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Get Va Form 10 5397

U.S. DOD Form dod-va-3248 EMPLOYEE S CLEARANCE FROM INDEBTEDNESS NAME OF EMPLOYEE SOCIAL SECURITY NO. MAIL FORWARDING ADDRESS TITLE OF POSITION STATION NO. SERVICE DIVISION AND SECTION THE EMPLOYEE IS Check one BEING SEPARATED FROM VA DATE BEING TRANSFERRED TO Specify VETERAN EFFECTIVE DATE NON-VETERAN This certifies that the above-named employee is not indebted to the Government except as noted* ADMINISTRATION/STAFF OFFICE CLEARANCE OFFICIAL ARTICLE QTY. UNIT COST VA REGIONAL OFFICE SHORTAGES NOTED ON VOUCHER NO. DATE OF VOUCHER REMARKS INSTRUCTIONS This form must be completed and presented to the Agent Cashier Finance Division before final payment will be released* SIGNATURE OF APPROVING OFFICIAL INITIALS OF AGENT CASHIER INDEBTEDNESS COLLECTED SCHEDULE NO. MAIL FORWARDING ADDRESS TITLE OF POSITION STATION NO. SERVICE DIVISION AND SECTION THE EMPLOYEE IS Check one BEING SEPARATED FROM VA DATE BEING TRANSFERRED TO Specify VETERAN EFFECTIVE DATE NON-VETERAN This certifies that the above-named employee is not indebted to the Government except as noted* ADMINISTRATION/STAFF OFFICE CLEARANCE OFFICIAL ARTICLE QTY. UNIT COST VA REGIONAL OFFICE SHORTAGES NOTED ON VOUCHER NO. DATE OF VOUCHER REMARKS INSTRUCTIONS This form must be completed and presented to the Agent Cashier Finance Division before final payment will be released* SIGNATURE OF APPROVING OFFICIAL INITIALS OF AGENT CASHIER INDEBTEDNESS COLLECTED SCHEDULE NO.

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Keywords relevant to Va Form 10 5397

  • approving
  • shortages
  • Voucher
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  • indebted
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