Fillable VETERANS PREFERENCE CERTIFICATION Section 295.07(1), Florida Statutes, provides (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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VETERANS PREFERENCE CERTIFICATION Section 295.07(1), Florida Statutes, provides (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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VETERANS’ PREFERENCE CERTIFICATION
Date: __________________ Name: _______________________________________________
Section 295.07(1), Florida Statutes, provides for Veterans’ Preference in employment appointment and retention, if
qualified under one of the following categories, and not exempt under Section 295.07(4), Florida Statutes. Section
295.09, Florida Statutes, also provides Veterans’ Preference for reinstatement, reemployment, and promotion. If you
seek Veterans’ Preference, please “check” the appropriate box, and provide this form and documentation of your
status with your employment application, no later than the position advertisement closing date.
I certify that I am qualified to claim Veterans’ Preference under the category checked below:
(a) A disabled veteran:
1. Who has served on active duty in any branch of the United States Armed Forces, has received an
honorable discharge, and has established the present existence of a service-connected disability that is
compensable under public laws administered by the United States Department of Veterans Affairs; or
2. Who is receiving compensation, disability retirement benefits, or pension pursuant to public laws
administered by the United States Department of Veterans Affairs and the United States Department of
Defense.
(b) The spouse of a person who has a total disability, permanent in nature, resulting from a service-connected
disability and who, because of this disability, cannot qualify for employment, and the spouse of a person missing
in action, captured in line of duty by a hostile force, or forcibly detained or interned in line of duty by a foreign
government or power.
(c) A wartime veteran as defined in s. 1.01(14), who has served at least 1 day during a wartime period. I
acknowledge that active duty for training may not be allowed for eligibility under this paragraph.
(d) The unremarried widow or widower of a veteran who died of a service-connected disability.
(e) The mother, father, legal guardian, or unremarried widow or widower of a member of the United States
Armed Forces who died in the line of duty under combat-related conditions, as verified by the United States
Department of Defense.
(f) A veteran as defined in s. 1.01(14), F.S. I acknowledge that active duty for training may not be allowed for
eligibility under this paragraph.
(g) A current member of any reserve component of the United States Armed Forces or the Florida National
Guard. If so, please attach FDVA form VP2, signed by your immediate military supervisor, to document
your status.
Please submit this certification with your application, or as soon as possible, prior to the date that the position
advertisement closes. In order to receive Veterans’ Preference and to complete your application, this form and
documentation to prove your status must be returned to the Human Resources (“HR”) office in accordance
with Rule 55A-7.013, Florida Administrative Code. Please contact HR at careers@mypalmbeachclerk.com , if you
have any questions.
This statement is true to the best of my knowledge and belief.
By________________________________________
_________________________________________
Printed Name
Veterans’ Preference Certification, FDVA form VP-1, effective date: June/2021, incorporated in rule 55A-7.013, FAC
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VETERANS PREFERENCE CERTIFICATION Section 295.07(1), Florida Statutes, provides (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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