Veteran Information

The following instructions apply to the Veteran section of the Demographics Information. Clients may or may not see these pages, depending on how they answer questions, specifically the Active Duty question. For each page, the type of field is identified, as well as the description for each field. Included in this section are pages for Spouse of a Veteran, Veteran Information (Short and Long), Veteran Reserve/Guard Information, Veteran Other Reason for Discharge, and Wounded Warrior Caregiver. Refer to Step 2: Add Client Record for more information about when pages display.

Spouse of a Veteran

  1. Are you the spouse of any person who died on active military duty or of a military service-connected disability? Drop-down; Select Yes or No.
  2. Are the spouse of any member of the Armed Forces serving on active duty who at the time of this registration has been in any one or more of the following categories for 90 days? Drop-down; Select one of the following options:
    • Missing in Action
    • Captured in the Line of Duty by a Hostile Force
    • Forcibly Detained or Interned in the Line of Duty by a Foreign Government or Power
    • No
  3. Are you the spouse of a person who has a total disability permanent in nature resulting from a military service-connected disability? Drop-down; Select Yes or No.
  4. Are you the spouse of a veteran who died while diagnosed with a total disability permanent in nature resulting from a military service-connected disability? Drop-down; Select Yes or No.
  5. Are you the spouse of a military service member of the armed forces who is receiving transitional services prior to retirement or discharge from military service? Drop-down; Select Yes or No.

Veteran Service Information

  1. Select your branch of service: Drop-down; select US Air Force, US Army, US Coast Guard, US Marine, or US Navy.
  2. Please enter active duty start date: Text/Calendar: Enter the date in mm/dd/yyyy format.
  3. Please enter active duty service end date OR projected active duty date OR projected retirement date: Text/Calendar: Enter the date of active duty service ended, or is projected to end, or projected retirement date. Projected end date must be within 12 months of today's date. Projected retirement date must be within 24 months of today's date.
  4. What was your character of discharge? Drop-down; select Honorable, Other, Dishonorable. Do not select if a projected active duty service end date or a projected retirement in entered.

Veteran Information (Short)

  1. Will you be separating from active duty within the next 12 months? Drop-down; Select Yes or No. Select Yes only if a projected end date is entered.
  2. Will you be retiring from the military within the next 24 months? Drop-down; Select Yes or No.Select Yes only if a projected end date is entered.
  3. Are you currently a participant or were you a participant in the Transition Assistance Program? Drop-down; Select Yes or No. Select Yes only if a projected end date is entered.
  4. Have you been identified as in need of intensive services because you were assessed as not meeting Career Readiness Standards?Drop-down; Select Yes or No.
  5. Are you an active duty service member being involuntarily separated through a reduction-in-force.Drop-down; Select Yes or No.
  6. Are you wounded, ill, or injured and receiving treatment in a military treatment facility or warrior transition unit?Drop-down; Select Yes or No.

Veteran Information (Long)

  1. Will you be separating from active duty within the next 12 months?Drop-down; Select Yes or No. Select Yes only if a projected end date is entered.
  2. Will you be retiring from the military within the next 24 months?Drop-down; Select Yes or No.Select Yes only if a projected end date is entered.
  3. Are you currently a participant or were you a participant in the Transition Assistance Program?Drop-down; Select Yes or No. Select Yes only if a projected end date is entered.
  4. Did you serve on active duty in the U.S. Armed Forces during a war or in a campaign or expedition for which a campaign badge or expeditionary medal has been authorized as identified and listed by the Office of Personal Management (OPM). A current listing of the campaigns can be found on the OPM's website. Drop-down; Select Yes or No.
  5. Are you a homeless veteran? Drop-down; Select Yes or No.
  6. Are you currently a participant or have you been a participant in the Homeless Veterans Reintegration Program (HVRP) in your area? Drop-down; Select Yes or No.
  7. Name of the HVRP grantee service provider, if applicable: Text; Enter the name of the service provider.
  8. Are you currently a participant or have you been a participant in the Veterans Retraining Assistance Program? Drop-down; Select Yes or No.
  9. Please enter the DOL Unique VRAP Identification Number if known. Text; Enter the number if the client is a participant of VRAP.
  10. Are you entitled to compensation for a disability incurred while on active duty? Drop-down; Select Yes or No.
  11. Were you discharged or released from active military because of a disability incurred while on active military duty? Drop-down; Select Yes or No.
  12. Have you received a rating for a disability incurred while on active military duty that is not entitled to compensation? Drop-down; Select Yes or No.
  13. Are you entitled to compensation for a disability incurred while on active military duty and your disability is rated at 30% or more? Drop-down; Select Yes or No.
  14. Has your disability been rated at less than 30%, and has the Department of Veterans Affairs classified you as a "Special Disabled Veteran" because the disability you incurred while on active military duty is considered a serious barrier to employment? Drop-down; Select Yes or No.
  15. Please indicate your current disability rating from the Department of Veterans Affairs. Drop-down; Select from 0% to 100%.
  16. Have you been identified as in need of intensive services because you were assessed as not meeting Career Readiness Standards? Drop-down; Select Yes or No.
  17. Are you an active duty service member being involuntarily separated through a reduction-in-force. Drop-down; Select Yes or No.
  18. Are you wounded, ill, or injured and receiving treatment in a military treatment facility or warrior transition unit? Drop-down; Select Yes or No.

Veteran Reserve/Guard Unit Information

  1. Were you a member of a military reserve or guard unit ordered to and served on active duty during a period of war or in a campaign or expedition for which a campaign badge was authorized? Drop-down; Select Yes or No.
  2. Were you a member of a military reserve or guard unit ordered to and served on active duty for the purposes of Homeland Security? Drop-down; Select Yes or No.

Veteran Other Reason for Discharge

  1. Did you receive a medical discharge or release from active duty due to a service-connected disability? Drop-down; Select Yes or No.
  2. Did you receive a medical discharge due to a pre-existing medical condition that was aggravated in the line of duty? Drop-down; Select Yes or No.
  3. Were you discharged or released from active duty by reason of a sole survivorship discharge as that term is defined in Section 1174(i) of Title 10? Drop-down; Select Yes or No.

Wounded Warrior Caregiver

Are you the spouse or other family member of a wounded, ill, or injured service member? Drop-down; Select Yes or No.