Vsa 66 Form PDF Details

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.

QuestionAnswer
Form NameVsa 66 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvirginia vsa 66, va vsa 66, dmv substitute titles, virginia dmv vsa

Form Preview Example

EMPLOYEE VOLUNTARY RESIGNATION NOTIFICATION FORM

HUMAN RESOURCE SERVICES • BOISE STATE UNIVERSITY • MAIL STOP 1265

1910 University Drive • Boise • Idaho • 83725-1265 • (208) 426-3648

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 426-3648. We will make every effort to arrange a meeting at your earliest convenience.

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 426-3100.

Rev /2012

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