U.S. Department of Labor
Veterans' Employment and Training Service
www.dol.gov/vets
OMB NO. 1293-0002 (EXP 07/31/2010)
VETS 1010 Form On-line Submission
VETS/USERRA/VP Form 1010 (REV 2/99)
Before you login below to submit a USERRA or Veterans' Preference claim to VETS, please be sure you are familiar with the laws and procedures that apply to these types of claims. If you need more information about USERRA or Veterans' Preference before submitting your claim, please go to the VETS "elaws" sites: the
USERRA Advisor
and/or the
Veterans' Preference Advisor
. An asterisk (*) indicates a required field in the page.
Registration
Please register here in the VETS 1010 Form On-line Submission system. You should also keep a copy of what you enter here for future reference. If you forget your User ID or password before you finish submitting your claim, the other information that you give below will be needed in order to log back into the system.
Last Name:
*
First Name:
*
Service Branch:
Please Select ...
Air National Guard
Army National Guard
Army Reserve
Air Force Reserve
Naval Reserve
Marine Corps Reserve
Coast Guard Reserve
Army
Air Force
Navy
Marine Corps
Coast Guard
Public Health Service
Other (Explain in "Comments")
*
City Where your Were Born:
*
Mother's Maiden Name:
*
It is highly recommended that you enter a valid e-mail address here, because if you forget your User ID before submitting your claim, the only way we can return your User ID to you is by email. Without your User ID, you would not be able to finish submitting a claim you had already started, and you would have to re-register with a different User ID and re-enter all your information to submit that claim.
E-mail Address:
Create your own User ID:
*
Create your own password, which should be a 'strong password', meaning that it will be case sensitive and must be at least 6 characters. At least 1 character must be a number and at least 1 character must be a special character like any of these: @!#$%~(){}*
Create your own Password:
*
Confirm your Password:
*