Employes include classified, unclassified, project and limited term employes. Veterans and non-veterans must complete the form. Non-veterans need to complete Part A only. Veterans must complete Parts A and B checking all boxes which apply. Forms should be returned to an agency contact person designated by your agency.
Agencies are responsible for printing additional forms as needed.
These procedures are for state agencies only, units of the University of Wisconsin system have separate procedures. Please contact the persons listed below for questions regarding the applicable subject area of this bulletin.