EMPLOYMENT PREFERENCE ACTS
Name:
Position Applied for: Department:
If you are claiming preference under the Veterans' Public Employment Preference Act or the Persons with Disabilities
Public Employment Preference Act, complete the following. Providing the following information must be included with the
application in order to claim employment preference. Veteran’s Employment preference provides the addition of 5 percentage
points or 10 percentage points to the applicant’s score when a numerically scored selection procedure is used.
Job Service for details on veterans’ preference. Contact your local Montana Vocational Rehabilitation Services Office,
Department of Public Health and Human Services (PHHS) for details on obtaining persons with disabilities preference
certification.
1. To claim Veterans' Employment Preference you must be a U.S. Citizen and (check one of the boxes below):
A Veteran, if
1. You have been separated under honorable conditions, AND have served more than 180 consecutive days of active
federal military duty other than for training in the Army, Air Force, Navy, Marines, or Coast Guard or were a member of
the reserves who served on federal military duty during a period of war or in a campaign or expedition for which a
campaign badge is authorized.
2. You are or have been a member of the Montana Army or Air National Guard who has satisfactorily completed a
minimum of 6 years service in armed forces, the last 3 of which have been served in the Montana Army or Air National
Guard.
A Disabled Veteran, if
1. You have been separated under honorable conditions from military duty, AND
2. You have an established Armed Forces service-connected disability OR are receiving compensation, disability
retirement benefits, or pension from the U.S. Department of Veterans Affairs or military department, OR you have
received a Purple Heart.
The spouse of a disabled veteran if the veteran's disability prevents him/her from working
The unremarried surviving spouse of a veteran or disabled veteran.
The mother of a veteran, if
1. THE VETERAN died under honorable conditions while serving in the Armed Forces, OR THE VETERAN has a
service-connected, permanent, and total disability, AND
2. YOUR SPOUSE is totally and permanently disabled, OR YOU are the unremarried widow of the father of the veteran.
2. To claim Montana Persons with Disabilities Employment Preference you must be (check one of the boxes below):
A person with a disability certified by PHHS, OR
The spouse of a totally (100%) disabled person certified by PHHS AND have resided continuously in Montana for at
least 1 year immediately before applying for employment
3. If you claim Preference, documentation must be attached. Please check which attachments you have included:
DD-214 PHHS Disability Certification Other
SIGNATURE (typed): DATE SIGNED: (mm-dd-yy)