"Statement of Applicant - Veterans, Military Service Members and Military Spouses" - Vermont

Statement of Applicant - Veterans, Military Service Members and Military Spouses is a legal document that was released by the Vermont Secretary of State - a government authority operating within Vermont.

Form Details:

  • The latest edition currently provided by the Vermont Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Vermont Secretary of State.

ADVERTISEMENT
ADVERTISEMENT

Download "Statement of Applicant - Veterans, Military Service Members and Military Spouses" - Vermont

1260 times
Rate (4.3 / 5) 63 votes
Veterans, Military Service Members and Military Spouses
Active Military Personnel or Spouse of an active military personnel and transferred Vermont.
(please provide a copy of your orders and a copy of your military ID.)
Veteran - Discharged within two years.
(please provide a copy of your discharge or your DD214).
Statement of Applicant
I certify, under the pains and penalties of perjury, that all information I have provided in this application is true and
accurate. I understand that furnishing false information may constitute unprofessional conduct and result in the
denial of my application or further disciplinary action. The maximum penalty for perjury is fifteen years in prison
and/or a $10,000 fine. (13 V.S.A. §2901)
Signature of Applicant
Date
Veterans, Military Service Members and Military Spouses
Active Military Personnel or Spouse of an active military personnel and transferred Vermont.
(please provide a copy of your orders and a copy of your military ID.)
Veteran - Discharged within two years.
(please provide a copy of your discharge or your DD214).
Statement of Applicant
I certify, under the pains and penalties of perjury, that all information I have provided in this application is true and
accurate. I understand that furnishing false information may constitute unprofessional conduct and result in the
denial of my application or further disciplinary action. The maximum penalty for perjury is fifteen years in prison
and/or a $10,000 fine. (13 V.S.A. §2901)
Signature of Applicant
Date