VA 10-2850c 2023-2025 free printable template

OMB Control No. 29000205 Estimated Burden: 30 minutes Expiration Date: 05/31/2026APPLICATION FOR ASSOCIATED HEALTH OCCUPATIONS SEE LAST PAGE FOR PAPERWORK REDUCTION ACT, PRIVACY ACT AND INFORMATION

How to fill out va 10 2850c form

How to fill out VA 10-2850c

1. Obtain the VA Form 10-2850c from the VA website or local VA office.
2. Fill out the applicant's personal information at the top of the form, including name, address, and contact information.
3. Provide details about your professional licensure and certifications in the designated sections.
4. Complete the education section, listing all relevant degrees and training programs.
5. Fill out the employment history section, including previous positions and relevant experience.
6. Include any continuing education or professional development activities you've completed.
7. Review the form for accuracy and completeness.
8. Sign and date the form before submission.

Who needs VA 10-2850c?

1. The VA Form 10-2850c is required for healthcare professionals applying for employment at the Veterans Affairs health facilities.
2. It is needed by individuals seeking to establish qualifications for specific healthcare positions.

• What is the Application for Associated Health Occupations?
• In one sentence, what is the purpose of submitting this form?
• What information do you need in order to complete this form?
• • Who is the intended recipient of this form?

What is the Application for Associated Health Occupations?

The Application for Associated Health Occupations (also known as VA 10-2850c) is a form for healthcare professionals to apply to work in the Department of Veteran Affairs. Because the Department of Veteran Affairs is a federal government agency, this is an application for a federal job.

In one sentence, what is the purpose of submitting this form?

The purpose of submitting form VA 10-2850c is to obtain federal employment as a healthcare professional with the Department of Veteran Affairs.

What information do you need in order to complete this form?

While the form itself is fairly straightforward, many pieces of information are needed. These pieces of information include…

The position for which you wish to be employed. This varies from Physical Therapist to Physician’s Assistant.

The full legal name of the applicant,

The full residential address of the applicant.

The applicant’s specialty field, or if not applicable, general practice.

The residential and business telephone numbers where the applicant can be reached.

The full date of birth for the applicant.

The City, State, and Country where the applicant was born.

The applicant’s social security number.

Citizenship details for the applicant.

Information on where the application was filled out and submitted.

Information on contacting previous employers.

Any information regarding active military duty.

All medical licensure information, including states you are licensed in, license numbers, current registration, and expiration dates.

Liability insurance information.

Health education qualifications.

Recent professional experience.

References, and their contact information.

Signatures authorizing release of information about you.

There are also many yes or no questions which will need to be answered on the third page of the application.

 

Who is the intended recipient of this form?

 

The recipient of this form is the relevant Department of Veteran Affairs to which you are applying. This is usually your local chapter.

People Also Ask about va form 10 2850c pdf

What is the certifying body for your health occupation?

ABOHN is the sole certifying body for occupational health nurses in the United States and awards three credentials: Certified Occupational Health Nurse (COHN), Certified Occupational Health Nurse - Specialist (COHN-S) and Case Management (CM).

How do I get a 10 2850c?

To complete a VA 10-2850c form, you will need to provide the following information: Personal Information. Active Military Duty. Licensure, DEA Certification, Registration and Clinical Privileges. Liability Insurance. Qualifications. Professional Experience. General Information. References.

What is VA form 10 2850c used for?

Use VA Form 10-2850C if you're seeking employment with VA as a respiratory therapy technician, physical therapist, pharmacist, physician's assistant, or other health professional.

What is the certifying body for health occupation?

ABOHN is the sole certifying body for occupational health nurses in the United States and awards three credentials: Certified Occupational Health Nurse (COHN), Certified Occupational Health Nurse - Specialist (COHN-S) and Case Management (CM).

What is application for associated health occupations?

The Application for Associated Health Occupations (also known as VA 10 2850c) is a form for healthcare professionals to apply for a position at the Department of Veteran Affairs. Because the Department of Veteran Affairs is a federal government agency, this is an application for a federal job.

How do I fill out a 10 2850C?

0:19 2:31 Learn How to Fill the Form VA 10 2850c Application for - YouTube YouTube Start of suggested clip End of suggested clip If you have never been on active duty. Leave these boxes blank. Section. Two is to be used toMoreIf you have never been on active duty. Leave these boxes blank. Section. Two is to be used to identify all licenses or certifications. That you hold in boxes 14 through 17.

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What is VA 10-2850c?

VA Form 10-2850c is a credentialing application used by healthcare professionals to apply for employment or privileges within the Department of Veterans Affairs.

Who is required to file VA 10-2850c?

Healthcare professionals seeking employment or privileges within the VA healthcare system are required to file VA Form 10-2850c.

How to fill out VA 10-2850c?

To fill out VA Form 10-2850c, individuals must provide personal information, professional qualifications, work history, and any relevant licensure or certifications. It is important to read the form instructions carefully and ensure all information is accurate.

What is the purpose of VA 10-2850c?

The purpose of VA Form 10-2850c is to collect necessary information about healthcare professionals to assess their qualifications and determine their suitability for employment or privileges within the VA system.

What information must be reported on VA 10-2850c?

Information that must be reported on VA Form 10-2850c includes personal identification details, professional education, work experience, licensure information, board certifications, and any disciplinary actions or legal issues related to professional practice.