Veteran's Preference Form - Okaloosa County Sheriff's Office Human Resources Section - Okaloosa County, Florida

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Okaloosa County Sheriff’s Office
Human Resources Section
Veteran’s Preference Form
APPLICATION FOR VETERAN’S PREFERENCE
Applicants wishing to claim Veterans’ Preference in employment must complete this form and submit as an attachment to your employment application, along with
required documentation.
I wish to claim Veterans’ Preference in employment in accordance with Chapter 295 of the Florida Statutes. I qualify under the following category: (Check one)
A Veteran with an existing compensable service-connected disability who is eligible for or receiving compensation, disability retirement or pension under public
laws administered by the DVA and the Department of Defense.
The spouse of a Veteran who cannot qualify for employment because of a total and permanent service-connected disability, or the spouse of a Veteran missing
in action, captured in line of duty by a hostile force, or detained or interned in line of duty by a foreign government or power.
A Veteran of any war who has served at least one day on active duty during a wartime period as defined in FSS 295.07, Section 1.01 (14), excluding active duty
for training, and who was discharged under honorable conditions from the Armed Forces of the United States of America or who has been awarded a campaign
or expeditionary medal.
The unremarried widow or widower of a Veteran who died of a service-connected disability.
The mother, father, legal guardian, or unremarried widow or widower of a service member who died as a result of military service under combat-related
conditions as verified by the United States Department of Defense.
A current member of any reserve component of the United States Armed Forces or The Florida National Guard.
Wartime Periods:
Persian Gulf War: August 2, 1990 to January 2, 1992
World War II: December 7, 1941 to December 31, 1946
Operation Enduring Freedom: October 7, 2001 to TBD
Korean Conflict: June 27, 1950 to January 31, 1955
Operation Iraqi Freedom: March 19, 2003 to TBD
Vietnam Era: February 28, 1961 to May 7, 1975
Operation New Dawn: September 1, 2010 to TBD
Character of Discharge: (Check one)
 Honorable
 General
 Dishonorable  Other (explain) ______________________________________________________________________________
Documents that must be submitted at time of application in order to claim preference:
Veterans, disabled Veterans, spouses of disabled Veterans and family members shall furnish a DD-214 or equivalent certification listing military status, dates of
service and Character of Discharge.
Disabled Veterans shall also furnish a document from the Department of Defense, the DVA, or the Department certifying that the Veteran has a service-connected
disability.
Spouses of disabled Veterans shall also furnish either a certification from the Department of Defense or the DVA that the Veteran is totally and permanently disabled
or an identification card issued by the Department; spouses shall also furnish evidence of marriage to the Veteran and a statement that the spouse is still married to
the Veteran at the time of the application for employment; the spouse shall also submit proof that the disabled Veteran cannot qualify for employment because of
the service-connected disability.
Spouses of persons on active duty shall furnish a document from the Department of Defense or the DVA certifying that the person on active duty is listed as missing
in action, captured in line of duty, or forcibly detained or interned in line of duty by a foreign government or power; such spouses shall also furnish evidence of
marriage and a statement that the spouse is married to the person on active duty at the time of that application for employment.
The mother, father, legal guardian, or unremarried widow or widower of a deceased Veteran shall furnish a document from the Department of Defense showing the
death of service member while on duty status under combat-related conditions or the DVA certifying the service-connected death of the Veteran, and shall further
furnish evidence of marriage. The legal guardian shall show the proper court documents establishing the legal authority for the Guardian.
Current reserve and National Guard members provide a letter from their Commanding Officer stating the dates of their military service.
Certification
I hereby certify that the information provided above is true and correct to the best of my knowledge. I understand that falsification of this information is a criminal
violation and may subject me to prosecution and possible incarceration and/or fine and will result in my dismissal if employed. I have received notice of the
appropriate procedures to follow in order to initiate an investigation into any non-compliance with the Veterans’ Preference laws.
Applicant Name: (Printed) ________________________________________________________
Applicant’s Signature ____________________________________ Date ________________________________
If an applicant claiming Veterans’ Preference for a vacant position is not selected, he/she may file a complaint with the Florida Department of Veterans’ Affairs, Mary
Grizzle Office Building, 11351 Ulmerton Road, Largo, FL 33778 within 21 days of the applicant receiving notice of the hiring decision be the employing agency or
within 3 months of the date an application is filed with the employer if no notice is given.
OCSO Form 3601
Published 7/30/2014

Download Veteran's Preference Form - Okaloosa County Sheriff's Office Human Resources Section - Okaloosa County, Florida

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