Get U.s. Dod Form Dod-va-1098a

The U.S. DOD Form Dod-va-1098a is essential for requesting and authorizing environmental differentials for employees exposed to hazardous conditions. This guide provides you with clear, step-by-step instructions on how to fill out this form online with ease and confidence.

Follow the steps to complete the U.S. DOD Form Dod-va-1098a online successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the 'station' field, which indicates where the employee is assigned.
3. Next, complete the 'office or service' section, specifying the office responsible for the request.
4. In the 'period covered' section, input the start and end dates for the exposure period.
5. Fill in the 'division' and 'section' fields, identifying the specific divisions and sections related to the request.
6. Provide the employee's name in the 'name of employee' field.
7. Specify the 'type of exposure' experienced by the employee.
8. Detail the 'no. of hours' exposed during the exposure period.
9. Indicate the 'percent' applicable to the environmental differential.
10. In the 'hourly rate' field, provide the employee's hourly wage.
11. Calculate and enter the 'total environmental differential salary' based on the provided information.
12. Fill in the 'date(s)' to specify the exposure dates.
13. Complete the 'time of exposure' section by indicating the 'from' and 'to' times.
14. In the justification section, provide a brief description of the exposure and its impact. If more space is needed, utilize the reverse side.
15. Lastly, have the request signed by the individual submitting the form in the 'requested by' section, along with their title.
16. The authorized individual should sign and declare approval in the 'authorized by' section, also including their title.
17. Once all fields are completed, ensure to save your changes, download, print, or share the form as needed.

Start filling out your U.S. DOD Form Dod-va-1098a online today!