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03/07/13
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03/07/13
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Name: <br />CITY OF RAMSEY <br />ELECTION OF VETERAN'S PREFERENCE <br />Do you wish to claim veteran's preference? n Yes n No <br />Veterans preference application <br />Application for veteran's preference points <br />Eligibility: <br />Preference points are awarded to qualified veterans and spouses of deceased or disabled veterans to add to <br />their training and experience examination results. Points are awarded subject to the provisions of <br />Minnesota Statutes 43A.11. To be eligible for veterans preference points, you must: <br />1. Be separated under honorable conditions from any branch of the armed forces of the United States after <br />having served on active duty for 181 consecutive days or by reason of disability incurred while serving <br />on active duty, and be a citizen of the United States or resident alien; or be the surviving spouse of a <br />deceased veteran (as defined above) or the spouse of a disabled veteran who because of the disability is <br />not able to qualify; AND <br />2. NOT be currently receiving or eligible to receive a monthly veteran's pension based exclusively on <br />length of military service. <br />The information you provide on this form will be used to determine your eligibility for veteran's <br />preference points. You are not required to supply this information, but we cannot award veteran's points <br />without it. <br />Instructions: <br />You must supply a copy of your DD214. Disabled veterans must also supply Form FL -802 or an <br />equivalent letter from a service retirement board. Spouses applying for preference points must supply <br />their marriage certificate, the Veteran's DD214 and FL -802 or death certificate. <br />Veteran: n Self n Spouse If spouse, veteran's name <br />Branch of service: Dates of Active Duty: from to <br />Rank at discharge: Type of Discharge: <br />Date of final discharge: Service number: <br />Are you receiving or eligible for a military pension? Yes ❑ No ❑ <br />Do you have a compensable service- related disability? Yes ❑ No ❑ <br />Type of preference requested: n Veteran n Disabled Veteran <br />n Spouse of veteran n Spouse of disabled veteran <br />Signature Date <br />Please return this form with your application. <br />
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