Form Dtf-75 - Employee Af Davit For The Hire A Veteran Credit (Page 2 of 2) in pdf

Page 2 of 2 DTF-75 (1/14)

Instructions

General information

Time of war, for purposes of determining disabled veteran

status as defined in the New York State Civil Service

This affidavit, Form DTF-75, is completed by an employee

Law, includes the wars and hostilities participated in by

and given to the employer to certify that the employee is

the military forces of the United States for the following

a qualified veteran for the purpose of the Hire a Veteran

periods:

Credit. For more information about the credit, see

TSB-M-13(9)C, (8)I, Hire a Veteran Credit.

• Korean Conflict - June 27, 1950, through January 31,

1955;

Form DTF-75 must be completed and signed by the

• Vietnam Conflict - February 28, 1961, through May 7,

employee prior to or upon beginning employment.

1975;

The employee must also allow the employer to review

documentation verifying veteran status and proof of

• Hostilities in Lebanon - June 1, 1983, through

disability, if applicable, as specified in the affidavit.

December 1, 1987, as established by receipt of

the Armed Forces Expeditionary Medal, the Navy

Employers must keep the completed affidavits in their

Expeditionary Medal, or the Marine Corps Expeditionary

records and make them available to the Tax Department

Medal;

upon request.

• Hostilities in Grenada - October 23, 1983, through

November 21, 1983, as established by receipt of

Definitions

the Armed Forces Expeditionary Medal, the Navy

A disabled veteran is an individual who:

Expeditionary Medal, or the Marine Corps Expeditionary

• has been certified by the United States Department of

Medal;

Veterans Affairs or a military department as entitled to

• Hostilities in Panama - December 20, 1989, through

receive disability payments upon the certification by the

January 31, 1990, as established by receipt of

Department of Veterans Affairs or military department

the Armed Forces Expeditionary Medal, the Navy

for a disability incurred by the veteran in time of war and

Expeditionary Medal, or the Marine Corps Expeditionary

in existence at the time of hiring; and

Medal; and

• has a certificate from the Department of Veterans Affairs

• Persian Gulf Conflict - August 2, 1990, to the end of

stating that:

such hostilities. At the present time, no termination date

— he or she has been examined by a medical officer

has been established.

of the Department of Veterans Affairs within one

A veteran does not have to have served in an actual

year of the date of hiring, and at the time of the

combat zone during the specified periods set out above to

examination, the war-incurred disability described

meet the time of war requirement. In addition, if a veteran

in the certificate was found to exist and the

served his or her duty partly during a time of war and

disability is rated at 10% or more; or

partly during peacetime, the veteran meets the time of war

— a permanent stabilized condition of disability

requirement.

exists to an extent of 10% or more, whether or not

he or she has been examined by a medical officer

of the Department of Veterans Affairs within one

year of the date of hiring.

Acceptable documentation is a letter issued by the

Department of Veterans Affairs (VA) on VA letterhead or

bearing the Agency Stamp, with signature, certifying that

the veteran has a service-connected disability rated at

10% or more that was incurred in a time of war.

Form Dtf-75 - Employee Af Davit For The Hire A Veteran Credit Page 2

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