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/ .

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

Section I

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

Section II

• Complete item 8 only if you are currently a member of the Reserve or National Guard.
• For item 9, enter only the dates of service that are directly related to this USERRA complaint. If the complaint is not related to a specific period of service, enter "not applicable" or "N/A."

Section III

• Self-explanatory. If an item is not applicable, enter "not applicable" or "N/A."

Section IV

• Leave item 18 blank. Item 18 is for Veterans' Preference complaints only.
• Items 20 through 28 will not all be applicable in every case. For example, if your claim involves reemployment following a period of military service, you may skip items 20 through 22. Similarly, if your complaint involves hiring discrimination, you may skip items 23 through 28.

Comments

• Self-explanatory.

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