Form SF-15, Application for 10-Point Veteran Preference Instructions

Check this box if you are claiming 10-point preference based on a non-compensable service-connected disability, a Purple Heart award, or receipt of a disability pension from the Department of Veterans Affairs (DVA).

Check this box if you are claiming 10-point preference based on a compensable service-connected disability of 10% or more as determined by the DVA, or disability retirement from a Military Service Department.

Check this box if you are claiming preference as the spouse of a living veteran who, due to a service-connected disability, is unable to qualify for a Federal Government job (or any other position).

Check this box if you are claiming preference as the widow or widower of a veteran.

Check this box if you are claiming preference as the mother of a veteran who is permanently and totally disabled due to a service-connected disability or who is deceased (subject to the marital conditions listed in this section).

Enter the street number and name of the applicant’s home address.

Enter the city, state, and ZIP code of the applicant’s home address.

Enter the applicant’s full name (last, first, and middle).

Enter the applicant’s home mailing address including street number, city, state, and ZIP code.

Enter an indication of “Yes” if the veteran has been (or is now) employed by the Federal civil service or the D.C. Government.

Enter an indication of “No” if the veteran has not been employed by the Federal civil service or the D.C. Government.

Enter the title and grade of the Federal civil service or D.C. Government position most recently, or currently, held by the veteran. Fill only if 'Federal/DC Government Employment - Yes' is 'Yes'.

Enter the name and address of the Federal or D.C. Government agency where the veteran was employed. Fill only if 'Federal/DC Government Employment - Yes' is 'Yes'.

Enter the date the veteran's Federal or D.C. Government employment began. Fill only if 'Federal/DC Government Employment - Yes' is 'Yes'.

Enter the date the veteran's Federal or D.C. Government employment ended. Fill only if 'Federal/DC Government Employment - Yes' is 'Yes'.

Press this button to print the completed form.

Press this button to save the completed form.

Press this button to clear all fields in the form.

Check this box if you are currently married to the veteran. Fill only if 'Spouse of living disabled veteran (veteran unable to qualify for job)' is 'Yes'.

Check this box if you are not currently married to the veteran (you are not eligible for this preference). Fill only if 'Spouse of living disabled veteran (veteran unable to qualify for job)' is 'Yes'.

Check this box if you are currently married (as the mother of the veteran applying under item 9). Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Check this box if you are not currently married (as the mother of the veteran applying under item 9). Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Check this box if you are separated from the veteran’s father. Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Check this box if you are not separated from the veteran’s father. Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Check this box if your husband is totally and permanently disabled. Fill only if 'Mother of disabled or deceased veteran', 'Are you separated? (No)' is 'Yes' and all is 'No'.

Check this box if your husband is not totally and permanently disabled. Fill only if 'Mother of disabled or deceased veteran', 'Are you separated? (No)' is 'Yes' and all is 'No'.

Check this box if the veteran died while on active duty. Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Check this box if the veteran did not die while on active duty. Fill only if 'Mother of disabled or deceased veteran' is 'Yes'.

Enter an indication that the veteran is receiving a civil service retirement pension.

Enter an indication that the veteran is not receiving a civil service retirement pension.

Enter the Civil Service annuity (CSA) number or Federal employee retirement annuity number, if the veteran receives a civil service retirement pension. Fill only if 'Receiving Civil Service Retirement Pension (Yes)' is 'Yes'.

Enter "Yes" to indicate the veteran resigned from, was disqualified from, or was separated from a Federal civil service or D.C. Government position because of a service-connected disability.

Enter "No" to indicate the veteran did not resign from, was not disqualified from, and was not separated from a Federal civil service or D.C. Government position because of a service-connected disability.

Enter a value to indicate the response is Yes, meaning the veteran is currently working.

Enter a value to indicate the response is No, meaning the veteran is not currently working.

Enter the veteran’s military job/occupation (e.g., MOS/rating or duty specialty) at the time of separation from service. Fill only if 'Veterans' preference for a living veteran's spouse based on the fact that the veteran, because of a service-connected disability, has been unable to qualify for a Federal Government job, or any other position' is 'Yes'.

Enter the veteran’s occupation (job title or type of work), if any, held before entering military service. Fill only if 'Veterans' preference for a living veteran's spouse based on the fact that the veteran, because of a service-connected disability, has been unable to qualify for a Federal Government job, or any other position' is 'Yes'.

Enter the veteran's current occupation (job title or type of work) if the veteran is currently working. Fill only if 'Veteran currently working — Yes' is 'Yes'.

Enter the veteran’s full name (last, first, middle) exactly as it appears on official service records.

Enter the branch of the U.S. military in which the veteran served.

Enter the date the veteran entered active duty for this period of service.

Enter the date the veteran was separated or released from active duty for this period of service, if applicable.

Check this box if you have ever remarried (do not count annulments). Fill only if 'Widow or widower of veteran' is 'Yes'.

Check this box if you have never remarried (do not count annulments). Fill only if 'Widow or widower of veteran' is 'Yes'.

Check this box if you were married to the veteran at the time of the veteran’s death. Fill only if 'Widow or widower of veteran' is 'Yes'.

Check this box if you were not married to the veteran at the time of the veteran’s death. Fill only if 'Widow or widower of veteran' is 'Yes'.