Veteran Preference Form printable pdf download

Housing And Community Services Agency of Lane County

EQUAL HOUSING

OPPORTUNITY

177 Day Island Road, Eugene, OR 97401-2484

(541) 682-3755 | Fax (541) 682-3411 | TTY (541) 682-3412

VETERAN PREFERENCE FORM

HACSA, must receive this completed form and the required documentation by

two business days after the closing date of job posting.

You may mail a copy of the documents to:

HACSA, 177 Day Island Road, Eugene, OR 97401 ATTN: Karla Ramsdal

or by FAX it to (541) 682-3411

541-682-2510

Under Oregon law, armed forces veterans may be eligible for preference in employment or

promotion. If you think you may qualify, please read the following checklist carefully. Check the

box(es) for each item as applicable to your specific situation. If you need assistance obtaining a

copy of your military records, contact Lane County Veteran Services (541) 682-4191

QUALIFIED VETERAN QUESTIONS: You may claim veteran preference if you check at least

one box below and provide proof of eligibility by submitting a copy of your

DD-214 or 215 (long form/Member Copy-4) that reflects your honorable separation status.

Preference will not be applied unless you submit the appropriate documentation by two

business days after the closing date.

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 178 consecutive days beginning on or after January 31, 1955 (or 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 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 Veteran 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 services in the

Armed Forces of the United States and I was discharged or released from active duty under

honorable conditions; or

I receive a non-service connected pension from the United States Department of

Veteran Affairs.

**Please note: "active duty" does not include attendance at a school under military orders, except

schooling incidental 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.

Veteran Preference Form