Get California Spb 1093 Form

Get California Spb 1093 Form

The California SPB 1093 form is the official application for Veterans’ Preference in California state civil service examinations. This form allows qualifying veterans and their spouses to apply for preference points that can enhance their ranking in the hiring process. Completing this form accurately is crucial for those seeking to leverage their service in pursuit of state employment opportunities. Act now by filling out the form by clicking the button below.

Structure

The California SPB 1093 form is an essential document for veterans seeking to gain an advantage in state civil service examinations. Designed by the California Department of Human Resources (CALHR), this application allows eligible veterans and their spouses to claim Veterans’ Preference, which can significantly enhance their ranking on employment lists. The form requires basic personal information, including the veteran's name, birthdate, and social security number, as well as details about their military service, such as the branch of service and character of discharge. For those with service-connected disabilities, additional sections are included to document the percentage of disability and to authorize the release of relevant information from the U.S. Veterans Administration. This form not only facilitates the application process but also outlines the eligibility requirements and the specific benefits associated with Veterans’ Preference. Understanding how to properly complete and submit the SPB 1093 is crucial for veterans aiming to secure a position within California's civil service. By following the instructions carefully and providing the necessary documentation, applicants can ensure their eligibility is recognized and effectively applied during the examination process.

California Spb 1093 Preview

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:

 

 

PLEASE PRINT OR TYPE:

1.FULL NAME OF VETERAN OR SPOUSE

Last

First

MI

2.ADDRESS

Street

 

Apt #

 

 

 

 

 

 

City

State

Zip

 

 

 

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

 

 

 

 

 

 

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 5-10, and attach a copy of your award letter.):

5.

Percentage of disability as stated in most recent award letter:

%

6.

Claim number used by the U.S. Veterans Administration:

 

7.

U.S. Veterans Administration Regional Office where your disability claim is now filed:

 

 

CITY

STATE

 

 

 

 

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 service-connected disability rating to the California Department of Human Resources (CALHR) for use in civil service examination(s), understanding that the CALHR will keep this information confidential.

SIGNATURE:

DATE (MM/DD/YYYY):

11.ATTACH A LEGIBLE COPY OF VETERANS 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, non-promotional entrance examinations who:

(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, NON-PROMOTIONAL ENTRANCE EXAMINATIONS:

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 full-time for 30 days or more in the armed forces in time of war or in time of peace in a campaign or expedition for service in which a medal has been authorized by the government of the United States, or during the period September 16, 1940 to January 31, 1955, or who has served at least 181 consecutive days since January 31, 1955, AND who has been discharged or released under conditions other than dishonorable, but does not include any person who served only in auxiliary or reserve components of the armed forces whose service therein did not exempt him or her from the operation of the Selective Training and Service Act of 1940.

“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, part-time, and full-time appointments. In addition, individuals who, at any time, achieved permanent civil service status and subsequently resigned or were dismissed from civil service are not eligible to receive Veterans’ Preference.

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, service-incurred disability of 10 percent or more, please fill out the section entitled “Disability Preference”. If your disability was determined to be “temporary”, you are required to file for disability preference on each examination for which Veterans’ Preference Points are applicable.

3.If you are the un-remarried, surviving spouse of a veteran, please submit copies of your marriage certificate, spouse’s discharge papers, and spouse’s death certificate or other documentary evidence of death.

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) 844-8671.

Document Data

Fact Name Details
Form Title California Department of Human Resources Application for Veterans’ Preference for California State Civil Service Examinations
Form Number CALHR – 1093
Governing Law California Government Code Section 18540
Eligibility Criteria Must have served in the U.S. Armed Forces and never achieved permanent civil service status.
Disability Preference Available for veterans with a service-connected disability of 10% or more.
Submission Requirements Include a legible copy of discharge documents (DD214) and any necessary supporting documents.
Application Processing Veterans’ Preference is awarded in the form of Rank placement rather than points.
Contact Information For questions, call (866) 844-8671.

How to Use California Spb 1093

To complete the California SPB 1093 form, individuals must provide specific personal and military service information. The form requires details such as the applicant's name, contact information, and service history. Additionally, if applicable, information regarding disability preference must be included. After filling out the form, it should be mailed to the appropriate department along with any required documentation.

  1. Begin by entering your birthdate in the format MM/DD/YYYY.
  2. Provide your Social Security Number.
  3. In section 1, fill in the full name of the veteran or spouse, including last name, first name, and middle initial.
  4. Enter your address, including street, apartment number (if applicable), city, state, and zip code.
  5. Include your phone number.
  6. For the period of qualifying service, input the date and place you entered service, and the branch of service.
  7. Provide the date and place you separated from service, along with the character of service.
  8. Sign and date the certification statement, confirming the eligibility for Veterans’ Preference.
  9. If applicable, complete items 5-10 regarding disability preference, including the percentage of disability, claim number, and regional office information.
  10. Fill in the full name of the veteran associated with the disability claim, along with their date of birth.
  11. Authorize the U.S. Veterans Administration to release your disability rating information by signing and dating the authorization statement.
  12. Attach a legible copy of the veteran’s discharge document (DD214) or other official documents that show enlistment and discharge dates, branch of service, Social Security number, birthdate, and character of service.
  13. If applying for Veterans’ Preference for a specific examination, provide the class title, spot information (if applicable), and date of eligibility.
  14. Mail the completed form, along with the discharge papers and any other required documents, to the California Department of Human Resources at the specified address.

Key Facts about California Spb 1093

What is the California SPB 1093 form used for?

The California SPB 1093 form is an application for Veterans' Preference for California State civil service examinations. It allows eligible veterans and their spouses to apply for preference points that can enhance their ranking on employment lists for state jobs. This preference is especially important in competitive examinations, as it can significantly impact hiring decisions.

Who is eligible to apply for Veterans' Preference using this form?

To qualify for Veterans' Preference, applicants must meet several criteria. They must have served in the U.S. Armed Forces and must not have achieved permanent civil service status. Additionally, they should have been discharged under conditions other than dishonorable. The form is also available for un-remarried surviving spouses of veterans and spouses of 100 percent disabled veterans.

What documents must be submitted with the SPB 1093 form?

Applicants need to attach a legible copy of their discharge papers (DD214) or other official discharge documents. These documents must show enlistment and discharge dates, branch of service, character of service, Social Security number, and birthdate. If claiming disability preference, additional documentation from the U.S. Veterans Administration is required.

How does Veterans' Preference affect my ranking on the eligibility list?

As of January 1, 2014, Veterans' Preference is awarded in the form of rank placement rather than points. Qualifying veterans who pass the examination will be placed in Rank 1 on the eligibility list, regardless of their examination score. This means that if you qualify for Veterans' Preference, you will be prioritized in the hiring process.

What should I do if I am currently on a state civil service employment list?

If you are already on a state civil service employment list that allows Veterans' Preference, you must provide a copy of your approval letter to the testing office that administered your examination. This step ensures that your Veterans' Preference is recognized and applied to your current status on the list.

Where do I send the completed SPB 1093 form and accompanying documents?

Completed forms and accompanying documents should be mailed to the California Department of Human Resources, Attention: Exam Services, at 1515 “S” St., North Building, Suite 400, Sacramento, CA 95811. Ensure that all documents are included to avoid delays in processing your application.

Common mistakes

Filling out the California SPB 1093 form is an important step for veterans seeking preference in state civil service examinations. However, many applicants make common mistakes that can delay their application or lead to rejection. Understanding these pitfalls can help ensure a smoother process.

One frequent mistake is not reading the instructions carefully. The second page of the form contains essential guidelines that can clarify what information is needed. Skipping this step may result in incomplete applications, leading to unnecessary complications.

Another common error is providing inaccurate personal information. This includes mistakes in the birthdate, Social Security number, or contact details. Such inaccuracies can create confusion and may hinder the processing of the application.

Additionally, some applicants fail to include a legible copy of their discharge documents. The DD214 or other official discharge papers are critical for verifying eligibility. Without this documentation, the application cannot be processed, resulting in delays.

Many people also overlook the section regarding disability preference. If a veteran has a service-related disability, they must complete this section and provide relevant documentation. Neglecting this can mean missing out on important benefits.

Another mistake involves the signature and date. Applicants often forget to sign the form or fail to date it correctly. This can lead to the application being considered invalid, causing further delays.

Some applicants mistakenly assume they can submit the form without additional documentation, such as marriage certificates for surviving spouses. This oversight can prevent the application from being processed, especially for those claiming preference based on spousal status.

It’s also crucial to provide the exact class title of the position being applied for. Vague or incorrect titles can lead to confusion and may result in the application being set aside.

Finally, failing to mail the application to the correct address can lead to significant delays. Applicants should ensure they send their forms to the specified address for the California Department of Human Resources to avoid unnecessary setbacks.

By being aware of these common mistakes, veterans can improve their chances of successfully obtaining Veterans’ Preference in California state civil service examinations.

Documents used along the form

The California SPB 1093 form is an essential document for veterans seeking preference in state civil service examinations. However, there are several other forms and documents that often accompany it to ensure a complete application. Below is a list of these related documents, each serving a specific purpose in the application process.

  • DD Form 214: This document, known as the Certificate of Release or Discharge from Active Duty, provides proof of a veteran's military service. It includes details such as enlistment and discharge dates, branch of service, and character of service.
  • VA Disability Award Letter: This letter is issued by the U.S. Department of Veterans Affairs and outlines the percentage of disability a veteran has been awarded. It is crucial for those applying for disability preference on the SPB 1093 form.
  • Marriage Certificate: For veterans who are applying as a surviving spouse, a marriage certificate is required to confirm the marital relationship with the veteran.
  • Death Certificate: This document is necessary to establish the veteran's death for the purposes of a surviving spouse's application. It serves as proof of the veteran's passing.
  • VA Claim Number: The unique identification number assigned to a veteran's disability claim is important for tracking and verifying the claim with the U.S. Veterans Administration.
  • Service-Connected Disability Documentation: This includes any official documents that confirm a veteran's service-connected disabilities. It may be necessary for those seeking a disability preference.
  • Proof of Character of Service: This may be included in the DD Form 214 or could be a separate document that verifies the nature of a veteran's discharge, such as honorable or general.
  • Employment Eligibility Verification (Form I-9): While not directly related to veterans' preference, this form may be required for employment verification purposes in the state civil service application process.
  • Application for Veterans’ Preference (CALHR-1093): This is the main form itself, which veterans must complete to apply for veterans' preference in California state civil service examinations.

Gathering these documents along with the SPB 1093 form will help ensure a smooth application process. Each document plays a vital role in verifying eligibility and supporting the claims made in the application. If you have any questions about these forms or the application process, don’t hesitate to reach out for assistance.

Similar forms

  • DD Form 214: This document serves as a certificate of release or discharge from active duty in the U.S. Armed Forces. Similar to the SPB 1093 form, it provides essential information about a veteran's service, including enlistment and discharge dates, branch of service, and character of service.
  • VA Form 21-526EZ: This is an application for disability compensation and related compensation benefits. Like the SPB 1093, it requires the veteran to provide details about their service and any disabilities incurred, thus establishing eligibility for benefits.
  • VA Form 21-4138: Known as a Statement in Support of Claim, this form allows veterans to provide additional information related to their claims. It is similar to the SPB 1093 in that it supports the veteran's eligibility for benefits or preferences based on service-related issues.
  • VA Form 21-8940: This application for increased compensation based on unemployability allows veterans to claim benefits if their service-connected disabilities prevent them from maintaining gainful employment. It parallels the SPB 1093 in assessing the veteran's eligibility for support based on service history.
  • California Form 350: This is a form used to apply for a veteran's license plate in California. It requires proof of military service, similar to how the SPB 1093 requires documentation of service for employment preference.
  • California Form 1095: This form is used to apply for veteran's benefits in California. It shares the common goal of verifying veteran status and eligibility for specific benefits, much like the SPB 1093 does for civil service examinations.
  • SF-180: This Standard Form is used to request military records. It is similar to the SPB 1093 in that both require verification of military service, which is crucial for establishing eligibility for benefits or preferences.
  • VA Form 21-534EZ: This form is an application for Dependency and Indemnity Compensation (DIC) for surviving spouses. Like the SPB 1093, it necessitates documentation of service and eligibility criteria based on the veteran’s service.
  • VA Form 22-1990: This application for education benefits allows veterans to access educational programs. It parallels the SPB 1093 by requiring proof of military service to determine eligibility for educational assistance.
  • California Department of Veterans Affairs (CDVA) Application for Benefits: This application is designed for veterans seeking various benefits from the state. It is similar to the SPB 1093 in that both documents require proof of military service to assess eligibility for state-sponsored programs.

Dos and Don'ts

When filling out the California SPB 1093 form, it's essential to follow specific guidelines to ensure your application is processed smoothly. Here are four things you should and shouldn't do:

  • Do: Read the instructions carefully before you start filling out the form.
  • Do: Provide accurate information, especially your Social Security number and birthdate.
  • Don't: Leave any required fields blank; incomplete applications may be rejected.
  • Don't: Forget to attach a legible copy of your discharge documents (DD214) as required.

Misconceptions

Understanding the California SPB 1093 form can be challenging, and there are several misconceptions surrounding its purpose and requirements. Here are nine common misunderstandings:

  • Misconception 1: The SPB 1093 form is only for veterans.
  • This form is not exclusively for veterans. It can also be used by the un-remarried surviving spouses of veterans. They are eligible to apply for Veterans' Preference as well.

  • Misconception 2: Submitting the form guarantees a job.
  • While the form allows veterans to claim preference in hiring, it does not guarantee employment. Applicants still need to meet all other qualifications and perform well in the examination.

  • Misconception 3: All veterans automatically receive preference.
  • Not all veterans qualify for preference. Eligibility depends on the type of service, discharge status, and meeting specific criteria outlined in the form.

  • Misconception 4: The form is only relevant for certain job classifications.
  • Veterans' Preference applies to all open civil service examinations, regardless of the job classification. This means that veterans can benefit from preference across various positions.

  • Misconception 5: You do not need to provide documentation.
  • Applicants must submit a legible copy of their discharge documents (DD214) along with the SPB 1093 form. This documentation is essential to verify eligibility for Veterans' Preference.

  • Misconception 6: The application process is the same for all examinations.
  • Each examination may have specific instructions regarding Veterans' Preference. It is important to read the bulletin for the examination to understand how preference will be applied.

  • Misconception 7: Only disabled veterans can apply for preference.
  • While disabled veterans have additional considerations, all veterans who meet the eligibility criteria can apply for Veterans' Preference, regardless of their disability status.

  • Misconception 8: Veterans' Preference is awarded based on points.
  • Since January 1, 2014, Veterans' Preference is awarded based on rank placement rather than points. Qualifying veterans are placed at the top of the eligibility list, regardless of their examination score.

  • Misconception 9: Submitting the form late will not affect your application.
  • Timeliness is crucial. If the SPB 1093 form is not submitted before the eligible list is processed, the veteran may miss the opportunity to receive preference for that particular examination.

Key takeaways

Understanding the California SPB 1093 form is crucial for veterans seeking employment in state civil service. Here are key takeaways to consider:

  • Eligibility Criteria: To qualify for Veterans' Preference, you must have served in the U.S. Armed Forces and meet specific service duration requirements.
  • Documentation Required: A legible copy of your discharge papers (DD214) must be included with your application to verify your service.
  • Disability Preference: If you have a service-connected disability of 10% or more, complete the relevant section on the form and attach your award letter.
  • Un-remarried Spouses: Surviving spouses of veterans must provide marriage and death certificates along with the veteran’s discharge documents.
  • Submission Process: Mail the completed form and all required documents to the California Department of Human Resources at the specified address.
  • Rank Placement: Veterans' Preference is now applied as rank placement on the eligibility list rather than through additional points.
  • Automatic Certification: If your eligibility is approved before the eligible list is processed, you will be added to the top rank automatically.
  • Contact Information: For any questions or clarifications, you can reach out to the California Department of Human Resources at (866) 844-8671.
  • Timeliness Matters: Ensure that your application is submitted promptly to avoid delays in the hiring process.