Veteran Request Application Addendum

VEB_14.docx 10/30 (previously DSPD fm2996)
	Wisconsin Department of Agriculture, Trade and Consumer Protection Veterinary Examining Board 2811 Agriculture Drive, PO Box 8911, Madison, WI 53708-8911 Phone: [phone]
VETERAN REQUEST APPLICATION ADDENDUM

(This form applies to individuals who served in the U.S. armed forces, a reserve unit of the U.S. armed forces or the national guard of any state.)

PLEASE TYPE OR PRINT IN INK		Under Wisconsin law, the Department must deny your application if you are liable for delinquent state taxes or child support (sec. 93.135 Wis. Stats.).
Last Name			First Name		MI	Former / Maiden Name(s)
Street Address (number, street, city, state, zip)
Mailing Address (if different)
Year of Birth ___________				Daytime Telephone Number ( )
ARE YOU REQUESTING A WAIVER OF YOUR INITIAL CREDENTIALING FEE?  Yes Provide a copy of your Department of Veterans Affairs (DVA) voucher code. DVA Voucher Code:  No View appropriate profession’s application form for total fees required to obtain your credential.
ARE YOU REQUESTING EQUIVALENCY OF YOUR TRAINING AND EXPERIENCE?  Yes View the appropriate profession’s application forms for information required to obtain your credential. Provide copies of your military training and experience which may include: Service School Academic Reports including course start/end dates, course of study and grade Certificates of Training for specific programs completed such as apprenticeships, specialization courses or hands-on training courses Training Documentation signed by your Unit’s Training NCO (non-commissioned officer) A written personal narrative as to why you feel your military education/training/experience has prepared you for this profession For assistance locating documentation related to your training and experience, please contact DVA at 1-800-WisVets or www.WisVets.com.  No View appropriate profession’s application form for information required to obtain your credential.