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November 6, 2008    DOL Home > elaws Advisors > Veterans' Preference Advisor
elaws - employment laws assistance for workers and small businesses - Veterans' Preference Advisor

INSTRUCTIONS FOR USERRA CLAIMS
VETS/USERRA/VP FORM 1010

You may submit Form 1010 in either of two ways:

  1. Submitting a signed hard copy of Form 1010. You may download Form 1010 to your computer, complete the items on the form that are relevant to your claim, print the form, sign and date the form, and mail to the VETS office nearest the location of the employer. The Form 1010 information you enter after download is not being saved or collected from this Internet site; instead, you must print out the completed form and mail it to VETS.
     
  2. Submitting Form 1010 electronically via the Internet. If you prefer to file Form 1010 electronically via the Internet instead of mailing a printed form, you can complete and submit the “On-line” version of Form 1010 at VETS 1010 Form On-line Submission website: https://vets1010.dol.gov/ .

By law, Veterans' Preference complaints must be received by VETS, in writing or via the VETS 1010 Form On-line Submission website, within 60 days of the date of the alleged veterans' preference violation or the complaint will be determined as "not timely", and closed without action.

Please read the Privacy Act statement and certification on page two of Form 1010 before signing and submitting the form.

Below are some brief instructions on filling out Form 1010. However, if questions arise that are not addressed here, please contact the nearest VETS office for assistance.

SPECIFIC INSTRUCTIONS

NOTE: These instructions are for persons filing Veterans' Preference claims only. If you are filing a USERRA complaint, please refer to the instructions in the USERRA Advisor.

Section I

  • Self-explanatory. Social Security number is optional, but desired.

Section II

  • Leave item 8 blank.

Section III

  • Leave item 15 blank.
  • If an item is not applicable, enter "not applicable" or "N/A."

Section IV

  • Leave item 19 blank. Item 19 is for USERRA complaints only.
  • If complaint concerns a reduction-in-force (RIF), leave item 22 blank.
  • Leave items 23 through 28 blank. Items 23 through 28 are for USERRA complaints only.

Comments

  • Self-explanatory.

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