Veterans' Preference Eligibility Form printable pdf download

VETERANS’ PREFERENCE ELIGIBILITY FORM

(To be completed by applicants for covered positions who self-identify as preference eligible)

PERSON APPLYING FOR PREFERENCE

1. Name (Last, First, Middle)

2. Position for which you are applying at CBO

3. Home address (Street Number, City, State and ZIP Code)

4. Date application submitted to CBO

VETERAN INFORMATION (to be provided by person applying for preference)

5. Veteran’s name (Last, First, Middle) exactly as it appears on Service Records

6. Veteran’s periods of service:

Branch of Service

From

The Veterans Employment Opportunities Act of 1998 (VEOA), as made applicable by the Congressional Accountability Act of 1995, as amended (CAA),

authorizes the collection of this information. Individuals who are entitled to a veterans’ preference are invited to voluntarily self-identify. Any information

or documentation submitted by an applicant are solely for use in connection with the obligations and efforts of the Congressional Budget Office (CBO) to

provide veterans’ preference to preference-eligible applicants in accordance with the VEOA. Any information that CBO obtains regarding an applicant’s

status as a disabled veteran and any information regarding an applicant’s disability, including his/her medical condition and history, will be kept

confidential and will be collected, maintained and used in accordance with the Americans with Disabilities Act of 1990. An applicant who declines to self-

identify as a disabled veteran and/or provide information and documentation regarding his/her disabled veteran’s status will not be considered for

veterans’ preference. Applicants may obtain a copy of CBO’s veterans’ preference policy by submitting a written request to careers@cbo.gov.

TYPE OF VETERANS’ PREFERENCE CLAIMED

Instructions: Check the block which indicates the type of preference you are claiming. Answer all questions associated with that block. The

Documentation Required column refers you to page 3 of this form for the documents you must submit to support your application. (Please Note:

Eligibility for veterans’ preference is governed by 5. U.S.C. § 2108, 2108a, and applicable regulations. All conditions are not fully described on this form

because of space restrictions. You should submit this form and supporting documents by email to

VEOA@cbo.gov

or by fax at (202) 225-7539 within

two weeks of submitting your application or by the closing date of the vacancy.

Documentation

Required

(See pages 3 and 4)

Veteran’s Claim for Preference based on non-

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compensable or compensable, service-connected disability;

award of the Purple Heart; or receipt of disability retirement

A and B