Local 250A Veterans Registration Form
Please fill out the form below to register as a veteran
Name
*
First Name
Last Name
Classification #
*
7410 - Automotive Service Worker
9163 - Transit Operator
9103 - Transit Fare Inspector
3541, 3542 or 3544 - Curator
6120, 6122 or 6124 - Health Insp.
2806, 2808 or 2810 - Disease Control Inv.
Cap ID #
If Applicable
Branch of Service
*
Army
Marines
Navy
Air Force
Coast Guard
Space Force
National Guard
Reserve Unit
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: