Form DTF-75 "Employee Affidavit for the Hire a Veteran Credit" - New York

What Is Form DTF-75?

This is a legal form that was released by the New York State Department of Taxation and Finance - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the New York State Department of Taxation and Finance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DTF-75 by clicking the link below or browse more documents and templates provided by the New York State Department of Taxation and Finance.

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Download Form DTF-75 "Employee Affidavit for the Hire a Veteran Credit" - New York

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DTF-75
New York State Department of Taxation and Finance
Employee Affidavit for the
(1/14)
Hire a Veteran Credit
certifies under penalty of perjury that:
(Name of employee)
1. I reside at
.
2. I will begin employment with
(Name of employer)
on
.
(Date employment will start)
3. I have served on active duty or in the reserves in the United States Army, Navy, Air Force, Marine Corps, or Coast
Guard, or served in active military service of the United States as a member of the Army National Guard, Air National
Guard, New York Guard, or New York Naval Militia.
4. I was released from active duty by general or honorable discharge after September 11, 2001. I have provided the
employer an opportunity to see the original certification verifying my discharge (for example, DD Form 214, Certificate
of Release or Discharge from Active Duty, issued by the National Archives and Records Administration, discharge
papers, or letters of separation).
5. I have not been employed for 35 or more hours during any week in the 180-day period immediately prior to the date
on which I begin employment with the employer.
:
(mark an X in the appropriate box)
6. I am
not a disabled veteran as defined below.
a disabled veteran as defined in paragraph (b) of subdivision one of section 85 of the New York State Civil Service
Law and have, upon request, provided the employer an opportunity to see acceptable documentation from the
Department of Veterans Affairs or a military department stating a disability determination, rated at 10% or more,
incurred in time of war. (See page 2 for definitions of disabled veteran, acceptable documentation, and time of
war.)
Employee signature
Date signed
DTF-75
New York State Department of Taxation and Finance
Employee Affidavit for the
(1/14)
Hire a Veteran Credit
certifies under penalty of perjury that:
(Name of employee)
1. I reside at
.
2. I will begin employment with
(Name of employer)
on
.
(Date employment will start)
3. I have served on active duty or in the reserves in the United States Army, Navy, Air Force, Marine Corps, or Coast
Guard, or served in active military service of the United States as a member of the Army National Guard, Air National
Guard, New York Guard, or New York Naval Militia.
4. I was released from active duty by general or honorable discharge after September 11, 2001. I have provided the
employer an opportunity to see the original certification verifying my discharge (for example, DD Form 214, Certificate
of Release or Discharge from Active Duty, issued by the National Archives and Records Administration, discharge
papers, or letters of separation).
5. I have not been employed for 35 or more hours during any week in the 180-day period immediately prior to the date
on which I begin employment with the employer.
:
(mark an X in the appropriate box)
6. I am
not a disabled veteran as defined below.
a disabled veteran as defined in paragraph (b) of subdivision one of section 85 of the New York State Civil Service
Law and have, upon request, provided the employer an opportunity to see acceptable documentation from the
Department of Veterans Affairs or a military department stating a disability determination, rated at 10% or more,
incurred in time of war. (See page 2 for definitions of disabled veteran, acceptable documentation, and time of
war.)
Employee signature
Date signed
Page 2 of 2 DTF-75 (1/14)
Instructions
General information
Time of war, for purposes of determining disabled veteran
status as defined in the New York State Civil Service
This affidavit, Form DTF-75, is completed by an employee
Law, includes the wars and hostilities participated in by
and given to the employer to certify that the employee is
the military forces of the United States for the following
a qualified veteran for the purpose of the Hire a Veteran
periods:
Credit. For more information about the credit, see
TSB-M-13(9)C, (8)I, Hire a Veteran Credit.
• Korean Conflict - June 27, 1950, through January 31,
1955;
Form DTF-75 must be completed and signed by the
• Vietnam Conflict - February 28, 1961, through May 7,
employee prior to or upon beginning employment.
1975;
The employee must also allow the employer to review
documentation verifying veteran status and proof of
• Hostilities in Lebanon - June 1, 1983, through
disability, if applicable, as specified in the affidavit.
December 1, 1987, as established by receipt of
the Armed Forces Expeditionary Medal, the Navy
Employers must keep the completed affidavits in their
Expeditionary Medal, or the Marine Corps Expeditionary
records and make them available to the Tax Department
Medal;
upon request.
• Hostilities in Grenada - October 23, 1983, through
November 21, 1983, as established by receipt of
Definitions
the Armed Forces Expeditionary Medal, the Navy
A disabled veteran is an individual who:
Expeditionary Medal, or the Marine Corps Expeditionary
• has been certified by the United States Department of
Medal;
Veterans Affairs or a military department as entitled to
• Hostilities in Panama - December 20, 1989, through
receive disability payments upon the certification by the
January 31, 1990, as established by receipt of
Department of Veterans Affairs or military department
the Armed Forces Expeditionary Medal, the Navy
for a disability incurred by the veteran in time of war and
Expeditionary Medal, or the Marine Corps Expeditionary
in existence at the time of hiring; and
Medal; and
• has a certificate from the Department of Veterans Affairs
• Persian Gulf Conflict - August 2, 1990, to the end of
stating that:
such hostilities. At the present time, no termination date
— he or she has been examined by a medical officer
has been established.
of the Department of Veterans Affairs within one
A veteran does not have to have served in an actual
year of the date of hiring, and at the time of the
combat zone during the specified periods set out above to
examination, the war-incurred disability described
meet the time of war requirement. In addition, if a veteran
in the certificate was found to exist and the
served his or her duty partly during a time of war and
disability is rated at 10% or more; or
partly during peacetime, the veteran meets the time of war
— a permanent stabilized condition of disability
requirement.
exists to an extent of 10% or more, whether or not
he or she has been examined by a medical officer
of the Department of Veterans Affairs within one
year of the date of hiring.
Acceptable documentation is a letter issued by the
Department of Veterans Affairs (VA) on VA letterhead or
bearing the Agency Stamp, with signature, certifying that
the veteran has a service-connected disability rated at
10% or more that was incurred in a time of war.
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