Voluntary Self-Identification of Protected Veteran Status
Assurance of Confidentiality
The voluntary information collected for this form will be treated confidentially.
Protected veterans may have additional rights under USERRA - the Uniformed Services Employment and Reemployment Rights Act, In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service.For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.
If you believe you belong to any of the categories of protected veterans listed, please indicate by checking the appropriate box below.
Please check all that apply.
Disabled Veteran - 1) a veteran of the U.S. military, ground, naval, or air service who is entitle to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans' Affairs;, or 2) a person who was discharged or released from active duty because of a service connected disability.
Recently Separated Veteran - a veteran during the three-year period beginning on the date of such Veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
Active Duty Wartime or Campaign badge Veteran - a veteran who served on active duty in the U.S. military, ground, navel, or air service during a time of war or in a campaign or expedition for which a campaign badge has been authorized under the laws of the administered by the Department of Defense.
Armed Forces Service Metal Veteran - a veteran who, while serving on active duty in the U.S. military, ground, navel, or air service, participated in a U.S. military operation for which an Armed Forces service metal was awarded pursuant to Executive Order 12985.
I do not identify as a protected veteran as outlined in the options above.
I wish not to disclose this information at this time.