Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request

This form is intended for those who are experiencing civilian employment problems related to military obligations and is needed to record information related to the mediation of disputes and answering of inquiries related to the USERRA; by tracking case assignments and mediation results of potential conflicts between employers and the National Guard, Reserves, or National Disaster Medical Service members they employ; and by reporting statistics related to the Employer Support of the Guard and Reserve (ESGR) Ombudsman Program in aggregate and at the state committee-level. These records are also used as a management tool for statistical analysis, tracking, reporting, evaluating program effectiveness and conducting research. Service members will request ESGR assistance as related to their rights and responsibilities pursuant to USERRA. Electronic form to be submitted through the www.ESGR.mil website, https://www.esgr.mil/​USERRA/​USERRA-Contact/​USERRA-Support-Request/​t/​1.

The latest form for Uniformed Services Employment and Reemployment Rights Act (USERRA) Inquiry and Support Request expires 2027-02-28 and can be found here.