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.



1. Fill out Section 1, which includes the Veterans Identification Information (items 1-9).

2. If you are not the Veteran but are a Surviving Spouse, you will also need to complete Section 2 (items 11-15).

3. On the second page, please write your (the Veterans) Social Security number at the top of the page. Do not sign the second page.

4. On Page 3, write your (the Veterans) Social Security number at the top of the page, and sign this page in Block 23A. Please date your signature in Block 23B.

5. Email the completed form back to us at: **External link opens in new tab or windowatlaseliteservices@gmail.com**.

6. If you do not have the ability to print and sign, you may sign a separate piece of paper with a signature that is no more than an inch long. You can then text that signature to us at **731-610-6099**, along with a statement granting us permission to include your signature on the Power of Representation.



2. Provide the following Military information:


Name:

Email: 

Phone:
Date you first entered military:

Military installation/Duty station you were last separated from:

Last date you left military service:


If you have received medical treatment from the VA, please provide the names of the medical treatment facilities.

Additionally, provide an estimated start date for your treatment:




3. 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.



1. Fill out all the fields on this form.
2. On the second page, place your Social Security number at the top.
3. On page 2, sign Block 13. Please date your signature in Block 14.
4. Email the completed form back to us at: **External link opens in new tab or windowatlaseliteservices@gmail.com**.
5. If you do not have the ability to print and sign, you may sign a separate piece of paper with a signature that is no more than an inch long. You can then text that signature to us at **731-610-6099**, along with a statement granting us permission to include your signature on the Release of Medical Information.


 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.



4. Mental Health Disorder Due to In Service Traumatic Event Form

Use this form, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s), to provide a statement in support of a claimed mental health disorder(s) (e.g., post-traumatic stress disorder (PTSD), depression, anxiety, bipolar disorder, etc.) due to an in-service traumatic event(s) to include:


• Combat traumatic event(s) (e.g., engaged in combat with the enemy, experienced fear of hostile military or terrorist activity, served in an imminent danger area, served as a drone aircraft crew member, etc.)

• Personal traumatic event(s) (e.g., sexual assault or sexual harassment, also known as military sexual trauma (MST), physical assault, robbery, stalking, domestic intimate partner abuse, or harassment, etc.)

• Other traumatic event(s) (e.g., involvement in car accident or natural disaster, worked on burn ward or graves registration, witnessed the death, injury, or threat to the physical integrity of another person not caused by the enemy, or an experience that involved friendly fire that occurred on a gunnery range during a training mission, etc.)

Please complete the Mental Health Disorder Due to In Service Traumatic Event form, so the VA can use the information you provide to review your military records and other sources of information for evidence to support your claim.


 If this pertains to you fill out the Mental Health Disorder Due to In Service Traumatic Event form:



1. Fill out all the fields on this form.

2. On the pages 4 through 7, place your Social Security number at the top of each page.
3. On page 6, sign Block 16A.  Please date your signature in Block 16B.
4. Email the completed form back to us at: **External link opens in new tab or windowatlaseliteservices@gmail.com**.
5. If you do not have the ability to print and sign, you may sign a separate piece of paper with a signature that is no more than an inch long. You can then text that signature to us at **731-610-6099**, along with a statement granting us permission to include your signature on the Mental Health Disorder Due to In Service Traumatic Event Form.