Instructions:
1. Input your information on this form.
2. Click the Continue Process button.
3. Follow the Additional Instructions.
 
Veterans' Preference Form
(Page 1 of 2)
 
Instructions: Complete this two page form and provide the required documentation if you are claiming veterans' preference. Print your name, social security number and position(s) applied for in the spaces provided. At a minimum, documentation from the Department of Defense (DD) or the Department of Veterans' Affairs (VA) is required. Any copy of documentation must clearly state that the material is a true and correct copy of the original. Preference can only be provided to qualified applicants who have participated in a selection procedure and have submitted the required documentation. Preference will not be awarded retroactively.
 
CATEGORIES OF PROTECTED INDIVIDUALS - DOCUMENTATION REQUIRED - Check all that apply
 
(1)   A veteran with a service-connected disability who is eligible for or receiving compensation, disability retirement, or pension under public laws administered by the U.S. Department of Veterans Affairs and the Department of Defense. If checked, the percentage of disability is (specify below)
  • Percentage of disability:  
    • %
  • Provide copy of DD-214 or equivalent from the VA showing military status, dates of service, discharge type; and copy of document from the DD, or VA certifying the veteran has a compensable service connected disability.
(2)   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, or forcibly detained by a foreign power.
  • Spouses of Disabled Veterans provide copy of spouse's DD-214 or equivalent from the VA showing military status, dates of service, discharge type; copy of document from the DD, or VA certifying the veteran is totally and permanently disabled; and copy of marriage certificate along with proof that the veteran cannot qualify for employment because of service connected disability.
(3)   A veteran of any war who has served on active duty for one day or more during a wartime period, excluding active duty for training, and who was discharged under honorable conditions from the Armed Forces of the United States of America. Any Armed Forces Expeditionary Medal, as well as the Global War on Terrorism Expeditionary Medal are qualifying for Veterans' Preference. A veteran who served honorably but who has not met the criteria for the award of a campaign or expeditionary medal for service in Operation Enduring Freedom or Operation Iraqi Freedom qualifies for preference in appointment, effective July 1, 2007.
  • Provide copy of DD-214 or equivalent from the VA showing military status, dates of service, discharge type.
(4)   The un-remarried widow or widower of a veteran who died of a service-connected disability.
  • Veteran's spouse must provide copy of spouse's DD-214 or equivalent from the VA certifying the service connected death of the veteran; copy of marriage certificate; and copy of the veteran's death certificate.
 
Wartime Eras - to determine veterans' preference based on wartime era service, these periods qualify:
 

Operation Iraqi Freedom - March 19, 2003 to a date to be determined.

Operation Enduring Freedom - October 7, 2001 to a date to be determined

Persian Gulf War - August 2, 1990 to January 2, 1992

Vietnam Era - February 28, 1961 to May 7, 1975

Korean Conflict - June 27, 1950 to January 31, 1955

World War II - December 7, 1941 to December 31, 1946
 
Veterans' Preference Form
(Page 2 of 2)
 
Complete the following information and sign below:
 
Applicant's Name (first, middle, last)    Soc. Security No.
Positions Applied For
Veteran's Name (first, middle, last)    Branch of Service:
Type of Discharge:     Date of Discharge:     Is the veteran retired?  
Does the veteran have a compensable service connected disability?      Percent of disability %
Type of Documentation Submitted
 
Important Notice:
 
Chapter 295, Florida Statutes, sets forth certain requirements for public employers to accord preferences, in appointment, retention, and promotion, to certain veterans and spouses of veterans who are Florida residents.   Preference in appointment and employment shall be given by the state and its political subdivisions, first to those persons included in categories 1 and 2 and second to those persons included under categories 3 and 4 (as shown on page one of this form). Preference in appointment and employment requires that a preferred applicant be given special consideration at each step of the employment selection process, but does not require the employment of a preferred applicant over a non-preferred applicant who is the most qualified for the position.
 
An applicant who is eligible for veterans' preference who believes he or she was not afforded employment preference in accordance with Florida law may file a complaint with: Florida Department of Veterans' Affairs (FDVA) 11351 Ulmerton Road, Suite 311-K, Largo, FL   33778-1630, telephone (727) 518-3202, ex. 548, requesting an investigation. When the applicant has received notice of a hiring decision from a covered employer, the complaint shall be filed within 21 calendar days from the date that the notice is received by the applicant. When the applicant has not received notice of a hiring decision within two calendar months of the receipt of the application by the employer, the applicant shall contact the employer to determine if the position has been filled by the appointment of a non-preferred applicant. After having determined from information supplied by the employer that the position has been filled by the appointment of a non-preferred applicant, the preferred applicant may file a complaint within three calendar months of the date the application was received by the employer. If the position has not been filled, the time period for filing a complaint is extended to provide the preferred applicant one calendar month after having determined that the position has been filled. It is the responsibility of the preferred applicant to maintain contact with the employer to determine if a position has been filled.
 
Chapter 98-33, s. 2, Laws of Fla., exempts from the law positions that are exempt from the state career service system under Section 110.205 (2), Florida Statutes. The 2001 session of the Florida Legislature enacted a significant change to the law concerning exempt positions for veteran's preference at the political subdivision level effective July 1, 2001.  Chapter 2001-273, Laws of Florida, eliminates the exemption for some of the previously exempted positions.  As of the effective date of the law, city managers, county managers, and management and policymaking positions of political subdivisions of the state are now eligible for preference in appointment and retention as provided in s. 295.07(1).
 
Signature of Applicant (required):  ** when submitting this form on-line your signature is implied **
 
I, the undersigned, acknowledge that I have read and understand the rights expressed in the foregoing notice (type your name below).
Signature: Date:
Instructions:
1. Input your information on this form.
2. Click the Continue Process button.
3. Follow the Additional Instructions.