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

Enter the applicant's street number and street name (and apartment or unit number if applicable).

Enter the applicant's city, two-letter state abbreviation, and ZIP code for the home address.

Enter the applicant's full name in the order Last name, First name, and Middle name (include suffixes if any).

Enter the applicant's nine-digit Social Security Number (provide all digits, e.g., 123-45-6789).

Enter the date the civil service/postal service exam was held or the date the resume was submitted for the position.

Check this box when the appointing officer (or authorized official) has reviewed the applicant’s documentation and verified that the applicant is entitled to the 10‑point veteran preference.

Enter the name of the agency or office that verified the applicant's 10-point preference entitlement.

Enter the full signature and official job title of the appointing officer who is verifying the applicant's preference entitlement.

Enter the date on which the appointing officer signed to confirm verification of the preference entitlement.

Enter the handwritten or typed name/signature of the person claiming 10‑point preference to certify the statement above.

Enter the date when the claimant signed this form (month, day, and year).

Enter the claimant’s job title or printed name as applicable to identify who signed the certification.

Enter the veteran’s job title and grade for the position most recently held or currently held in Federal or D.C. government employment. Fill only if 'Item 5 — Has the veteran been employed by the Federal Civil Service or D.C. Government? — Yes' is 'Yes'.

Enter the date the veteran’s employment began for this listed position. Fill only if 'Item 5 — Has the veteran been employed by the Federal Civil Service or D.C. Government? — Yes' is 'Yes'.

Enter the date the veteran’s employment ended for this listed position, or indicate that the employment is ongoing. Fill only if 'Item 5 — Has the veteran been employed by the Federal Civil Service or D.C. Government? — Yes' is 'Yes'.

Check this box if the veteran has been or is currently employed by the federal civil service or the District of Columbia government.

Check this box if the veteran has never been employed by the federal civil service or the District of Columbia government.

Provide the full name and mailing address of the Federal or D.C. government agency where the veteran worked or is working. Fill only if 'Item 5 — Has the veteran been employed by the Federal Civil Service or D.C. Government? — Yes' is 'Yes'.

Provide any additional information about the veteran’s Federal or D.C. government employment such as clarifying remarks, position history, reasons for separation, or other relevant details. Fill only if 'Item 5 — Has the veteran been employed by the Federal Civil Service or D.C. Government? — Yes' is 'Yes'.

Enter the page number or small footer identifier that appears at the bottom of the form (e.g., '1').

Enter the form control or tracking identifier assigned by the agency (e.g., a tracking number, control code, or internal reference) used to identify this application.

Check this box to claim 10‑point preference as the natural mother of a service‑connected permanently and totally disabled veteran, or of a deceased veteran, when you meet the eligibility criteria described in Item 14.

Check this box if you are presently married to the veteran. Fill only if 'Item 14 - Preference for (Natural) Mother' is 'Yes'.

Check this box if you are not presently married to the veteran. Fill only if 'Item 14 - Preference for (Natural) Mother' is 'Yes'.

Check this box if you are separated from the veteran (legally separated or living apart as described in the form). Fill only if 'Item 14 - Preference for (Natural) Mother' is 'Yes'.

Check this box if you are not separated from the veteran. Fill only if 'Item 14 - Preference for (Natural) Mother' is 'Yes'.

Check this box if you are currently married and your husband (the veteran's father or remarried husband) is totally and permanently disabled. Fill only if 'Item 14 - Preference for (Natural) Mother', 'Item 14.B - Are you separated? — No' is 'Yes' for all fields selection.

Check this box if you are currently married and your husband is not totally and permanently disabled. Fill only if 'Item 14 - Preference for (Natural) Mother', 'Item 14.B - Are you separated? — No' is 'Yes' for all fields selection.

Check this box if the veteran is deceased and died while in active service. Fill only if 'Item 14 - Preference for (Natural) Mother', 'Item 14.B - Are you separated? — No' is 'Yes' for all fields selection.

Check this box if the veteran is deceased but did not die while in active service. Fill only if 'Item 14 - Preference for (Natural) Mother', 'Item 14.B - Are you separated? — No' is 'Yes' for all fields selection.

Enter the name of the civil service or postal service exam (including announcement/identification number if known) you applied for, or the title of the position you currently occupy.

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

Check this box if the veteran is currently receiving a civil service (Federal) retirement pension.

Check this box if the veteran is not receiving a civil service (Federal) retirement pension.

Enter YES or NO to indicate whether the veteran has resigned from, been disqualified for, or separated from a position in the Federal civil service or D.C. Government because of a service‑connected disability; if additional details are required, include brief explanatory text. Fill only if 'Resigned/Disqualified/Separated Due to Disability — Yes' is 'Yes'.

Check this box if the veteran resigned from, was disqualified for, or was separated from a federal civil service or D.C. government position because of a service-connected disability.

Check this box if the veteran did not resign from, was not disqualified for, and was not separated from a federal civil service or D.C. government position due to a service-connected disability.

Check this box if you are currently married to the veteran (you are affirming that you are the veteran’s spouse for the Item 12 preference). Fill only if 'checkbox__a1a4' is 'Yes'.

Check this box if you are not currently married to the veteran (you are indicating you are not the veteran’s spouse for the Item 12 preference). Fill only if 'checkbox__a1a4' is 'Yes'.

Enter the code or short designation that identifies the veteran claim for 10-point preference being claimed (for example the number or text used on this form to indicate the specific preference type such as 1).

Check this box when you are claiming 10‑point veteran preference based on a non‑compensable service‑connected disability, award of the Purple Heart, or receipt of disability pension under laws administered by the VA (and will submit the required documentation A and B).

Enter the specific basis or brief description of the veteran's claim for preference (for example, eligibility or receipt of VA compensation or disability retirement) as requested in Item 11.

Check this box when you are claiming veteran preference under Item 11 because you are eligible for or are receiving compensation from the VA or disability retirement from a Service Department for a service‑connected disability.

Enter the first portion of the veteran's rated percent of service-connected disability as a numeric value to represent the percent before any additional digits. Fill only if 'Item 11 - Basis for Veteran Claim' is 'Yes'.

Enter the final digit(s) or supplementary portion of the veteran's rated percent of service-connected disability to complete the percent value shown. Fill only if 'Item 11 - Basis for Veteran Claim' is 'Yes'.

Enter 'Yes' or 'No' to indicate whether the veteran is currently employed.

Check this box if the veteran is currently employed or working at the time you complete this form.

Check this box if the veteran is not currently employed or working at the time you complete this form.

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

Enter the veteran's Social Security Number.

Enter the veteran's VA claim number if one has been assigned; leave blank if none.

Enter the veteran’s military occupation title or job specialty held at the time of separation from active duty.

Enter the veteran’s job title, trade, or main occupation held immediately before entering military service.

Enter the end date of the veteran's period of service shown for this entry.

Enter the veteran's military service number exactly as it appears on service records, including any letters or leading zeros.

Enter the veteran's military branch for this period of service (e.g., Army, Navy, Air Force, Marine Corps, Coast Guard).

Enter the start date of the veteran's period of service shown for this entry.

Enter whether the veteran is currently working by typing 'Yes' or 'No' to indicate current employment status. Fill only if 'Is the veteran currently working - Yes' is 'Yes'.

Provide the veteran's current job title or present occupation if the veteran is currently working.

Check this box if you were married to the veteran at the time of the veteran's death. Fill only if 'Item 13 - Preference for Widow or Widower' is 'Yes'.

Check this box if you were not married to the veteran at the time of the veteran's death. Fill only if 'Item 13 - Preference for Widow or Widower' is 'Yes'.

Check this box to claim preference as a widow or widower of a veteran under Item 13.

Check this box if you have remarried after the veteran's death (do not count annulled marriages). Fill only if 'Item 13 - Preference for Widow or Widower' is 'Yes'.

Check this box if you have not remarried since the veteran's death. Fill only if 'Item 13 - Preference for Widow or Widower' is 'Yes'.