Filling out DA Form 1999, also known as the "Applications for Uniformed Services Employment and Reemployment Rights Act (USERRA) Certification" form, can be a daunting task for many military personnel and veterans. However, with the right guidance, it can be a straightforward process. In this article, we will break down the DA Form 1999 into five manageable sections and provide step-by-step instructions on how to fill it out accurately.
Understanding the Purpose of DA Form 1999
Before we dive into the instructions, it's essential to understand the purpose of DA Form 1999. This form is used to certify an individual's military service and employment history, which is required under the Uniformed Services Employment and Reemployment Rights Act (USERRA). The form provides proof of military service, which can be used to support employment and reemployment claims.
Section 1: Applicant Information
The first section of the DA Form 1999 requires the applicant to provide personal and contact information.
- Full Name: Write your full name as it appears on your military identification card.
- Social Security Number: Provide your Social Security Number.
- Date of Birth: Enter your date of birth in the format MM/DD/YYYY.
- Address: Write your current mailing address.
- Phone Number: Provide your phone number, including area code.
- Email Address: Enter your email address.
Section 2: Military Service Information
In this section, you will need to provide information about your military service.
- Branch of Service: Select the branch of service you are currently serving in or have served in.
- Service Component: Identify your service component, such as Active Duty, Reserve, or National Guard.
- Military Occupation Specialty (MOS): Provide your MOS code or title.
- Dates of Service: Enter your dates of service, including start and end dates.
- Type of Discharge: Select the type of discharge you received, such as Honorable, General, or Other Than Honorable.
Section 3: Employment Information
This section requires you to provide information about your employment history.
- Employer Name: Write the name of your current or former employer.
- Employer Address: Provide the address of your employer.
- Job Title: Enter your job title or position.
- Dates of Employment: Enter your dates of employment, including start and end dates.
- Reason for Leaving: Select the reason for leaving your job, such as voluntary or involuntary.
Section 4: Reemployment Information
If you are seeking reemployment, you will need to provide information about your previous employment.
- Previous Employer Name: Write the name of your previous employer.
- Previous Employer Address: Provide the address of your previous employer.
- Previous Job Title: Enter your previous job title or position.
- Dates of Previous Employment: Enter your dates of previous employment, including start and end dates.
Section 5: Certification and Signature
The final section requires you to certify and sign the form.
- Certification: Read the certification statement carefully and check the box to indicate your understanding.
- Signature: Sign the form in ink and date it.
Conclusion
Filling out DA Form 1999 can be a straightforward process if you follow the instructions carefully. Remember to provide accurate and complete information, and don't hesitate to seek help if you need it. By following these steps, you can ensure that your form is completed correctly and that you receive the certification you need to support your employment and reemployment claims.
We hope this article has been helpful in guiding you through the process of filling out DA Form 1999. If you have any questions or need further assistance, please don't hesitate to comment below. Share this article with others who may be seeking guidance on filling out this form.
What is DA Form 1999 used for?
+DA Form 1999 is used to certify an individual's military service and employment history, which is required under the Uniformed Services Employment and Reemployment Rights Act (USERRA).
Who needs to fill out DA Form 1999?
+Military personnel and veterans who are seeking employment or reemployment and need to provide proof of military service.
What information do I need to provide on DA Form 1999?
+You will need to provide personal and contact information, military service information, employment information, and reemployment information.