INSTRUCTIONS FOR USERRA CLAIMS
VETS/USERRA/VP FORM 1010
You may submit Form 1010 in either of two ways:
- 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.
- 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
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.
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