Veterans' Preference In Employment - Eligibility Form Page 2

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(5 Points) A Veteran as defined in section 1.01 (14) Florida Statutes. Who served in the active military,
naval, or air service and who was discharged or released therefrom under honorable
conditions only or who later received an upgraded discharge under honorable
conditions.
Provide DD-214 Form or equivalent from the DD or DVA showing military status, dates of service and discharge type.
(5 Points) A current member of any reserve component of the United States Armed Forces or the Florida
National Guard.
Provide Statement of Service or equivalent signed by or at the direction of the adjutant, personnel officer or
commander of reserve/guard unit stating the dates of military service/current military service.
I certify that all information provided is true, complete and correct to the best of my knowledge and is
made in good faith. I acknowledge that the City of Pinellas Park has provided me with a copy of the
Notice to Applicants Eligible for Veterans’ Preference.
______________________________________________
____________________
Signature
Date
Page 2 of 3
Rev. 11.2014

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