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The California SPB 1093 form is a crucial document for veterans seeking employment within the California state civil service system. Designed by the California Department of Human Resources, this application allows eligible veterans and their spouses to request Veterans’ Preference when applying for state civil service examinations. Key components of the form include personal identification information, such as full name, address, and social security number, as well as details about military service. Applicants must provide proof of service, which can be demonstrated through discharge documents like the DD214. The form also addresses disability preferences for veterans who have been declared disabled by the U.S. Veterans Administration. Importantly, the SPB 1093 outlines eligibility requirements and the process for applying Veterans’ Preference, which can significantly enhance a veteran's ranking on employment lists. Understanding and completing this form accurately is essential for veterans to leverage their service in pursuit of state employment opportunities.
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CALIFORNIA DEPARTMENT OF HUMAN RESOURCES (CALHR)
APPLICATION FOR VETERANS’ PREFERENCE FOR
CALIFORNIA STATE CIVIL SERVICE EXAMINATIONS
CALHR – 1093 (01/14)
READ THE INSTRUCTIONS ON THE SECOND PAGE
BEFORE MAILING.
BIRTHDATE (MM/DD/YYYY): |
SOCIAL SECURITY NUMBER: |
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PLEASE PRINT OR TYPE:
1.FULL NAME OF VETERAN OR SPOUSE
Last |
First |
MI |
2.ADDRESS
Street |
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Apt # |
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City |
State |
Zip |
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3.PHONE NUMBER
CALHR USE ONLY
ACTION TAKEN:
APPROVED DATE:
WIDOW OR WIDOWER:
NOTES:
Preferred
Secondary
4.PERIOD OF QUALIFYING SERVICE:
ENTERED SERVICE
DatePlace
BRANCH OF SERVICE:
SEPARATED FROM SERVICE
Date |
Place |
Character of Service |
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I CERTIFY THAT I am eligible for Veterans’ Preference and that the statements on this application are true. I agree and understand that any misrepresentation of material facts herein may cause forfeiture of all rights to any employment in the service of the State of California.
SIGNATURE:
DATE (MM/DD/YYYY):
DISABILITY PREFERENCE (If disabled as a result of service, complete items
5. |
Percentage of disability as stated in most recent award letter: |
% |
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6. |
Claim number used by the U.S. Veterans Administration: |
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U.S. Veterans Administration Regional Office where your disability claim is now filed: |
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CITY |
STATE |
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8. FULL NAME OF VETERAN (FIRST MIDDLE LAST):
9.DATE OF BIRTH (MM/DD/YYYY):
10.I hereby authorize the U.S. Veterans Administration to release a statement of my
SIGNATURE:
DATE (MM/DD/YYYY):
11.ATTACH A LEGIBLE COPY OF VETERAN’S DISCHARGE (DD214) OR OTHER OFFICIAL DISCHARGE DOCUMENTS, SHOWING YOUR ENLISTMENT AND DISCHARGE DATES, BRANCH OF SERVICE, NET ACTIVE SERVICE, SOCIAL SECURITY NUMBER, BIRTHDATE, AND CHARACTER OF SERVICE (E.G., HONORABLE).
FOR EXAMINATIONS GIVEN BY THE CALIFORNIA DEPARTMENT OF HUMAN RESOURCES ONLY: To apply Veterans’
Preference to the employment list you are currently on, you must provide the following information:
CLASS TITLE (must be the exact/complete class title):
SPOT (if a spot list):
DATE OF ELIGIBILITY:
CALIFORNIA DEPARTMENT OF HUMAN RESOURCES (CALHR)
APPLICATION FOR VETERANS’ PREFERENCE FOR
CALIFORNIA STATE CIVIL SERVICE EXAMINATIONS
CALHR – 1093 (01/14)
ELIGIBILITY REQUIREMENTS
Competitors in State civil service open* and open,
(1)Have never achieved permanent civil service status; AND
(2)Have served in the U.S. Armed Forces as defined in Government Code Section 18540; AND
(3)Qualify as veterans,
are entitled to have Veterans’ Preference (VP) applied to their list placement as described below, provided that they achieve a passing score in the overall examination.
*Any member of the armed forces who takes an open entrance examination while still on active duty and achieves a place on an eligible list may have Veterans’ Preference applied if qualification for such preference is active within twelve (12) months of eligibility being established.
OPEN AND OPEN,
Effective January 1, 2014, Veterans’ Preference will be awarded to qualifying Veterans who are successful in the examination in the form of Rank placement rather than points. All individuals awarded Veterans’ Preference will be certified in Rank 1 of the eligibility list, regardless of score. All open exams/eligible lists will award Veterans’ Preference, regardless of the classification.
“Veteran” means any person who has served
“Disabled veteran” means any veteran as defined above who is currently declared by the United States Veterans Administration to be 10 percent or more disabled as a result of his or her service; and “100 percent disabled veteran” means any veteran as defined above who is currently declared by the United States Veterans Administration to be 100 percent disabled as a result of his or her service. Proof of disability shall be deemed conclusive if it is of record with the United States Veterans Administration.
Individuals who received VP are not eligible for Career Credits pursuant to Sections 18950.1, 18951, and 18951.5.
“Permanent civil service status” is the status of an employee who is lawfully retained in his or her position after completion of the applicable probationary period. This includes permanent intermittent,
The bulletin for an examination states whether or not Veterans’ Preference will be awarded.
Instructions:
1.You must include a legible copy of your discharge (DD214), or other official discharge documents, showing your enlistment and discharge dates, net active service, branch of service, Social Security Number, birthdate, and your Character of Service (e.g., Honorable).
2.If you have a current,
3.If you are the
4.If you are the spouse of a 100 percent disabled veteran, please submit copies of your marriage certificate, spouse’s discharge papers, and a document provided by the United States Veterans Administration substantiating the 100 percent disablement.
5.Mail this form, copy of discharge papers, and other documents to:
California Department of Human Resources
Attn: Exam Services
1515 “S” St., North Building, Suite 400
Sacramento, CA 95811
How Veterans’ Preference is applied to your examination
Effective January 1, 2014, Veterans’ Preference will be awarded to qualifying Veterans who are successful in the examination in the form of Rank placement rather than points. All individuals awarded Veterans’ Preference will be certified in Rank 1 of the eligibility list, regardless of score. All open exams/eligible lists will award Veterans’ Preference, regardless of the classification. If you are currently competing in a State civil service examination which allows Veterans’ Preference, you will automatically be added to the top rank if your eligibility is approved before the eligible list is processed. If you are currently on a State civil service employment list which allows Veterans’ Preference, you must provide a copy of your approval letter to the testing office that administered your examination.
Questions? Please call (866)
Form Specifications
| Fact Name | Details |
|---|---|
| Form Title | California Department of Human Resources Application for Veterans’ Preference |
| Form Number | CALHR – 1093 |
| Governing Law | California Government Code Section 18540 |
| Eligibility Criteria | Must have served in the U.S. Armed Forces and not achieved permanent civil service status. |
| Disability Preference | Available for veterans with a service-related disability of 10% or more. |
| Submission Requirements | Legible copy of discharge documents (DD214) is required. |
| Application Processing | Veterans’ Preference is applied as Rank placement, not points. |
| Contact Information | For questions, call (866) 844-8671. |
California Spb 1093: Usage Guidelines
Completing the California SPB 1093 form is an essential step for veterans seeking preference in California state civil service examinations. Once filled out, the form should be submitted along with any required documentation to ensure eligibility for Veterans’ Preference.
- Gather Required Documents: Before starting the form, collect your discharge documents (DD214) and any other necessary paperwork, such as marriage certificates if applicable.
- Personal Information: Fill in your birthdate in the format MM/DD/YYYY and your Social Security Number at the top of the form.
- Veteran's Name: Enter the full name of the veteran or spouse, including last name, first name, and middle initial.
- Address: Provide your complete address, including street, apartment number (if applicable), city, state, and zip code.
- Contact Information: Include your phone number for any follow-up communications.
- Period of Qualifying Service: Specify the dates and places of your entry into and separation from service, along with the branch of service.
- Character of Service: Indicate your character of service upon separation (e.g., Honorable).
- Certification: Sign and date the form, certifying that all information provided is true and accurate.
- Disability Preference: If applicable, fill out the section regarding disability preference, including the percentage of disability and claim number.
- Authorization: Sign and date the authorization for the U.S. Veterans Administration to release your disability rating information.
- Attach Documentation: Ensure you attach a legible copy of your discharge documents and any other required documentation.
- Mail the Form: Send the completed form and attached documents to the California Department of Human Resources, Exam Services, at the specified address.
Your Questions, Answered
What is the purpose of the California SPB 1093 form?
The California SPB 1093 form is designed for veterans and their spouses to apply for Veterans’ Preference in California state civil service examinations. This preference allows eligible individuals to gain an advantage in the hiring process by being placed higher on the eligibility list. The form collects essential information such as the applicant's service history, contact details, and disability status, if applicable. Completing this form accurately is crucial for ensuring that veterans receive the benefits they are entitled to during their job search.
Who is eligible to apply using the SPB 1093 form?
Eligibility for the SPB 1093 form is primarily for individuals who have served in the U.S. Armed Forces and have not achieved permanent civil service status. To qualify, applicants must have served full-time for at least 30 days during a recognized period of conflict or peace, or have served a minimum of 181 consecutive days since January 31, 1955. Additionally, those who are disabled veterans, as defined by the U.S. Veterans Administration, are also eligible. It's important to note that individuals who have previously achieved permanent civil service status are not eligible for this preference.
What documents must be submitted along with the SPB 1093 form?
When submitting the SPB 1093 form, applicants must include a legible copy of their discharge documents, such as the DD214. This document should clearly show enlistment and discharge dates, branch of service, character of service, and other personal details like Social Security Number and birthdate. If applicable, disabled veterans must also provide documentation regarding their disability status. Spouses of veterans or disabled veterans should include marriage certificates and death certificates, if necessary. Ensuring all required documents are included will help avoid delays in processing the application.
How is Veterans’ Preference applied to the examination process?
Veterans’ Preference is applied in the form of Rank placement rather than points. As of January 1, 2014, qualifying veterans who successfully complete the examination will be placed in Rank 1 on the eligibility list, regardless of their overall examination score. This means that veterans will automatically be prioritized for job placements in state civil service positions. If you are already on an eligibility list, it’s essential to submit your approval letter to the testing office to ensure that your Veterans’ Preference is recognized.
Common mistakes
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Not reading the instructions carefully before filling out the form. This can lead to missing essential details required for eligibility.
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Failing to provide a legible copy of the discharge document (DD214) or other official documents. This is crucial for verifying military service.
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Incorrectly entering the birthdate or Social Security Number. These errors can cause significant delays or denials of the application.
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Omitting the percentage of disability if applicable. This information is necessary for those seeking disability preference.
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Not signing and dating the application. A missing signature or date can render the form invalid.
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Providing incomplete information about the period of qualifying service. All dates and locations must be accurate and complete.
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Not indicating if they are a widow or widower. This status can affect eligibility for Veterans’ Preference.
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Using incorrect class titles when applying for Veterans’ Preference. The title must match exactly with the job listing.
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Failing to submit necessary supporting documents, such as marriage certificates or death certificates, when applying as a spouse.
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Not mailing the application to the correct address. Ensure that all documents are sent to the California Department of Human Resources as specified.
Documents used along the form
The California SPB 1093 form is an important document for veterans seeking preference in state civil service examinations. Along with this form, several other documents may be required to support an application for veterans' preference. Below is a list of commonly used forms and documents that complement the SPB 1093.
- DD214 Form: This document, known as the Certificate of Release or Discharge from Active Duty, provides proof of a veteran's military service. It details enlistment and discharge dates, branch of service, and character of service.
- Disability Rating Letter: Issued by the U.S. Veterans Administration, this letter confirms a veteran's disability status and the percentage of disability. It is necessary for those applying for disability preference.
- Marriage Certificate: For un-remarried surviving spouses of veterans, this certificate serves as proof of marriage to the veteran. It may be required when applying for veterans' preference.
- Death Certificate: This document is needed to verify the death of a veteran when the applicant is the surviving spouse. It supports the claim for veterans' preference.
- VA Documentation for 100% Disabled Veterans: This includes any official documents that substantiate a veteran's status as 100% disabled, which may be necessary for their spouse to receive preference.
- Application for Veterans' Preference (CALHR 1093): This is the main form used to apply for veterans' preference. It requires personal information, service details, and a certification of eligibility.
These documents collectively help establish eligibility for veterans' preference in California state civil service examinations. Ensuring that all necessary paperwork is completed accurately can significantly streamline the application process.
Similar forms
- DD Form 214: This document, also known as the Certificate of Release or Discharge from Active Duty, provides proof of a veteran's service. Like the California SPB 1093 form, it is essential for verifying eligibility for veterans' benefits and preferences in employment.
- VA Form 21-526EZ: This application for disability compensation or pension benefits is used by veterans to claim benefits. Similar to the SPB 1093, it requires details about military service and disability status, ensuring that veterans receive the support they are entitled to.
- California Form 1000: The Application for Veterans' Preference in California state civil service examinations is another form that allows veterans to claim preference. It shares the same purpose as the SPB 1093, facilitating the process for veterans to gain employment advantages in state jobs.
- VA Form 21-4138: Known as the Statement in Support of Claim, this form allows veterans to provide additional information to support their claims for benefits. Like the SPB 1093, it emphasizes the importance of accurate and truthful information regarding service and eligibility.
- California Form 350: The Veterans' Preference Application for State Employment is designed for veterans seeking employment with the state. It is similar to the SPB 1093 as it outlines the eligibility criteria and the process for claiming veterans' preference in job applications.
Dos and Don'ts
When filling out the California SPB 1093 form, it is essential to follow specific guidelines to ensure the application is processed smoothly. Here is a list of things you should and shouldn't do:
- Do read the instructions carefully before starting the application.
- Do provide accurate information for all required fields, including your full name and Social Security number.
- Do attach a legible copy of your discharge documents, such as the DD214.
- Do sign and date the application where indicated.
- Do ensure your contact information is current and correct.
- Don't leave any required fields blank; incomplete applications may be rejected.
- Don't provide false information; misrepresentation can lead to disqualification.
- Don't forget to include documentation for disability preference if applicable.
- Don't submit the application without reviewing it for errors.
- Don't send the application without the necessary supporting documents.
Misconceptions
Many people have misunderstandings about the California SPB 1093 form, which is used for applying for Veterans’ Preference in state civil service examinations. Here are some common misconceptions:
- Veterans’ Preference is automatic. Some believe that simply being a veteran guarantees preference. However, you must apply using the SPB 1093 form and meet eligibility criteria.
- All veterans qualify for preference. Not all veterans are eligible. You must have served a minimum time and been discharged under conditions other than dishonorable.
- Disability status is irrelevant. Many think that disability doesn’t matter for Veterans’ Preference. In fact, if you have a service-connected disability of 10% or more, you can receive additional preference.
- Submitting the form is enough. Some assume that just sending in the form guarantees preference. You must also provide supporting documents, like your discharge papers.
- Preference applies to all job positions. Many believe that Veterans’ Preference applies to every job. It only applies to open and open, non-promotional entrance examinations.
- Veterans’ Preference is the same as Career Credits. There’s confusion about these two concepts. They are different. Veterans’ Preference is about rank placement, while Career Credits are not available to those who have received Veterans’ Preference.
- Only veterans can apply. Some think only veterans can apply for preference. However, un-remarried surviving spouses of veterans can also apply.
- All exams award preference. It’s a common belief that all civil service exams provide Veterans’ Preference. This is not true; the exam bulletin will specify if preference is awarded.
- Once you receive preference, it lasts forever. Many people think that once they qualify for Veterans’ Preference, they can use it indefinitely. However, if you achieve permanent civil service status, you are no longer eligible for it.
Understanding these misconceptions can help veterans navigate the application process more effectively. Always check the specific requirements and guidelines for the position you are applying for.
Key takeaways
Filling out the California SPB 1093 form is an important step for veterans seeking preference in state civil service examinations. Here are some key takeaways to keep in mind:
- Eligibility: Ensure that you meet the eligibility requirements, which include having served in the U.S. Armed Forces and not having achieved permanent civil service status.
- Accurate Information: Provide accurate information in all sections, including your full name, address, and social security number.
- Service Details: Clearly indicate the period of qualifying service, including dates of entry and separation, as well as the branch of service.
- Disability Preference: If applicable, complete the disability preference section and attach a copy of your award letter from the U.S. Veterans Administration.
- Documentation: Attach a legible copy of your discharge documents (DD214) to verify your service and character of discharge.
- Submission: Mail the completed form along with all required documents to the California Department of Human Resources at the specified address.
- Rank Placement: Understand that Veterans’ Preference will be applied as rank placement on the eligibility list, not as additional points.
- Surviving Spouses: If you are the un-remarried surviving spouse of a veteran, include necessary documentation, such as the marriage certificate and spouse’s discharge papers.
- Contact Information: If you have questions or need assistance, you can reach out to the California Department of Human Resources at the provided phone number.
By following these guidelines, you can ensure that your application is complete and that you receive the benefits you are entitled to as a veteran.