Form VA Form 26-8736a VA Form 26-8736a Nonsupervised Lender's Nomination and Recommendation of

OMB Approved No. 2900-0253
Respondent Burden: 20 Minutes
Expiration date: XXXXXXXXX

NONSUPERVISED LENDER'S NOMINATION AND
RECOMMENDATION OF CREDIT UNDERWRITER
IMPORTANT: This form is only to be used by non supervised lenders when requesting approval of nominations for credit underwriters.

Privacy Act Information: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal
Regulations 1.576 for routine uses (i.e., information may be disclosed to Congress when requested on behalf of a lender) as identified in the VA system of records, 55VA26, Loan Guaranty Home,
Condominium and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records and Vendee Loan Applicant Records - VA, and published in the Federal Register. No
approval as credit underwriter may be made unless a completed application form has been received (38 U.S.C. 3702 and 3710). Your obligation to respond is required to obtain or retain benefit. Giving
us your SSN account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of your application. VA will not deny an applicant for refusing to provide his or her
SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1, 1975, and still in effect.
Respondent Burden: We need this information to confirm that lenders' underwriters are qualified to determine that all loans to be closed on an automatic basis meet VA's credit underwriting
standards. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 20 minutes to review the instructions, find the information, and complete
this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. Valid OMB control numbers can be located on the OMB Internet Page at:
www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.

QUALIFICATIONS: At least 3 years' experience in processing, pre-underwriting, or underwriting mortgage loans with at least 1 year of the most
recent 3 years making underwriting decisions on VA loans or a current ARU designation from the Mortgage Bankers Association.

I. APPLICANT'S PERSONAL DATA

1. NAME OF UNDERWRITER-APPLICANT
(First-Middle-Last)

2. SOCIAL SECURITY NUMBER

4A. TELEPHONE NUMBER (Include Area Code)

4B. E-MAIL ADDRESS (If applicable)

3. BUSINESS ADDRESS

II. EMPLOYMENT HISTORY
5. BEGINNING WITH PRESENT EMPLOYMENT, LIST CHRONOLOGICALLY ALL EMPLOYMENT RELATED TO CREDIT UNDERWRITING.
(Employment history may be limited to period sufficient to satisfy minimum experience requirements. See "QUALIFICATIONS")
Add continuation sheet if necessary.

DATES OF
EMPLOYMENT
FROM

TO

POSITION TITLE AND
PRINCIPAL DUTIES

NAME AND ADDRESS
OF EMPLOYER

% OF TIME DEVOTED TO
UNDERWRITING BY TYPE

VA

FHA

CON

CONTACT PERSON
AT EMPLOYER
(Give name, title, and
phone number)

III. UNDERWRITER-APPLICANT'S STATEMENT AND CERTIFICATION
6. I AM CURRENTLY DESIGNATED AS AN ACCREDITED RESIDENTIAL UNDERWRITER BY THE MBA
(If "Yes", provide evidence of current ARU designation)
Yes
No

I CERTIFY THAT the foregoing is true to the best of my knowledge. I agree that I will not use any publicity, advertising plaques,
certificates, or other devices which imply a special relationship with the Department of Veterans Affairs.
7A. SIGNATURE OF UNDERWRITER-APPLICANT

7B. DATE

IV. LENDER'S STATEMENT AND CERTIFICATION
WE HEREBY NOMINATE the above named employee to act as our VA underwriter. The nominee has demonstrated a high level of
integrity, trust, professional ethics and technical ability as an underwriter. Based on the qualifications established by VA, we find the
nominee to be qualified. We certify the nominee is not supervised by an individual who is a branch manager or other person with
production responsibilities. We, the undersigned, agree to promptly notify the VA regional office having jurisdiction to any change in
the status of the nominee.
8A. SIGNATURE OF PRINCIPAL OFFICER OF LENDER

APPROVAL

REASON FOR DECLINATION

8B. TITLE

8C. DATE

FOR VA USE ONLY

ACCEPTED
DECLINED
UNDERWRITER NO.

VA FORM
XXX 2014

26-8736a

SIGNATURE OF REVIEWER
SUPERSEDES VA FORM 26-8736a, JAN 2013,
WHICH WILL NOT BE USED.

DATE