New Employee In-Processing Forms and Information - Minneapolis VA Health Care System
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Minneapolis VA Health Care System

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New Employee In-Processing Forms and Information

Employment Type  Complete Items Numbered 
New to the Federal Government 1-8 and 10
Federal Agency Transfer 1-7 and (9 optional)
Forms must be completed prior to in-processing. Please bring completed forms on your first day, except form 10, which should be emailed to your HR contact during pre-employment. It is recommended that you save a copy of the completed forms for your records. You must have Adobe Acrobat Reader to access these forms.

# Form  Description and Instructions 
1 Employee Withholding Allowance Certificate (Form W-4)  Complete this form so that the correct federal income tax is withheld from your paycheck. Be sure to complete your Name, Address, SSN, indicate your Filing Status and Number of Allowances. Complete by providing your Signature and Date.
2 Direct Deposit Enrollment (Standard Form 1199A)  Complete Section I, II and III
3 Ethnicity and Race Identification
This form is used to collect statistical composition of the workforce. Please complete the personal information at the top of the form and then questions 1 and 2.
4 Self-Identification of Reportable Handicap (SF-256)  This form is used collect statistical information for agency reports on hiring, placement and advancement of disabled employees. Complete personal information at top of form and enter a disability code in upper right hand corner of form.
5 Employee Education Data (VA-4637)  Print Page 1 only. Find your current education level achieved from either Section A or B. Enter the applicable code in Part II, Box 1. If selection is from Section B, complete Part II, 2A & 2B as applicable utilizing included supplement. Finish by completing Boxes 3-7.
6 Prior Federal Service
This form is used to list all of your prior federal government civilian and military service. If the answer is none, check Yes on Question 4 and complete Question 8, signature and date. Otherwise, complete Items 5-8 as applicable and provide signature and date.
7 Employment Eligibility Verification(Form I-9)  Complete Section 1 including Signature and Date. Print and bring both pages that include Sections 1–3. You must bring documents on your first day to establish both Identity and Employment Authorization. This may include any one document from List A OR one document from List B AND one from List C.
8 Life, Health Insurance, TSP
& Background Investigation 
Please complete the bottom of this form with Signature, Date, Printed Name and Start Date.
9 Employee Acknowledgement Interim Transfer of Leave  Applicability: Transfer employee from other non-Veterans Affairs agencies only. Complete this form only if you agree to the terms and wish to participate in the Interim Transfer of Leave Program as explained in the Employee Acknowledgement.
10 VA Privacy and Information Security Awareness and Rules of Behavior FY20 Applicability: New employees only. Review the entire document, but print only the Appendix A "Department of Veteran Affairs Information Security Rules of Behavior for Organizational Users," initial each of the 7 pages, sign and date the last page, and return all 7 pages to your Human Resource POC during the pre-employment phase.

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