Instructions For Completing And Submitting The State Of Connecticut Application For Examination Or Employment (Form Ct-Hr-12) (Fillible) Page 9

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PAGE EIGHT
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Last Name
First Name
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SECTION 8: VETERAN’S PREFERENCE
Examination Title or Position Title
Any veteran who served in the armed forces of the United States (i.e., United States Army, Navy, Marine Corps, Coast
Guard and Air Force) during time of war and was honorably discharged from, or released under honorable conditions from
active service may be eligible for Veterans’ credit.
Service in a time of war is defined by CGS 27-103(a) and includes
service in World War 2, the Korean Conflict, the Vietnam era (2/28/61 to 7/1/75), the Persian Gulf war and any other war
declared by Congress, as well as service while engaged in combat or a combat support role in Lebanon from 7/1/58 to
11/1/58 and 9/29/82-3/30/84, Grenada from 10/25/83 to 12/15/83, Operation Earnest Will from 7/24/87 to 8/1/90 and
Panama from 12/10/89 to 1/31/90.
If you are claiming Veteran’s Preference points check one of the options below.
If you are not claiming Veteran’s Preference points go on to Section 9.
Do you claim Veteran’s Preference (5 points)?
__
A. As a veteran (as defined above) who is not eligible for disability compensation or pension from the United
States through the Veterans’ Administration. (Documents: 1)
__
B. As a spouse of such veteran who is not eligible for disability compensation or pension from the United
States through the Veterans’ Administration and, who by reason of such veterans’ disability is unable to
pursue gainful employment. (Documents: 2, 3 and 4)
__
C. As an unmarried surviving spouse of such veteran who is not eligible for disability compensation or
pension from the United States through the Veterans’ Administration. (Documents: 2, 3, 5, 6)
You may also be eligible for Veteran’s Preference (5 points), if:
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A. You have been honorably discharged or released under honorable conditions from active service in the
armed forces of the United States and have served in a military action for which you received or were
entitled to receive a campaign badge or expeditionary medal. (Documents: 1)
Disabled Veteran’s Preference (10 points)?
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A.
As a disabled veteran (as defined above) who is eligible for disability compensation or pension from the
United States through the Veterans’ Administration. (Documents: 1, 7)
__
B.
As a spouse of a disabled veteran who is eligible for disability compensation or pension from the United
States through the Veterans’ Administration, and who is unable to pursue gainful employment due to the
veteran’s disability. (Documents: 2, 3, 4, 7)
__
C.
As an unmarried surviving spouse of a disabled veteran who is eligible for disability compensation or
pension from the United States through the Veterans’ Administration. (Documents: 2, 5, 6, 8)
Documentation Required. Please refer to the “Documentation Required” listed after each category above to
determine the specific documentation you are required to submit in order to be eligible to receive Veteran’s
preference points if you pass an open competitive examination.
1. DD214 – Member-4 copy for self showing: honorable discharge or release under honorable conditions from
active service in the armed forces, dates of entry into and separation of service, and campaign badge or
expeditionary medal earned (if applicable).
2. DD214 – Member-4 copy for spouse showing honorable discharge or release under honorable conditions
from active service in the armed forces, dates of entry into and separation of service.
3. M arriage Certificate.
4. Statement from spouse’s physician certifying that s/he is unable to pursue gainful employment because of
disability.
5. Death certificate for spouse or official notice of his/her death if it occurred in the line of duty.
6. Statements from two disinterested persons that widow/widower has not remarried.
7. Statement from Veterans’ Administration dated within the past six months certifying that the veteran is
currently eligible for compensation or pension benefits.
8. Statement from Veterans’ Administration certifying that the veteran was eligible to receive disability
compensation or pension benefits at the time of his/her death.
Check one if you are claiming Veteran’s Preference:
___ Proof (required documents) previously submitted
___ Proof attached to this application
Note: Veteran’s points are only added after a candidate passes an open competitive examination. (C.G.S. 5-224)

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