State of Michigan Civil Service Commission registration for veterans’ preference




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CS-1791

REV 2/2011



State of Michigan

Civil Service Commission

REGISTRATION FOR VETERANS’ PREFERENCE

Applicant Assessment

P. O. Box 30002, Lansing, Michigan 48909

Print Name (First, Middle Initial, Last)

     


Applicant ID No. (If known)

     


Street Address

     


City

     


State

     


Zip Code + Four

     


Area Code/Telephone Number

(     )     -     



Email Address

     


Civil Service Rule 3-8, Veterans’ Preference, states that a veteran or spouse who possesses the minimum qualifications for the classification may be eligible for preference in consideration during the selection process for hire into the classified service. In order to receive veterans’ preference, registration with Michigan Civil Service is required. Once registered, in order to compete for State of Michigan vacancies, you must go to the Civil Service vacancy postings webpage and apply as instructed for any given vacancy. Note: An applicant who is granted a preference is not guaranteed an appointment.

An eligible veteran is a person who (1) has 90 or more calendar days of active duty service in the Armed Forces of the United States and (2) was honorably discharged from active duty in the Armed Forces for the United States. Official military forms must be from the United States Department of Veterans’ Affairs (DVA) and/or Department of Defense (DOD).

You must meet one of the following in order to be provided with the veterans’ preference. Please mark as appropriate, and provide the noted documentation.

 I am applying as an eligible veteran who has been released from active military duty. I have attached a photocopy of the DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form.

 I am applying as an eligible, disabled veteran who has been released from active military duty AND has been determined to be eligible for disability compensation by the DVA, DOD, or a branch of Armed Forces of the United States as the result of a service-connected disability. I have attached a photocopy of the (1) DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form, and (2) documentation from the DVA or DOD of the current disability compensation or disability retirement pay.

 I am applying as a spouse of an eligible disabled veteran with greater than 50 percent service-connected disability who was released from active military duty. I have attached a photocopy of the (1) DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form, (2) documentation from the DVA or DOD of current disability compensation or disability retirement pay, and (3) marriage certificate.

 I am applying as an eligible surviving spouse of a veteran who was released from active military duty. I have attached a photocopy of the (1) DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form, (2) marriage certificate, and (3) spouse’s death certificate.

 I am applying as an eligible surviving spouse of a veteran who was released from active military duty and has a child less than 18 years of age. I have attached a photocopy of the (1) DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form, (2) marriage certificate, (3) spouse’s death certificate, and (4) children’s birth/adoption certificate(s) or proof of legal guardianship.

 I am applying as an eligible surviving spouse of a veteran who was released from active military duty and has continuing parental care of a disabled child. I have attached a photocopy of the (1) DD Form-214-Member 4 Copy, NGB-22 Individual Copy 2, or equivalent DVA form, (2) marriage certificate, (3) spouse’s death certificate, (4) child’s birth/adoption certificate or proof of legal guardianship, and (5) documentation of the child’s disability.

Submit this form and the required documents to:

Civil Service Commission/ Applicant Assessment Section

P O Box 30002/400 South Pine Street

Lansing, Michigan 48909

(517) 241-5051-Fax



Email: MCSC-BHRS@michigan.gov

Signature

Date


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