Veterans' Preference Form - Klamath County, Oregon

This fillable "Veterans' Preference Form" is a document issued by the Oregon Department of Veterans Affairs specifically for Oregon residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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KLAMATH COUNTY FIRE DISTRICT NO. 1
VETERANS’ PREFERENCE INFORMATION AND INSTRUCTIONS
Veterans’ preference points cannot be awarded without required
documentation.
If you are seeking veterans’ preference in employment, please complete the attached form and return it
with your supporting documentation.
All documentation must be received prior to the date of the written test.
Under Oregon law, armed forces veterans who meet minimum qualifications for a position may be eligible for
employment preference. You may be eligible for either 5 points as a Qualified Veteran, or 10 points as a Qualified
Disabled Veteran (or spouse), but not both.
If you are a veteran and want to apply for preference points, please submit a completed Klamath County Fire District No.
1 Veterans’ Preference form as well as the required documentation listed on the form. You may submit the documentation
to Fire District No. 1 in several ways:
1. Attach your completed Veterans’ Preference form and documentation to your application when you apply for a
position with Fire District No. 1; or
2. Scan the form and documentation and email it to Stacy Brainard, stbrainard@kcfd1.com; or
3. Mail or hand-deliver the form and documentation Klamath County Fire District No. 1, 143 N Broad Street, Klamath
Falls, OR 97601.
Definitions:
“Active duty” does not include attendance at a school under military orders, except schooling incident to an active
enlistment or a regular tour of duty, or normal military training as a reserve officer or member of an organized reserve or a
National Guard unit. Any discharge date is now eligible.
“Veteran” means a person who:
(A) Served on active duty with the Armed Forces of the United States;
For a period of more than 178 consecutive days and was discharged or released from active duty under
honorable conditions; or
For 178 days or less and was discharged or released from active duty under honorable conditions because of a
service-connected disability; or
For at least one day in a combat zone and was discharged or released from active duty under honorable
conditions; or
(B) Received a combat or campaign ribbon for service in the Armed Forces of the United States.
“Disabled Veteran” means a person entitled to disability compensation under laws administered by the United States
Department of Veterans Affairs, a person whose discharge or release from active duty was for a disability incurred or
aggravated in the line of duty or a person who was awarded the Purple Heart for wounds received in combat. Qualifying
spouse may claim points with County verification of status on DD214 or an employability or eligibility letter.
“Armed Forces” means the United States Army, Navy, Marine Corps, Air Force, and Coast Guard, including the reserve
components thereof. Reserve components mean:
(a) The Army Reserve;
(b) The Navy Reserve;
(c) The Marine Corps Reserve;
(d) The Air Force Reserve’
(e) The Coast Guard Reserve;
(f) The Army National Guard of the United States; and
(g) The Air National Guard of the United States.
For additional information or questions regarding definitions contact the Oregon Department of Veterans Affairs at 1-800-
692-9666.
KLAMATH COUNTY FIRE DISTRICT NO. 1
VETERANS’ PREFERENCE INFORMATION AND INSTRUCTIONS
Veterans’ preference points cannot be awarded without required
documentation.
If you are seeking veterans’ preference in employment, please complete the attached form and return it
with your supporting documentation.
All documentation must be received prior to the date of the written test.
Under Oregon law, armed forces veterans who meet minimum qualifications for a position may be eligible for
employment preference. You may be eligible for either 5 points as a Qualified Veteran, or 10 points as a Qualified
Disabled Veteran (or spouse), but not both.
If you are a veteran and want to apply for preference points, please submit a completed Klamath County Fire District No.
1 Veterans’ Preference form as well as the required documentation listed on the form. You may submit the documentation
to Fire District No. 1 in several ways:
1. Attach your completed Veterans’ Preference form and documentation to your application when you apply for a
position with Fire District No. 1; or
2. Scan the form and documentation and email it to Stacy Brainard, stbrainard@kcfd1.com; or
3. Mail or hand-deliver the form and documentation Klamath County Fire District No. 1, 143 N Broad Street, Klamath
Falls, OR 97601.
Definitions:
“Active duty” does not include attendance at a school under military orders, except schooling incident to an active
enlistment or a regular tour of duty, or normal military training as a reserve officer or member of an organized reserve or a
National Guard unit. Any discharge date is now eligible.
“Veteran” means a person who:
(A) Served on active duty with the Armed Forces of the United States;
For a period of more than 178 consecutive days and was discharged or released from active duty under
honorable conditions; or
For 178 days or less and was discharged or released from active duty under honorable conditions because of a
service-connected disability; or
For at least one day in a combat zone and was discharged or released from active duty under honorable
conditions; or
(B) Received a combat or campaign ribbon for service in the Armed Forces of the United States.
“Disabled Veteran” means a person entitled to disability compensation under laws administered by the United States
Department of Veterans Affairs, a person whose discharge or release from active duty was for a disability incurred or
aggravated in the line of duty or a person who was awarded the Purple Heart for wounds received in combat. Qualifying
spouse may claim points with County verification of status on DD214 or an employability or eligibility letter.
“Armed Forces” means the United States Army, Navy, Marine Corps, Air Force, and Coast Guard, including the reserve
components thereof. Reserve components mean:
(a) The Army Reserve;
(b) The Navy Reserve;
(c) The Marine Corps Reserve;
(d) The Air Force Reserve’
(e) The Coast Guard Reserve;
(f) The Army National Guard of the United States; and
(g) The Air National Guard of the United States.
For additional information or questions regarding definitions contact the Oregon Department of Veterans Affairs at 1-800-
692-9666.
KLAMATH COUNTY FIRE DISTRICT NO. 1 VETERANS’ PREFERENCE FORM
Under Oregon law, armed forces veterans may be entitled to preference in employment or promotion. If you think you
may qualify, please read the following information carefully and check the box(es) in each section appropriate to you.
QUALIFIED VETERAN: You may claim veterans’ preference if you are able to check one or more boxes in this section
and provide proof of veterans’ preference eligibility by submitting a copy of your Certificate of Release or Discharge
from Active Duty (DD214/DD215 that reflects your “Honorable” separation status) at the time you submit your
completed employment application. Preference will not be applied unless we receive the appropriate documentation
prior to the date of the written test.
ORS 408.225(1)(e) – Veteran
I served on active duty with the Armed Forces of the United States for a period of more than 90 consecutive days beginning on or before
January 31, 1955, and was discharged or released under honorable conditions; or
I served on active duty with the Armed Forces of the United States for a period of more than 178 consecutive days beginning after
January 31, 1955, and was discharged or released from active duty under honorable conditions; or
I served on active duty with the Armed Forces of the United States for 178 days or less and was discharged or released from active duty
under honorable conditions because of a service-connected disability; or
I served on active duty with the Armed Forces of the United States for 178 days or less and was discharged or released from active duty
under honorable conditions and have a disability rating from the United States Department of Veterans Affairs; or
I served on active duty with the Armed Forces of the United States for at least one day in a combat zone and was discharged or released
from active duty under honorable conditions; or
I received a combat or campaign ribbon or an expeditionary medal for service in the Armed Forces of the United States and was
discharged or released from active duty under honorable conditions; or
I am receiving a nonservice-connected pension from the United States Department of Veterans Affairs (requires a letter from the US
Department of Veterans Affairs indicating you receive a nonservice-connected pension).
QUALIFIED DISABLED VETERAN (and Qualifying Spouse): You may claim additional preference as a disabled
veteran if you are able to check one or more boxes in this section and provide proof of eligibility by submitting: (1) a copy
of your Certificate of Release or Discharge from Active Duty (DD214/DD215 that reflects your “Honorable” separation
status-Member 4) and (2) a public employment preference or eligibility letter from the United States Department of
Veterans Affairs, unless the information is already included in the DD214/DD215 form. You can order an employment
preference or eligibility letter by calling the US Dept of Veterans Affairs at 1-800-827-1000. Preference will not be
applied unless we receive the appropriate documentation prior to the date of the written test.
ORS 408.225(1)(c) - Disabled Veteran (or Qualifying Spouse)
I am entitled to disability compensation under laws administered by the US Department of Veteran Affairs; or
I was discharged or released from active duty for a disability incurred or aggravated in the line of active duty; or
I was awarded the Purple Heart for wounds received in combat.
I am the spouse of a veteran who has been issued an approved letter, an approved application form, or I have verified my status to
receive spousal preference with Klamath County Fire District No. 1.
I hereby claim veterans’ preference and certify that the above information is true and correct. I understand that any false
statements or misrepresentations made by me may be cause for my disqualification or dismissal, regardless of when
discovered.
______________________________________________________
Print Name
______________________________________________________
__________________________
Signature of Applicant
Date
Position Applied for:_______________________________________________________

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