The VA Form 3248 is an essential document for students associated with the Veterans Administration, particularly as they navigate the completion or termination of their roles within various departments or staff offices. This comprehensive form serves multiple purposes, including verifying a student's clearance from any indebtedness to the government before their separation from the VA. It collects detailed information such as the student's name, social security number, and mail forwarding address, alongside the specifics of their VA affiliation, including the station number and service, division, and section details. Crucially, the form also outlines the need for checks across several departments including VA Police & Security, Human Resources, Facilities Management, the Library, HIMS, Office Operations, Research & Education, and OI&T to ensure all equipment, books, uniforms, and other items are accounted for and any outstanding issues are addressed. Furthermore, the form poses a question regarding the awareness of any questionable, unethical, or illegal conduct observed during the student's time at the VA, emphasizing the administration's commitment to integrity and ethical conduct. The completion of this form, including a review by the service chief or designated official and a final clearance from the Agent Cashier in the Finance Division, is mandatory before the final settlement can be processed, making it a pivotal step in the transition process for VA associated students.
Question | Answer |
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Form Name | VA Form 3248 WOC |
Form Length | 1 pages |
Fillable? | Yes |
Fillable fields | 21 |
Avg. time to fill out | 4 min 31 sec |
Other names | indebtedness va form 3248, va form 3248 employee clearance, va form 3248, va form 3248 fillable |
VETERANS ADMINISTRATION |
STUDENT’S CLEARANCE FROM INDEBTEDNESS
NAME OF STUDENT |
SOCIAL SECURITY NO. |
MAIL FORWARDING ADDRESS |
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AFFILIATE NAME |
STATION NO. |
SERVICE, DIVISION AND SECTION |
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659 |
RESEARCH & EDUCATION (11F) |
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THE STUDENT IS (PLEASE CHECK) |
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THE STUDENT IS (CHECK ONE) |
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BEING SEPARATED FROM VA |
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VETERAN |
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NON- |
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DATE
EFFECTIVE:
DEPARTMENTS/STAFF OFFICES |
CLEARANCE |
ARTICLES |
QTY. |
UNIT COST |
TOTAL COST |
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OFFICIAL |
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**VA Police & Security, x3334, Bldg 12, |
Car Decal |
(Quarters) |
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**Human Resources, x4501/4510, Bldg. 21, |
ID Badge |
Room |
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**Facilities Mgmt., x3338, |
Keys |
Bldg 21, Rm |
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**Library, x2469, Bldg 5, Rm 1029 |
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**HIMS, Bldg. 2, Room 5008 |
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*Office Operations, x2500, Bldg 1, Rm 101 |
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(Mail Room) |
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**Research & Education, x4397, Bldg. 42 |
Completed Learner’s Perception |
Ground, Rm 125 |
Survey |
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**OI&T, x4844, Bldg. 21, Room |
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BB131,Ground Floor (Once cleared, please |
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send to Research & Education, 11F) |
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Question: During the course of your employment, did you become aware of, or did you observe any conduct or activity that could be considered questionable, unethical, or illegal at the Salisbury VAMC? If yes, please review attached CBIO memo.
SHORTAGES NOTED ON VOUCHER NO.
DATE OF VOUCHER
REMARKS
*Authorized employees may clear those activities for the employee by telephone, unless equipment, books, uniforms, etc. are charged to the employee; in these cases, personal clearance is required. The service chief, or designee, will sign the “Clearance Official” block on the VA Form 3248 and indicate “none” in “Articles” block if he/she clears employee.
**It is mandatory that the separating student visits these locations.
This certifies that the
INSTRUCTIONS: This form must be completed and presented to the Agent Cashier, Finance Division, before final payment will be released.
SIGNATURE OF APPROVING OFFICIAL
DATE
INITIALS OF |
DATE |
INDEBTEDNESS COLLECTED |
AGENT |
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CASHIER |
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VA Form |
3248 |
OP |
SUPERSEDES VA FORM 3248, AUG 1950, |
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JUN 1983 |
(659) 9/94 |
WHICH WILL NOT BE USED. |
*U.S.GOVERNMENT PRINTING |