Request Assistance

If you are an employer and would like to sign a Statement of Support, please navigate to the Statement of Support page.  If you’re an employee who would like to nominate an employer for an award, please visit the Patriot Award, Spouse Patriot Award,  or Freedom Award nomination forms.

If you would like to contact a local committee, please visit the individual state pages.

I am...

My Question/Comment relates to...

* This is a required field.
* This is a required field. * Invalid email address
* This is a required field.
* This is a required field.

How did you hear about ESGR?

Question

Privacy Act Statement

"Authority: 38 U.S.C. Chapter 43, Employment and Reemployment Rights of Members of the Uniformed Services (USERRA); 5 U.S.C. 571-583, Administrative Dispute Resolution Act (ADRA); 5 U.S.C. 552a, the Privacy Act of 1974; Department of Defense (DoD) Directive 1250.1, National Committee for Employer Support of the Guard and Reserve (NCESGR); DoD Instruction 1205.22, Employer Support of the Guard and Reserve; DoD Instruction 1205.12, Civilian Employment and Reemployment Rights of Applicants for, and Service Members and Former Service Members of the Uniformed Services; DoD Instruction 1205.12, Civilian Employment and Reemployment Rights of Applicants for, and Service Members and Former Service Members of the Uniformed Services, NCESGR Instruction 1250.30 Secretary of Defense Employer Support Freedom Award, NCESGR Instruction 1250.28 Employer Awards; 10 U.S.C. §1588, Authority to accept certain voluntary services; 5 U.S.C. 552a, the Privacy Act of 1974; DoD Instruction 1100.21, Voluntary Services in the Department of Defense; NCESGR Instruction 1250.10, Volunteer Management

Purpose: To determine eligibility and nature of services requested.

Routine Use(s): To communicate with Military Members and Federal, State, and local governmental agencies, as well as the Public, to answer question about ESGR programs and services.

Disclosure: Voluntary; however, failure to provide accurate contact information and other solicited information may delay processing the request."

* This is a required field.