Va Form 26-6681 - Application For Fee Or Roster Personnel Designation Page 2
Download a blank fillable Va Form 26-6681 - Application For Fee Or Roster Personnel Designation in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Va Form 26-6681 - Application For Fee Or Roster Personnel Designation with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2(List your appraisal/inspection area(s), by State and County)
19. GEOGRAPHIC AREA(S) OF PRACTICE
(Attach additional sheet as necessary)
20. STATE PRINCIPAL ASSIGNMENTS DURING AT LEAST THE PAST 5 YEARS
A. PERIOD DATES
B. NUMBER OF
C. NAMES OF CLIENTS OR ORGANIZATIONS
ASSIGNMENTS
FROM
TO
(Attach additional sheet as necessary)
21. EMPLOYMENT HISTORY DURING THE PAST 10 YEARS
A. DATES
B. OCCUPATION
C. NAME OF EMPLOYER
D. ADDRESS
FROM
TO
22. REFERENCES - LIST AND SUBMIT AT LEAST 3 LETTERS ATTESTING TO YOUR QUALIFICATIONS
(Two references must be from Fee Appraisers)
A. REFERENCES
B. OCCUPATION
C. ADDRESS
23. NUMBER OF ASSIGNMENTS YOU WILL
24. MAXIMUM NUMBER OF ASSIGNMENTS YOU
25. E-MAIL ADDRESS
ACCEPT PER WEEK
WILL ACCEPT AT ONE TIME
I, the undersigned, understand and agree that:
(a) VA may obtain a copy of my credit report.
(b) The approval of this application does not constitute my appointment as an agent or employee of the Department of Veterans Affairs.
(c) In performing fee work my status is that of an independent contractor.
(d) My sole interest in all transactions shall be to perform fee assignments as required by VA standards and criteria.
CERTIFICATION
I HEREBY CERTIFY THAT to the best of my knowledge all the information stated herein, as well as any information provided in the
accompaniment herewith, is true, accurate, and complete.
(DO NOT PRINT) (Must be legible)
27. DATE SIGNED
26. APPLICANT'S SIGNATURE
(Complete the following items)
REVIEWING OFFICIAL
THIS APPLICATION HAS BEEN REVIEWED AND I HEREBY RECOMMEND:
THIS APPLICANT IS BEING RECOMMENDED IN THE
APPRAISAL AREA(S) OF THE COUNTY(IES) OR STATE
LISTED BELOW:
DESIGNATION
DISAPPROVAL
SIGNATURE OF REVIEWING OFFICER
DATE OF ACTION
VA FORM 26-6681, JUN 2012
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Hud-92563 - Fee Or Roster Designation / Form Va 26-6681 - Application For Fee Personnel Designation
Legal
Form Hud-92563 - Application For Fee Or Roster Personnel Designation - U.s. Department Of Housing And Urban Development
Legal
Va Form 26-6684 - Statement Of Fee Appraisers Or Compliance Inspectors - Department Of Veterans Affairs - 1997
Legal
Related Categories
Parent category: Legal