VA Form 3248 WOC PDF Details

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.

QuestionAnswer
Form NameVA Form 3248 WOC
Form Length1 pages
Fillable?Yes
Fillable fields21
Avg. time to fill out4 min 31 sec
Other namesindebtedness va form 3248, va form 3248 employee clearance, va form 3248, va form 3248 fillable

Form Preview Example

VETERANS ADMINISTRATION

STUDENT’S CLEARANCE FROM INDEBTEDNESS

NAME OF STUDENT

SOCIAL SECURITY NO.

MAIL FORWARDING ADDRESS

 

 

 

AFFILIATE NAME

STATION NO.

SERVICE, DIVISION AND SECTION

 

659

RESEARCH & EDUCATION (11F)

 

THE STUDENT IS (PLEASE CHECK)

 

THE STUDENT IS (CHECK ONE)

 

 

 

 

BEING SEPARATED FROM VA

 

 

 

VETERAN

 

 

NON-

 

 

 

 

 

 

 

 

DATE

EFFECTIVE:

DEPARTMENTS/STAFF OFFICES

CLEARANCE

ARTICLES

QTY.

UNIT COST

TOTAL COST

 

OFFICIAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

**VA Police & Security, x3334, Bldg 12,

Car Decal

(Quarters)

 

**Human Resources, x4501/4510, Bldg. 21,

ID Badge

Room 1A-109

 

**Facilities Mgmt., x3338,

Keys

Bldg 21, Rm BC-102

 

 

 

**Library, x2469, Bldg 5, Rm 1029

 

 

 

**HIMS, Bldg. 2, Room 5008

 

 

 

*Office Operations, x2500, Bldg 1, Rm 101

 

(Mail Room)

 

 

 

**Research & Education, x4397, Bldg. 42

Completed Learner’s Perception

Ground, Rm 125

Survey

 

 

**OI&T, x4844, Bldg. 21, Room

 

BB131,Ground Floor (Once cleared, please

 

send to Research & Education, 11F)

 

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 above-named employee is not indebted to the Government except as noted.

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

 

 

CASHIER

 

 

 

 

 

VA Form

3248

OP 05-599

SUPERSEDES VA FORM 3248, AUG 1950,

 

JUN 1983

(659) 9/94

WHICH WILL NOT BE USED.

*U.S.GOVERNMENT PRINTING OFFICE:1983-381-448/3138