bay Pines Blvd, Rm 238, St. Petersburg, FL 33708, 13000 Bruce B. Downs Blvd, Bldg. VA PORTLAND - UC Berkeley School of Optometry With that also comes the burden of proof. Paul, MN 55111, 400 Veterans Ave., Bldg. Both documents must beoriginal(not copies) andcurrent(not expired). The maximum number of days off that can be granted is 4 days. Two-ID requirement applies to Fingerprint as well. 135 Rm 269, North Chicago, IL 60064, 1900 E Main Street, Bldg. You must type them in exactly as they were entered the first time. PDF CONTRACTOR EMPLOYEE PIV Office FINGERPRINT Request FORM VA Miami Medical Center (Miami, FL) - VA MIAMI - UC Berkeley School If you are in crisis or having thoughts of suicide, (Registration Required), Survivors Education & Assistance Benefits (Chapter 35), Veterans Education Assistance Program (VEAP), Veterans Information Portal (WebLGY) (Registration Required), Service Members' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), Servicemembers' Group Life Insurance Traumatic Injury Protection (TSGLI), Service-Disabled Veterans Insurance (S-DVI), Batteries (for Hearing Aids & Other Devices), Manage Your Prescriptions at Your Local VA Medical Center, Manage Your Prescription Refills with My HealtheVet (Registration Required), Health (Please contact your local VA Medical Center), Track Your Appointments with My HealtheVet (Registration Required), Domiciliaries (Please contact your local VA Medical Center), Talent Management System (TMS) (Registration Required), Direct Deposit Sign-Up Form SF 1199A (PDF), Personal Identification Verification (PIV) Card, Security Investigation Center/Background Investigations, Security Investigation Center/Background Clearances, Freedom of Information Act (FOIA)/Privacy Act Requests, 214138 Statement in Support of Claim (PDF), 221995 Request for Change of Program or Place of Training (PDF), 221990 Application for Education Benefits (PDF), 212680 Exam for Housebound Status or Permanent Need for Regular Aid and Attendance (PDF), 1010ez Application for Health Benefits, Office of Operations, Security, and Preparedness, VA USAccess Scheduler - For PIV Card Appointments Only, Call TTY if you The form should be typed, printed out, and presented to receive fingerprinting services. You can get fingerprinted at the San Francisco VA on a walk-in basis: The SFVA PIV (Personal Identification Verification) Office is accepting walk-in appointments now. Failure to get Sponsorship prior to your badge appointment may result in the need to re-schedule your appointment to a later time or day. Background Investigators are required to identify, locate, and interview a sufficient number of people who know you well. 2) Make an appointment online to get fingerprints taken. 6 Rm 155, Spokane, WA 99205, 77 Wainwright Drive, Bldg. Can I access and complete eQIP from my personal computer at home? The VA requirement for a background investigation does not mean that you are being considered for a security clearance. 408 Rm 3823, Tomah, WI 54660, 2360 East Pershing Blvd., Buffalo Bldg., Room B1-86 Cheyenne, WY 82001, 1898 Fort Road, Bldg. PDF VETERANS HEALTH ADMINISTRATION WORKFORCE MANAGEMENT - Veterans Affairs 540-349-7504. FINGERPRINT LOCATION FINGERPRINT DATE (mm/dd/yyyy) PREVIOUS VA PIV CARD HOLDER (Yes/No) GENDER (M/F) HEIGHT (inches) WEIGHT (US pounds) HAIR COLOR EYE COLOR RACE/ETHNICITY . 2. Press enter on the item you wish to view. If applicable, the required test must be completed 15 days prior to your CPRS sign-on session. If the optometry student calls in sick on a previously requested day off that was denied, they must come to their assigned clinic first, be personally noted as sick by the Optometry Externship Program Coordinator or assigned Supervising Practitioner, after which they will be sent home. 5 Rm C139C, Topeka, KS 66622, 5500 E Kellogg Drive, Bldg. 127, Dayton, OH 45428, 1011 Honor Heights Drive, Bldg. Our vision is to provide our Veterans with these world-class benefits and services by adhering to the highest standards of compassion, commitment, excellence, Professionalism, integrity, accountability, and stewardship. Veterans Crisis Line: Office of Operations, Security, and Preparedness 3. PROCESS: This fingerprint request form should be emailed to anyone requiring fingerprinting services. 1. Please contact your VA POC upon completion. Are you going to interview people other than those I name on the questionnaire? Schedule an enrollment appointmentat your localPIV Card Officeonce you have been Sponsored in the PIV system. What if you talk to someone who just doesn't like me and they lie about me? visit VeteransCrisisLine.net for more resources. Attention A T users. Bring two pieces of identification with you. 21 Rm 219, Martinez, CA 94553, 10535 Hospital Way, Bldg. If so, do I need a specific internet browser? 3. Your PIV Card Sponsor determines which type of credential you need based on your job duties and duration of required access. Secretary Denis McDonough, Im honored to join you at VA: Welcome from the Chief Human Capital Officer! Coordinate with your PIV Sponsorto initiate or verify the status of your background investigation. The body of the email will contain any required information including SOI and SON for courtesy requests. We invite you to review additional PIV badging information and resources conveniently located on the Human Resources website at http://center.puget-sound.med.va.gov/sites/employees/default.aspx, under PIV Badging. 21 on the second floor in room 219. Some VA positions require a security clearance but most do not. You must be Sponsored by an official PIV Sponsor in the USAccess PIV Enrollment Portal in order to be issued a VA PIV card. Fingerprints are required when applying for a VA Personal Identity Verification (PIV) Card. If you added any spaces or punctuation in the response, it must be entered exact. The PIV office is located inside Bldg. 28. 21 Rm 119, Indianapolis, IN 46202, 1700 E. 38th Street, Bldg. The hiring decision is not made by the PSAC. 12. At the end of your Ralph H. Johnson VA Medical Center rotation, you are required to properly off board before you will receive credit for your training. have hearing loss, For questions, and list of transit managers, email, For questions about the VA Emergency Alerting & Accountability System (VA EAAS), email, For questions about Non-IT Equipment, email, For a copy of the slide presentation, or questions about Insider Threat and Counter-Intelligence, email, For question about Equal Opportunity, Diversity and Resolution Management, email, For questions about Employee Assistance Program, email, For questions about the Center for Minority Veterans, email, For questions about the Center for Women Veterans, email, For questions about Faith Based programs, email, For more information regarding AFGE Local 17, contact, Veterans Crisis Line: Dial 988 then Press 1. The CMS Badging Office provides credentialing services to our customers nationwide. It is a requirement of a background investigation that your current employer be contacted. Require access to VA facilities AND/OR information systems. You'll receive a Welcome Email. 18 Rm 117, Lebanon, PA 17042, 5000 Wissahickon Ave., Philadelphia, PA 19144, 1000 Liberty Ave., Moorhead Rm 1621, Pittsburgh, PA 15222, 1010 Delafield Road, Pittsburgh, PA 15215, University Drive C, Building 1, 10th Floor, 10W109 Pittsburgh, PA 15240, 111 East End Blvd, Building 1, Rm C5-76, Wilkes-Barre, PA 18711, 150 Ave Carlos Chardon, Rm 232, San Juan, PR 00918, Casia Street #10, Rm D-1103, San Juan, PR 00921, 830 Chalkstone Ave., Bldg. 5, Grand Junction, CO 81501, 155 Van Gordon Street, Suite 395, Lakewood, CO 80228, 5200 Hanhs Peak Dr Loveland, Colorado 80538, 555 Willard Ave., Rm 2C-1131, West Haven, CT 06516, 950 Campbell Ave, Bldg. All of the questions should be answered accurately, honestly, and with complete addresses. The Ralph H. Johnson VA Medical Center is a 1A 5-star facility. Many types of background investigation require a personal interview. Because of the number of variable factors involved, there is no definitive answer to this question. Employee type: Student/Trainee or Affiliate (if Student/Trainee option is not available), Inform Casey Atwa of your fingerprint date and location. If your answer is YES, you will need to access the eQIP website and register by entering identifying information and the registration code provided to you by your sponsoring agency. First, has a VA agency or office notified you that an eQIP account has been initiated for you and instructed you to access the eQIP website? If you give us approximate information, note that on the questionnaire and if you are interviewed in person, discuss the approximated information on the eQIP questionnaire with the Investigator. HSPD-12 Program Office. 2. 6755. 3. Please let me know if you are a non-citizen. PLEASE ENSURE YOU FOLLOW THESE DIRECTIONS CAREFULLY. 3. Please work closely withyourVA Point of Contact to avoid any unnecessary delays; these department liaisons are available to help and answer your questions. If not completed timely, this may delay or remove entry into your rotation. Granted days off may require an assignment: PPT presentation (in addition to the presentation required for all students), summary of an assigned journal article, or an AAO style case report as noted below. The identity documents must be valid and unexpired. Click here to Create a new PIV Card Applicant Accoun t on the VA-PIV system. OFFCE: (206) 277-1477 I do not have an eQIP username or password, what do I do? 5 Rm 165-5, Dublin, GA 31021, 459 Patterson Road, East Wing Rm 3A-100, Honolulu, HI 96819, 500 West Fort Street, Bldg. If you have any general questions, please contact the Education Office contact listed on this page or your department/service point of contact. 90073, 150 Muir Road, Bldg. Important note:Bring two acceptable forms of valid, unexpired to your appointment to prove your identity. 217 Rm S-103, Martinsburg, WV 25405, 2851 University Avenue, Rm 1L008, Green Bay, WI 54311, William S. Middleton Memorial Veterans Hospital, 2500 Overlook Terrace, Rm B3107, Madison, WI 53705, 5000 W. National Ave., Rm 70E38, Milwaukee, WI 53295, 5400 W. National Ave., Rm 351A, Milwaukee, WI 53214, 500 E. Veterans Street, Bldg. Enter your last name, first name, email, phone number and create a password. 1. Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Benefit & Claim Status (Registration Required), Veteran Rapid Retraining Assistance Program (VRRAP), Web Automated Verification of Enrollment (W.A.V.E.) Enter your last name, first name, email, phone number and create a password. 22. To access the combo box on this page please perform the following steps. What will happen if I refuse to give you some of this personal information? A browser configuration check will alert you to any incompatibilities with browsers or browser versions before you login to the eQIP application. 67 Rm 126, Boise, ID 83702, 2122 W. Taylor Street, Rm 152, Chicago, IL 60612, James A. Lovell Federal Healthcare Center, 3001 Green Bay Road, Bldg. How to Schedule Appointment Online for or PIV Card - Molloy College For travel insurance coverage, please register all out-of-state travel at the. 9, Muskogee, OK 74401, 921 NE 13th Street, Oklahoma City, OK 73104, VA Portland Health Care System (VAPORHCS), 3710 SW US Veterans Hospital Rd., Bldg. Attention A T users. This must be done, Students are required to inform Casey Atwa of the. The PSAC Help Desk can be reached at 501-257-4469 or 4490 or at vhalitbackgroundinvestigations@va.gov. 30 minutes Booking for Fingerprinting DATE July 2023 Su Mo Tu We Th Fr Sa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Yes. Upon notification from your affiliated educational institution, onboarding and registration instructions will be routed to your email, prompting application completion in USA Staffing. VA.gov | Veterans Affairs The Personnel Security Adjudication Center (PSAC) Help Desk can be reached at 501-257-4469 or 4490 or at vhalitbackgroundinvestigations@va.gov. 21 on the second floor in room 219. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. I'm not a criminal; why do you want my fingerprints? Confidentiality data can only be read by the card-holder. 3. Mailstop: S-112-SURG Schedule appointment(s) 60-90 days prior to card expiration to ensure sufficient time for fingerprint capture and timely renewal of badge. OI&T Help Desk: 1-855-673-4357; VA Central Office Library AFGE Bargaining Union (Local 17) AFGE Master Agreement with Department of Veterans Affairs (2011) For more information regarding AFGE Local 17, contact douglas.massey@va.gov or renee.trotter . My job does not require a security clearance. Deb Clear We must verify your employment data and make other inquiries concerning your background. Is it true that the background investigation will include a credit report? Regardless of affiliation, everyone working within VA facilities or requiring access to VA information systems requires a VA PIV Card. Your PIV card is compliant with the Homeland Security Presidential Directive 12 and the Federal Information Processing Standards and provides a secure and reliable form of government identification. Attention A T users. The CMS Badging Office - PIV Cards. 1) one government identity source document ID with photo and your full legal name (including middle name); 2) one government identity source document ID (photo or non-photo) with your full legal name (including middle name). If you are out-of-town, fingerprints may be taken at another VA. You will need to request a courtesy fingerprint for Nebraska Western Iowa Health Care System (NWIHCS), 4101 Woolworth Avenue, Omaha, NE 68105. 61, Wichita, KS 67218, 2250 Leestown Road, Bldg. 135 Room AG-08, Hampton, VA 23667, 1201 Broad Rock Blvd., Richmond, VA 23149, 210 Franklin Rd, SW., Roanoke, VA 24011 Poff Federal Bldg 8th Floor, 1970 Roanoke Blvd., Bldg. AI Scheduler. Veterans Crisis Line: If you are completing your fingerprint card at a location other than at the VA facility where you will be doing your clinical rotation, please include the following information in the upper left hand corner of the fingerprint form. What should I do if I remember something later, after I've filled out the eQIP questionnaire or forms and turned them in? You will receive detailed instructions from your department/service POC on how to fulfill these requirements. Why do you need information about my relatives? Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Benefit & Claim Status (Registration Required), Veteran Rapid Retraining Assistance Program (VRRAP), Web Automated Verification of Enrollment (W.A.V.E.) REFERENCES: VA Directive 0735, Homeland Security Presidential Directive 12 (HSPD-12) Program; . Office hours are:Monday - Friday, 8:00 a.m. - 4:00 p.m., with the exception of Federal Holidays. 3. VA Northern California Health Care System Martinez PIV Office, 150 Muir Road, Bldg. SE, Bldg. Part 1 Required from Student: Start 30-45 days prior to rotation. The .gov means its official. The VA PIV system role-based access control structure precludes role sharing Education Service, Room CC207 To access the menus on this page please perform the following steps. Registrar. VA Health System Fingerprinting The VAHCS requires cleared fingerprints prior to gaining access to the Electronic Medical Record and acquisition of badges. The .gov means its official. Please allow 10 minutes to complete this survey. If your case has been forwarded to the next agency, you will provide information to the investigator during interview. 19. Students will need to coordinate their housing after sending in the completed forms. 7, Wichita, KS 67218, 5500 E Kellogg Drive, Bldg. **NOTE: Fingerprints are only valid for 120 days so please plan accordingly. Is it acceptable if I guess at dates and addresses that I cannot remember? Doesn't the FBI conduct all Federal background investigations? 21 Rm 219, Martinez, CA 94553, (925) 372-2000, ext. 1 Rm 5054, Poplar Bluff, MO 63901, 1 Jefferson Barracks Dr., St. Louis, MO 63125, 915 N. Grand Ave., A921, St. Louis, MO 63106, 3687 Veterans Drive, Fort Harrison, MT 59636, Grand Island Division VA Nebraska Western Iowa HCS, 2201 N. Broadwell Ave., Bldg. Call: 988 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Casey can be reached at: Fingerprinting: Due to a Federal mandate, students must be fingerprinted prior to their arrival at VA Puget Sound. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. Follow thethree main stepsbelow to ensure a smooth PIV card issuance experience. 9 Rm 3, St. PIV cards may also be known as a credential, common access card . The background investigation is completed for the protection of the Veterans the VA serves, employees, family members, and visitors; as well as the Veterans and national information and resources. 3710 SW US Veterans Hospital Rd Portland, OR 97239 Timothy.Hughes4@va.gov (503) 220-8262 Ext 56992 Documentation Required The Standard Operating Procedure (SOP) for new optometry students at the Portland VA Medical Center has changed to reflect heightened security requirements. In August 2004, President George W. Bush issued Homeland Security Presidential Directive 12 (HSPD-12) which mandated new standards for secure and reliable personal identification for all federal employees and contractors. 77 Rm 103, Walla Walla, WA 99362, 810 Vermont Ave NW, RM: C-1, Washington, DC 20571, 50 Irving Street NW, Rm 1A-114, Washington, DC 20422, 1800 G st. NW, Washington, DC 20006 RM 831C, 200 Veterans Avenue, Bldg.