Department of Veterans Affairs	Memorandum
Date:
From:	[Human Resources Office, VA Medical Center]
Subj:	Certification of Citizenship and Employment, [Name of Candidate]
To:	Chief Research and Development Officer (10P9)

1. The purpose of this memorandum is to certify that [Nominee} is a [Citizen Status] of the United States of America.

2. [Nominee] is an employee in good standing with [Medical Center/Office].

3. Should you have any questions, please contact [Name of HR POC] at [Phone #] or by email at [email address].

[Signature of Certifier]

[Name of Certifier]