Employment, Without (WOC) Compensation, IPA Assignments

This Web site is for Cleveland VA Medical Center research staff, their partners and affiliated academic community.


Employment forms for VA paid employees/positions within Medical Research Service: All forms must be completed as part of the application process. Official job offers are made only by Human Resource Management staff.

NEW 01/2015 New Employee Information Sheet: to be completed by supervisor
OF-306 Declaration for Federal Employment
Scope of Practice
VA Form 2850a - Application for Nurses and Nurse Anesthetists (if applicable)
VA Form 2850c - Application for Associated Health Occupations (if applicable)

A dated copy of resume/CV
A copy of college transcripts

Individuals paid by an institution other than the VA, who perform work at the VA and/or have access to VA Patient Information Systems must have a Without Compensation (WOC) Appointment. To initiate a WOC appointment the supervisor must complete a New Employee Information Sheet. All forms must be completed prior to individual performing work at this facility.

 

NEW 03/2016 New Employee Information Sheet: to be completed by supervisor
OF-306 Declaration for Federal Employment
VA Form 2850a - Application for Nurses and Nurse Anesthetists (if applicable)
VA Form 2850c - Application for Associated Health Occupations (if applicable)
Intellectual Property Agreement
SF61 Appointment Affidavit
Employment Eligibility Verification, I-9 (paper version)
Employment Eligibility Verification, I-9 (pdf fillable)
V10 Unified Computer Access Request
VetPro Enrollment Form
Certificate of Licensure Form
Request For Personal Identity Verification Card
SRS-24 Minors Form
A dated copy of resume/CV


IPA's General Information
  • IPA's are set up in two-year increments for up to four years.
  • IPA's always start on the 1st of the month.
  • Employees participating in an IPA must be permanent employees of their institution and working there for at least 90 days.
  • IPA's are for 'higher level' positions, not for RA I's and/or fellows.
  • You are responsible for getting the signature of the participating institution.
  • IPA's must be received in the research office two weeks prior to requested start date.
 


IPA Assignment Agreement
NEW 01/2015 New Employee Information Sheet: to be completed by supervisor
OF-306 Declaration for Federal Employment
A dated copy of resume/CV
Scope of Practice