Veterans Preference Claim Form - Walton County School District printable pdf download

VETERAN’S PREFERENCE CLAIM FORM

WALTON COUNTY SCHOOL DISTRICT

Human Resources Department, 145 Park Street, DeFuniak Springs, FL 32435

Phone: 850-892-1100

Fax: 850-892-1190

Complete this form ONLY if you are claiming Veterans Preference.

Applicants claiming Veterans Preference must complete this form. If you have additional questions

regarding the application process, contact the Human Resources Department at 850-892-1100.

Florida Statute 1.01(14) defines the term Veteran as one who has served in the active military and who is

discharged under honorable conditions only, or who later received an upgraded discharge under

honorable conditions notwithstanding any action by the Department of Veterans Affairs on individuals

discharged or released with other than honorable discharges.

Please check the appropriate statement as it applies to you:

* 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, or

*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, or

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, or

*The un-remarried widow or widower of a veteran who died of a service-connected disability.

Any Armed Forces Expeditionary Medal received by a qualified applicant provides qualifying

service for Veterans Preference.

*A statement of disability certification from the Department of Veterans Affairs must be submitted at time of application

Yes

I am claiming Veterans Preference (Attach DD214 form)

Yes

Are you a resident of the state of Florida?

(

Veterans Preference is only available to Florida residents.)

Date of Entry: _____________________________

Date of Discharge:______________________________

Branch of Service:_________________________

Social Security #:_______________________________

Signature:__________________________________________

Date: ___________________________

If an applicant claiming Veterans Preference for a vacant position is not selected, he/she may file a complaint wi th the Florida Department

of Veterans Affairs, Division of Benefits and Assistance, PO Box 31003, St. Petersburg, FL 33731. A complaint must be filed within 21 days of

the applicant receiving notice of the hiring decision made by the employing agency or within three months of the date application is filed

with the employer if no notice is given.

The Walton County School Board complies with State Statutes on Veterans Preference and Federal Statutes on non-discrimination

on the basis of race, color, gender, religion, national origin, age, marital status, sexual orientation, disability, or handicap.

Veterans Preference Claim Form - Walton County School District