Dear Veteran,

Thank you for your service and for choosing Veterans Outreach as your representative in obtaining your VA disability compensation. We are committed to advocating for and representing you throughout the claims and appeals process with the Veterans Benefits Administration. To ensure a smooth and expedited process, we kindly request the following information from you:


1. Fill out the Power of Representation form: 

Please complete the Power of Representation form, which grants us permission to represent you on all your claims and appeals with the Veterans Benefits Administration.


You can access the form External link opens in new tab or windowhere.


Name:

Email:

Phone Number:

Upload Form: 




2. Provide the following information:


Name:

Email: 

Phone:
Date you first entered military:

Military installation/Duty station you were last separated from:

Last date you left military service:


3. VA Medical Treatment Facility:

If you have received medical treatment from the VA, please provide the name of the medical treatment facility. Additionally, provide an estimated start date for your treatment:




4. Release of Medical Information: 

If you have received medical care outside of the VA, we require you to complete the Release of Medical Information forms. These forms allow the VA to obtain your medical treatment records from your non-VA healthcare providers. If you have exclusively received medical care from the VA, you may disregard these forms. You can access the forms External link opens in new tab or windowhere.


• Downloaded the forms to your phone or computer and filled them out.


• Go back to the website and click on the "Browse Button" found at the end of this note.

• Attach the form, one at a time - then click on submit

 This will securely send the forms directly to us for processing. After seven days from today, we kindly request that you call the VA hotline at External link opens in new tab or window1-800-827-1000. This will allow you to set up direct deposit, ensuring that your VA compensation, once awarded, is deposited directly into your checking account. During the call with the VA hotline, please inform them that you would like to add your dependents, such as your spouse and children, to your VA benefits. Thank you for your cooperation in providing the necessary information and completing the required forms. We are here to assist you every step of the way.


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