This form collects your personal information, military service record, and supporting documentation to process your veterans' preference claim. Use the steps below to complete the form accurately.
Step 1: Gather Your Documents
Before filling out the form, collect the following items:
- Military discharge paperwork (DD-214 or equivalent)
- VA disability rating letter (required if claiming a disability preference)
- Social Security Number and current contact information
Step 2: Complete Your Personal Information
Enter your full legal name, current address, phone number, and Social Security Number. Spouses or widows applying on behalf of a veteran must also provide the veteran's name, branch of service, and discharge date.
Step 3: Enter Military Service Details
List your branch of service, active duty dates, and type of discharge. These details must match your DD-214 exactly. Veterans claiming a disability preference should include their VA disability percentage in the designated section.
Step 4: Sign and Mail the Completed Form
Sign the form and mail it with all required documents to the California Department of Human Resources. You may also need related state HR forms. See the CalHR 754 form, the CalHR 695 form, or the Military Power of Attorney form for authorized representatives.