Veterans Preference Claim Form

MCIT prefers to have the veterans preference claim form completed and submitted online (see below). Applicants can request an alternative format by contacting MCIT Director of Internal Services at frontdesk@mcit.org or 1.866.547.6516.

Veterans Preference Claim Form

  • Minnesota Counties Intergovernmental Trust (MCIT) operates under a point preference system that awards points to qualified veterans to supplement their application. Ten (10) points are granted to nondisabled veterans on open competitive examinations; fifteen (15) points are granted if the veteran has a compensable service-connected disability as certified by the U.S. Department of Veterans Affairs (USDVA) or by the retirement board of one of the several branches of the armed forces.

    To qualify as a veteran for Veterans Preference points, you must be a U.S. citizen or resident alien and have been separated under honorable conditions from any branch of the armed forces of the United States, and have either:
    • served on active duty for 181 consecutive days; or
    • by reason of disability incurred while serving on active duty; or
    • have completed the minimum active duty requirement as defined by Code of Federal Regulations, title 38, section 3.12a (that is, having served the full period called or ordered for federal active duty); or
    • have active military service certified under section 401, Public Law 95-202.

    Veterans preference may be used by the surviving spouse of a deceased veteran and by the spouse of a disabled veteran who because of the disability is unable to qualify.

    Claims must be made on the form below and submitted with your MCIT Employment Application by the application deadline of the position for which you are applying. You must submit the required supporting documentation to substantiate the service information requested on the form. If your documentation is submitted separate from this form, please attach a note with it indicating the position for which you are applying and your present address. Claims not supported by proper documentation will not be processed. For assistance in obtaining a copy of your DD214 or other military documents, contact your local County Veterans’ Service Office.

    To the extent that the Minnesota Veterans Preference Act or other applicable state or federal law differs from the rights and obligations set forth herein, the statute or law supersedes and controls.

    The information requested in this form is intended to be used by MCIT in crediting veterans preference points for the position which you are currently seeking or may seek in the future. If hired, the information may be used for application of veterans preference or other military related laws, or disciplinary action in the event that the information provided is not truthful. You are not legally required to provide the information requested. However, failure to provide the information may result in MCIT being unable to credit you with veterans preference points or other rights. The information you provide that is classified as private data under the Minnesota Government Data Practices Act (MGDPA) will not be released outside MCIT without your consent except as necessary for tax purposes or as otherwise required by state or federal law or court order. Information that is classified as public data will be released pursuant to the terms of the MGDPA.

  • This is required to receive e-mail confirmation of claim form submission.
  • POINTS REQUESTED
  • A copy of DD214 or DD215 and form FL21-802 or equivalent documentaion from the USDVA or retirement board of a compensable service-connected disability must be submitted to receive additional points. Applicant can upload the form at the end of this claim application or mail it to MCIT at 100 Empire Dr., Suite 100, St. Paul, MN 55103; secure e-mail it to lpodriz@mcit.org; or fax it to 651.209.6496.
  • A copy of DD214 or DD215, copy of marriage certificate, and spouse’s death certificate must be submitted to receive points. You are ineligible to receive points if you were divorced from the veteran at time of death or if you have remarried. Applicant can upload documents at the end of this claim application or mail them to MCIT at 100 Empire Dr., Suite 100, St. Paul, MN 55103; secure e-mail them to lpodriz@mcit.org; or fax them to 651.209.6496.
  • For Spouses of Deceased Veterans (10 points, 15 if the veteran was disabled)
  • A copy of DD214 or DD215 and form FL21-802 or equivalent documentation from the USDVA or retirement board of a compensable service-connected disability, and copy of marriage certificate must be submitted to receive points. You are ineligible to receive points if you are divorced from the veteran. Applicant can upload documents at the end of this claim application; mail it to MCIT at 100 Empire Dr., Suite 100, St. Paul, MN 55103; secure e-mail them to lpodriz@mcit.org; or fax them to 651.209.6496.
  • Drop files here or
  • I hereby claim Veterans Preference for this employment application and swear/affirm that the information given is true, complete and correct to the best of my knowledge. I hereby acknowledge that I am responsible to obtain the required veterans preference verification documents and submit them to Minnesota Counties Intergovernmental Trust by the required application deadline date.