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State of CaliforniaSECTION 1 Veteran Status and ServiceConnected Disability Verification TO BE COMPLETED BY THE APPLICANT REQUESTING VETERAN STATUS AND/OR SERVICE CONNECTED DISABILITY VERIFICATION PRINT
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How to fill out veteran status and service-connected

01
To fill out veteran status, you need to provide information regarding your military service. This includes information about your branch of service, dates of service, and discharge status. You may also need to submit supporting documentation such as your military ID or DD-214 form.
02
To fill out service-connected status, you need to provide information about any injuries, disabilities, or diseases that are directly related to your military service. This includes details about the condition, when it occurred or was diagnosed, and any treatment received. You may also need to submit medical records or other documentation to support your claim.

Who needs veteran status and service-connected?

01
Individuals who have served in the military and want to receive benefits or services from government agencies may need to provide their veteran status and service-connected information.
02
Veteran status is also required when applying for certain jobs or programs that provide preferences or special considerations for veterans. Service-connected status is relevant for individuals seeking compensation or healthcare benefits for disabilities or injuries sustained during their military service.
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Veteran status refers to whether an individual has served in the military, while service-connected refers to conditions or disabilities related to their military service.
Any individual who has served in the military and has service-connected conditions or disabilities is required to file veteran status and service-connected information.
Veteran status and service-connected information can typically be filled out on forms provided by the Department of Veterans Affairs or other relevant agencies.
The purpose of reporting veteran status and service-connected information is to ensure that individuals receive appropriate benefits and services based on their military service and related conditions.
Information such as dates of military service, branch of service, and any service-connected conditions or disabilities must be reported on veteran status and service-connected forms.
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