The California Department of Human Resources (CALHR) Form 1093 plays a crucial role in the employment process for veterans seeking to enter California's state civil service. Designed to honor the service and sacrifice of U.S. military veterans, this form enables qualifying veterans, and in certain cases their spouses or widows/widowers, to receive Veterans’ Preference in state civil service examinations. This preferential treatment can significantly impact the placement on eligible lists, potentially leading to employment opportunities within the state government. Adapted to the needs of veterans with or without service-connected disabilities, the Form 1093 mandates the submission of detailed personal information, military service background, and, if applicable, documentation pertaining to a service-incurred disability. As of January 1, 2014, changes in legislation have shifted Veterans’ Preference from a points-based system to a rank placement, ensuring that all qualifying veterans who pass the examination secure a spot at the top of the eligibility list, irrespective of their scores. To leverage this benefit, applicants must provide conclusive proof of their service and disability status, if applicable, through official discharge documents and records from the United States Veterans Administration. Moreover, the form accommodates those un-remarried surviving spouses and spouses of 100 percent disabled veterans, recognizing their unique circumstances and extending preference eligibility under specific conditions. This comprehensive approach underscores California's commitment to facilitating veterans' transition into civil service roles, aligning with broader efforts to integrate these individuals into the workforce and acknowledge their contributions to the country.
| Question | Answer |
|---|---|
| Form Name | Calhr 1093 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | BIRTHDATE, YYYY, spb 1093, CALIFORNIA |
CALIFORNIA DEPARTMENT OF HUMAN RESOURCES (CALHR)
APPLICATION FOR VETERANS’ PREFERENCE FOR
CALIFORNIA STATE CIVIL SERVICE EXAMINATIONS
CALHR – 1093 (01/14)
READ THE INSTRUCTIONS ON THE SECOND PAGE
BEFORE MAILING.
BIRTHDATE (MM/DD/YYYY): |
SOCIAL SECURITY NUMBER: |
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PLEASE PRINT OR TYPE: |
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1.FULL NAME OF VETERAN OR SPOUSE
Last |
First |
MI |
2.ADDRESS
Street |
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Apt # |
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City |
State |
Zip |
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3.PHONE NUMBER
CALHR USE ONLY
ACTION TAKEN:
APPROVED DATE:
WIDOW OR WIDOWER:
NOTES:
Preferred
Secondary
4.PERIOD OF QUALIFYING SERVICE:
ENTERED SERVICE
DatePlace
BRANCH OF SERVICE:
SEPARATED FROM SERVICE
Date |
Place |
Character of Service |
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I CERTIFY THAT I am eligible for Veterans’ Preference and that the statements on this application are true. I agree and understand that any misrepresentation of material facts herein may cause forfeiture of all rights to any employment in the service of the State of California.
SIGNATURE:
DATE (MM/DD/YYYY):
DISABILITY PREFERENCE (If disabled as a result of service, complete items
5. |
Percentage of disability as stated in most recent award letter: |
% |
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6. |
Claim number used by the U.S. Veterans Administration: |
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7. |
U.S. Veterans Administration Regional Office where your disability claim is now filed: |
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CITY |
STATE |
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8. FULL NAME OF VETERAN (FIRST MIDDLE LAST):
9.DATE OF BIRTH (MM/DD/YYYY):
10.I hereby authorize the U.S. Veterans Administration to release a statement of my
SIGNATURE:
DATE (MM/DD/YYYY):
11.ATTACH A LEGIBLE COPY OF VETERAN’S DISCHARGE (DD214) OR OTHER OFFICIAL DISCHARGE DOCUMENTS, SHOWING YOUR ENLISTMENT AND DISCHARGE DATES, BRANCH OF SERVICE, NET ACTIVE SERVICE, SOCIAL SECURITY NUMBER, BIRTHDATE, AND CHARACTER OF SERVICE (E.G., HONORABLE).
FOR EXAMINATIONS GIVEN BY THE CALIFORNIA DEPARTMENT OF HUMAN RESOURCES ONLY: To apply Veterans’
Preference to the employment list you are currently on, you must provide the following information:
CLASS TITLE (must be the exact/complete class title):
SPOT (if a spot list):
DATE OF ELIGIBILITY:
CALIFORNIA DEPARTMENT OF HUMAN RESOURCES (CALHR)
APPLICATION FOR VETERANS’ PREFERENCE FOR
CALIFORNIA STATE CIVIL SERVICE EXAMINATIONS
CALHR – 1093 (01/14)
ELIGIBILITY REQUIREMENTS
Competitors in State civil service open* and open,
(1)Have never achieved permanent civil service status; AND
(2)Have served in the U.S. Armed Forces as defined in Government Code Section 18540; AND
(3)Qualify as veterans,
are entitled to have Veterans’ Preference (VP) applied to their list placement as described below, provided that they achieve a passing score in the overall examination.
*Any member of the armed forces who takes an open entrance examination while still on active duty and achieves a place on an eligible list may have Veterans’ Preference applied if qualification for such preference is active within twelve (12) months of eligibility being established.
OPEN AND OPEN,
Effective January 1, 2014, Veterans’ Preference will be awarded to qualifying Veterans who are successful in the examination in the form of Rank placement rather than points. All individuals awarded Veterans’ Preference will be certified in Rank 1 of the eligibility list, regardless of score. All open exams/eligible lists will award Veterans’ Preference, regardless of the classification.
“Veteran” means any person who has served
“Disabled veteran” means any veteran as defined above who is currently declared by the United States Veterans Administration to be 10 percent or more disabled as a result of his or her service; and “100 percent disabled veteran” means any veteran as defined above who is currently declared by the United States Veterans Administration to be 100 percent disabled as a result of his or her service. Proof of disability shall be deemed conclusive if it is of record with the United States Veterans Administration.
Individuals who received VP are not eligible for Career Credits pursuant to Sections 18950.1, 18951, and 18951.5.
“Permanent civil service status” is the status of an employee who is lawfully retained in his or her position after completion of the applicable probationary period. This includes permanent intermittent,
The bulletin for an examination states whether or not Veterans’ Preference will be awarded.
Instructions:
1.You must include a legible copy of your discharge (DD214), or other official discharge documents, showing your enlistment and discharge dates, net active service, branch of service, Social Security Number, birthdate, and your Character of Service (e.g., Honorable).
2.If you have a current,
3.If you are the
4.If you are the spouse of a 100 percent disabled veteran, please submit copies of your marriage certificate, spouse’s discharge papers, and a document provided by the United States Veterans Administration substantiating the 100 percent disablement.
5.Mail this form, copy of discharge papers, and other documents to:
California Department of Human Resources
Attn: Exam Services
1515 “S” St., North Building, Suite 400
Sacramento, CA 95811
How Veterans’ Preference is applied to your examination
Effective January 1, 2014, Veterans’ Preference will be awarded to qualifying Veterans who are successful in the examination in the form of Rank placement rather than points. All individuals awarded Veterans’ Preference will be certified in Rank 1 of the eligibility list, regardless of score. All open exams/eligible lists will award Veterans’ Preference, regardless of the classification. If you are currently competing in a State civil service examination which allows Veterans’ Preference, you will automatically be added to the top rank if your eligibility is approved before the eligible list is processed. If you are currently on a State civil service employment list which allows Veterans’ Preference, you must provide a copy of your approval letter to the testing office that administered your examination.
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