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VA DHRM Form 10-012 2003-2025 free printable template

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Commonwealth of Virginia DHRM Form 10-012 Rev. 9/03 Please print in ink preferably black or use typewriter Number of attachments Application for Employment Position number Employees of the Commonwealth and applicants for employment shall be afforded equal opportunity in all aspects of employment without regard to race color religion political affiliation national origin disability marital status gender or age. Month Year 14. CERTIFICATION--Each Application Requires Current Date and Original...
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How to fill out VA DHRM Form 10-012

01
Obtain VA DHRM Form 10-012 from the official VA website or local VA office.
02
Fill in your personal information at the top, including your name, address, and contact details.
03
Provide your Social Security number in the designated field.
04
Indicate the type of claim you are filing by selecting the appropriate option.
05
Complete the relevant sections pertaining to your military service and the nature of your request.
06
If required, provide supporting documentation, such as service records or medical information.
07
Review all the information to ensure accuracy and completeness.
08
Sign and date the form at the bottom.
09
Submit the completed form either electronically or by mailing it to the appropriate VA office.

Who needs VA DHRM Form 10-012?

01
Veterans seeking to request benefits or services from the Department of Veterans Affairs.
02
Survivors of veterans applying for dependent benefits.
03
Individuals applying for vocational rehabilitation and employment services.
04
Those needing to submit claims related to disability compensation or pension.

Who needs the DRM Form 10-012?

Any person applying for employment in the Commonwealth of Virginia needs this form.

What is the purpose of the DRM Form 10-012?

The DRM Form 10-012 is an application for employment.

What documents should accompany the DRM Form 10-012?

The agency announcing the vacancy may request the applicant to provide other documents along with the form.

What information should be provided?

The applicant provides the following information: position applied for; agency; SSN; full legal name; address; home and business phones; e-mail address.

In section 9 “Education”, the applicant should indicate the highest grade he completed; number of years of post high school education; name and location of institution; degree received; specialty or major; minor; dates attended.

Section 10 “Experience” contains the following entries: job title; employer; type of business; immediate supervisor; title; salary; duties; number and titles of employees under the applicant’s supervision; equipment used; reasons for leaving; additional information including training, seminars, workshops, achievements; special skills; automation word processing; typing speed; shorthand speed; licenses, certificates or other authorization to practice a profession or trade.

In section 11 “References”, the applicant should provide names, addresses, and relationships or three persons not related to the applicant who know the applicant’s qualifications.

Section 12 “Miscellaneous” contains the following entries: (a) acceptable shifts (day, evening, night, rotating, weekends); (b) job status (full-time or part-time); (c) employment status (salaried, hourly, part-time salaried); (d) possibility to travel; list of the geographic locations where the applicant is willing to work; willingness to provide transportation; question about US employment legality; question about registration for the Selective Service; question about convictions for violations of law; date when the applicant would be available to start work.

In section 14 the applicant certifies that all entries are true and complete and that he understands and agrees that any falsification may cause forfeiture of any employment in the service of the Commonwealth of Virginia.

The applicant dates and signs the DRM Form 10-012.

Finally, the applicant indicates the racial and ethnic group he belongs to; the highest level of education the applicant completed; and gender.

Where do I send the DRM Form 10-012?

The applicant should send this form directly to the agency announcing the vacancy.

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People Also Ask about va application for employment download

Form FC-20 / FC-21 - Employer's Quarterly Tax and Payroll Report.
You will be mailed a 1099-G form to your address of record with the VEC by January 31, 2022. You will be mailed a 1099-G form to your address of record with the VEC by February 4, 2022. You should receive your 1099-G by February 16, 2022. 1099-G forms will be available online for self-printing.
What if I was fired from my job? If you entered "Fired" or "Discharged" as the reason for your separation, or if either reason was reported by your employer as the reason for your separation, you must have a fact finding interview with a deputy to determine if you are qualified for benefits.
Currently the maximum weekly benefit amount is $378 and the minimum is $60. Individuals must have earned at least $18,900.01 in two quarters during the base period to qualify for the maximum weekly benefit amount. Benefit duration varies from 12 to 26 weeks, also depending on wages earned in the base period.
If you are totally or partially unemployed and wish to apply for benefits, call the VEC Customer Contact Center or complete an on-line application on the Internet. The Customer Contact Center telephone number is 1-866-832-2363 (Available 8:00am to 4:30pm, Monday - Friday and 9am to 1pm Saturday.
You will be disqualified if the deputy determines that you quit your job without good cause, or you were fired from your job for misconduct in connection with your work. You and your employer have the right to appeal the deputy's determination if either of you disagrees with the results.
You may contact the VEC Customer Contact Center at 1-866-832-2363 (Available 8:00am to 4:30pm, Monday - Friday and 9am to 1pm Saturday. Closed Sunday and state holidays.

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VA DHRM Form 10-012 is a form used by the Virginia Department of Human Resource Management to report specific employee-related information, as required for compliance and record-keeping.
Employers in Virginia, including state agencies and certain local governments, are required to file VA DHRM Form 10-012 for their employees.
To fill out VA DHRM Form 10-012, provide accurate information regarding employee details, including personal identification, employment status, and any relevant HR data as specified in the form's instructions.
The purpose of VA DHRM Form 10-012 is to collect and maintain essential employee information for state reporting and human resource management purposes.
Information that must be reported on VA DHRM Form 10-012 includes employee name, identification number, job title, employment start date, and any other relevant data as required by the form.
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