Get Request For Userra-eligible Service Form - Newjersey

This guide provides a comprehensive overview of how to accurately complete the Request For USERRA-Eligible Service Form in New Jersey. By following these step-by-step instructions, users can ensure a smooth submission process while accessing their employment rights under the USERRA.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in an editable format.
2. In the employee section, fill in your name, address, membership number, and social security number. Ensure that these details are accurate and up-to-date.
3. Indicate the date you left public employment for uniformed service. Use the format Month, Day, Year.
4. Provide the name of your former employer. This information is crucial for your records.
5. Input the dates of your uniformed service, also using the Month, Day, Year format. Attach any supporting documentation such as military orders.
6. Sign and date the form. Make sure your signature matches the one on your official documents.
7. In the employer certification section, the employer must complete their name and the date of return to public employment.
8. Provide the pensionable salary that the employee would have earned during the eligible period of military service. If this amount is not readily determinable, provide the pensionable salary for the 10-month or 12-month period prior to the departure.
9. Ensure that the certifying officer’s name and title are filled out completely

Take action today by completing the Request For USERRA-Eligible Service Form online to secure your employment rights.