If you are a veteran or the dependent of a veteran, you may be eligible for benefits through the Veterans Service Agency (VSA). The VSA 66 form is your application for these benefits. In order to qualify, you must provide proof of your military service and meet certain other requirements. This guide will help you understand the process and complete the VSA 66 form accurately.
This general report will help you establish the time it will require you to complete vsa 66 form, how many pages it has, and a handful of additional specific details about the PDF.
| Question | Answer |
|---|---|
| Form Name | Vsa 66 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | virginia vsa 66, va vsa 66, dmv substitute titles, virginia dmv vsa |
EMPLOYEE VOLUNTARY RESIGNATION NOTIFICATION FORM
HUMAN RESOURCE SERVICES • BOISE STATE UNIVERSITY • MAIL STOP 1265
1910 University Drive • Boise • Idaho •
As soon as you have made a decision to resign, please complete and submit this form to your immediate Supervisor. If you have any questions regarding this form or would like an in person exit interview, please contact Tiffany Trader at
Employee Name: ________________________________ Employee ID: ______________ Ext #: _____
Employee Title: _____________________________________ Department: __________________________
Personal Email : ___________________________________________________________________________
Home Address: ____________________________________________________________________________
Home Phone: ____________________ Cell Phone: ______________________ Other Phone: ___________
Supervisor Name: ____________________________________ Supervisor Title:______________________
Last Day Worked (Employee may not use leave after the last day worked): ____________________________________
Other Information: ________________________________________________________________________________
Primary Reason for Resignation (Check only one)
□Another Position w/ New Employer
□ Federal □ City □ County □ Private Sector □ School District
□Transfer to Another State Agency Agency:_______________ Date:__________
□Military
□Personal Reasons
□Retirement
This form constitutes my voluntary resignation from Boise State University.
_________________________________________ |
_____________________ |
Employee Signature |
Date |
_____________________________________ |
___________________ |
Supervisor Signature* |
Accepted Date |
*After Supervisor approval, please return this form to Human Resource Services at mail stop 1265 or fax to
Rev /2012