I got my denial letter and my claim online said on review until Friday when my VSO uploaded my supplemental claim. That claim closed 2/9 but it still showed it was under review until Friday. 117K subscribers in the VeteransBenefits community. Everything you need to get the Veteran's Benefits you earned and are entitled to.NCA FP Evidence Intake Center PO Box 5237 Janesville, WI 53547. Note: Please don’t send original documents since we can’t return them to you. Review our list of military discharge documents. By fax. You can also fax your application to . If you need help, please call us at 800-697-6947 . We’re here Monday through Friday, 8:00 a.m. to 5:00 ...To file your claim through a VSO, you must sign a United States Department of Veterans Affairs (USDVA) Appointment of Representation form, which authorizes the VSO to act on your behalf in preparing, presenting, and pursuing your claim for any and all benefits from the federal VA. ... or ask the VA to get evidence from a VA Medical Center ...If you prefer to mail your correspondence, please use the related mailing address below. Compensation Benefits. Pension & Survivors Benefits. Department of Veterans Affairs Compensation Intake Center PO Box 4444 Janesville, WI 53547 Toll Free Phone: 1-800-827-1000 Toll Free Fax: (844) 531-7818.Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. Veterans may also mail-in claim paperwork to their nearest VA Regional Office. Mailing addresses can be found on the Facility Locator page. If the Veteran needs VA to request records, then the name, address, company, or agency possessing those records ...Number and street or rural route, city or P.O., State an. ... claims for any and all benefits from the Department of Veterans Affairs (VA) based on the service of the veteran named in Item 1. If the individual ... Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444. Pension Intake CenterContact Numbers. Veteran Readiness & Employment ... Veterans of Foreign Wars (VFW): 803-647-2443; Paralyzed Veterans (PVA): 803-647-2432; Veterans Experience Action Center Dates: March 21-22 from 9 a.m. to 4 p.m. and March 23 from 9 a.m. to 2 p.m. ... This page contains links that will take you outside of the Department of Veterans Affairs ...Additionally, you may also apply for benefits online through va.gov, send inquiries regarding claims by calling the VA National Contact Center at 1-800-827-1000. Documents related to your VA claim can be mailed to: U.S. Department of Veterans Affairs, Claims Intake Center, PO Box 4444, Janesville, WI 53547-4444.Jan 17, 2024 · Contacting VA Outside of Togus: By Phone: Please note Veterans can access information or ask questions about their benefits by calling: Phone: 1-800-827-1000 or 1-800-MYVA411 (1-800-698-2411) Online: Veterans also have the option to check the status of a claim or appeal, view payment history, upload evidence to support a claim or appeal, file ... Contacting VA Outside of Togus: By Phone: Please note Veterans can access information or ask questions about their benefits by calling: Phone: 1-800-827-1000 or 1-800-MYVA411 (1-800-698-2411) Online: Veterans also have the option to check the status of a claim or appeal, view payment history, upload evidence to support a claim or appeal, file ...*Advice nurse is now the VISN triage line: If you have any questions or problems, please call VA Tele-Nurse at 1-888-VET-OHIO or 1-888-350-3100 (Available 24 hours a day and 7 days a week)Palo Alto VA Medical Center-Livermore. 4951 Arroyo Road. Livermore, CA 94550-9650. Get directions on Google Maps to Palo Alto VA Medical Center-Livermore. Main phone: 925-373-4700. Mental health care: 650-849-0303.San Diego Veterans can access care 24/7 through the Clinical Contact Center by calling 877-252-4866 to get their health questions or concerns answered from the comfort and convenience of their home. VA Video Connect allows patients to see their provider through a live video appointment.Careers at VA. The Department of Veterans Affairs is committed to adding and retaining Veterans to our workforce. Whether you are a vet interested at working at VA or you're a Vet that already works here - VA for Vets will have something for you to find and advance your dream career. Launch your career at the Nation's largest health care system.First, complete the Presidential Memorial Certificate Request Form (VA Form 40-0247). Get VA Form 40-0247 to download. Then fax your application and supporting documents to 800-455-7143. If you need help, please call us at 800-697-6947. We're here Monday through Friday, 8:00 a.m. to 5:00 p.m. ET.Our main campus provides primary care and specialty health services, including surgery, psychiatry, neurology, cancer treatment (oncology), dentistry, and more. Below, you’ll find our address and hours, parking and transportation information, and the other health services we offer at Minneapolis VA Medical Center. Make an appointment.name and VA file number on each page. Send your application and any evidence in support of your claim to the following address: Department of Veterans Affairs Evidence Intake Center P. O. Box 4444 Janesville, WI 53547-4444 . Sincerely yours, Enclosure . FL 21-30 XXX XXXX (RS) Enter recipient's name and address Enter VARO addressEnter International Phone Number (If applicable) IMPORTANT: ... After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. SECTION II: STRESSFUL INCIDENT(S) ... Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) and VA Form 21 ...You can find out where your claim, decision review, or appeal is in our review process. You can also check these details: Any evidence you’ve filed online to support your initial claim. Any additional evidence we’ve requested from you. Your claim, decision review, or appeal type. What you’ve claimed.(866) 232-5777. Get a Free Consultation Today! What is the Evidence Intake Center? Why was the EIC established? Why would I get mail from the VA Evidence Intake Center? Which Evidence Intake …PTSD Information Voice Mail: (802) 296-6300. Email: [email protected]. Also see: VA Mental Health. Site Map. Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.Visa doesn’t have a dedicated phone number for fraud, but consumers can call the Visa 24-hour customer assistance center at 1-800-847-2911 to inquire about fraud issues.If you know of evidence not in your possession and want VA to try to get it for you; You must: • Complete and sign VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA)After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. Get more for Va Fax Cover Sheet Png defence force application form 2014 2019Intake Site At Fort Carson. | Regional Benefit Office. 1626 O Connell Blvd., Bldg. 813, 3rd Floor. Fort Carson, CO 80913. Presence at facility and hours of operation. Monday - Thursday 7:30 am - 2:30pm. Friday 7:30am-11:30am. return to top. Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family ...Mar 2, 2024 · The Madison VA Hospital and Clinics currently offers the Moderna Bivalent vaccine. Veterans can call the Vaccine Scheduling Line at608-280-2160 to make an appointment right away. We have appointments available at our main hospital and all of our Community Based Outpatient Clinics. They’ll call the phone number that you provided on the Higher-Level Review form. ... Department of Veterans Affairs Claims Intake Center PO Box 5365 Janesville, WI 53547-5365. Program of Comprehensive Assistance for Family Caregivers (PCAFC) Department of Veterans Affairs Evidence Intake Center PO Box 5154 …QuickSubmit is the new evidence intake tool for VA claims - VA News. Filing a claim online? QuickSubmit has replaced Direct Upload as the online tool to share documents with VA's Evidence Intake Center.Review VA pension rates for Veterans, including Aid and Attendance and Housebound rates. Review pension rates for surviving spouses and children. Review protected pension rates for section 306 and old law VA disability and death pension benefits. Find out how to schedule your VA claim exam and what to expect during and after the appointment.VA Claim Exams. FACT SHEET. BACKGROUND. On May 28, 2020, the Department of Veterans Affairs (VA) resumed in-person disability compensation and pension (C&P) medical exams performed by VA contractors. As of December 31, 2020, the available C&P exam locations for scheduling grew to 42,516 U.S. zip codes. As of June 1, 2021, examinations requiring ...May 13, 2022 · DEPARTMENT OF VETERANS AFFAIRS EVIDENCE INTAKE CENTER PO BOX 4444 JANESVILLE, WI 53547-4444. If due dates and missing documents become an issue in your VA disability benefits claim, you’ll be glad you used certified mail. That little green postcard that proves your documents were delivered can be helpful when it comes to disputing your ... Call us. You can call us between 8am and 5pm, Monday to Friday. Telephone: 1800 VETERAN (1800 838 372) International callers: +61 2 6289 1133.The Evidence Intake Center (EIC) is the Veterans Benefits Administration's (VBA) centralized processing location for inbound mail. Veterans send any...Contact the accredited representative. ... Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444. To get help applying for pension and survivor benefits Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365. To get help requesting a Board AppealFind out how and when to upload evidence online to support your VA claim. Evidence may include supporting documents like medical test results, doctor’s reports, and other records.Department of Veterans Affairs Compensation Intake Center P.O. Box 4444 Janesville, WI 53547-4444 Pension & Survivors Benefit Claims . Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 These addresses serve ... Enter International Phone Number (If applicable) SECTION II - CLAIMANT'S IDENTIFICATION ...Find helpful VA phone numbers. If you have questions about debt collection, call our Debt Management Center at 800-827-0648 ( 1-612-713-6415 from overseas) ( TTY: 711 ), Monday through Friday, 7:30 a.m. to 7:00 p.m. ET. Note: Find out how to dispute your VA copay charges. Here are 2 ways to avoid VA benefit debt:Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. In person. Bring your application to a VA regional office near you. Find a VA regional office near you. By fax. If you’re in the U.S., fax your application to 844-531-7818. If you’re outside the U.S., fax your application to 248-524-4260.Department of Veterans Affairs Attention: Insurance Center PO Box 5209 Janesville, WI 53547. Pension and survivor benefits; Department of Veterans Affairs Claims Intake Center PO Box 5365 Janesville, WI 53547-5365. Program of Comprehensive Assistance for Family Caregivers (PCAFC) Department of Veterans Affairs Evidence Intake Center PO Box 5154Department of Veterans Affairs National Cemetery Administration Memorial Products Service. To: MEMORIAL PRODUCTS SERVICE (41B) Quick Submit: access.va.gov or Fax Number: 1-800-455-7143. From: Sender's Phone Number: Sender's Fax Number: Total No. of Pages (including cover sheet): ... claim to NCA FP EVIDENCE INTAKE CENTER PO BOX 5237 JANESVILLE ...Mailing Address: Department of Veterans Affairs / Claims Intake Center / PO Box 5235 Janesville, WI 53547-5235 IL: 800-827-1000 : 328: Intake Site At Great Lakes Naval Station: BDD Intake Site/VA Medical Center N Chicago, IL 60088 IL : 328: Intake Site At Scott Air Force BaseGet address and hours, parking and transportation information, and health services offered at Bob Stump Department of Veterans Affairs Medical Center ... Phone numbers Main phone: 928-445-4860. Mental health care: 928 …To submit an application to this office, mail it to: Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365. Find the VA pension management center that serves you, depending on the type of claim you’re submitting and the state or territory you live in. Then, mail your application to the …Veterans Affairs Evidence Intake Center P.O. Box 5154 Janesville, WI 53547. You can also seek review through the VHA Clinical Review Process. Please contact the Patient Advocate at your local VA medical facility for more information on the Clinical Review Process. Review options for decisions issued on or after February 19, 20193. If you received a letter from VA requesting additional evidence for your claim or appeal, you can mail/fax to the following address or fax number (also address for FOIA requests): Department Of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Toll Free Fax: 844-822-5246 4.Contact the National Call Center for Homeless Veterans at 877-424-3838 for help 24 hours a day, 7 days a week. A trained VA counselor will offer information about VA homelessness programs, health care, and other services in your area. The call is free and confidential.Korean Veterans as defined by Title 38, U.S.C 18, Sections 1811 and 1831 • For Birth Defects - claimant's biological mother must be a Vietnam Veter an . Mail: Department of Veterans Affairs . Evidence Intake Center . PO Box 4444 . Janesville, WI 53547-4444 . Fax: 844-531-7818 . Documentation and Eligibility Determinations (VBA)St. Louis VA Medical Center-Jefferson Barracks. 1 Jefferson Barracks Drive. St. Louis, MO 63125-4199. Get directions on Google Maps to St. Louis VA Medical Center-Jefferson Barracks. Main phone: 314-652-4100. Mental health care: 314-652-4100, ext. 66653. See all locations.Form SSA-L1103-U3 (SSI Request for Information) is used to obtain benefit verification from the VA. Depending on the type of VA benefit the individual is receiving, the SSA-L1103-U3 request is sent to either the appropriate Veterans Affairs Regional Office (VARO) or VA Pension Management Center (PMC).At the heart of the matter lies the significance of evidence and documentation in the VA claims process. Understanding the VA Evidence Intake Center. The center serves as a crucial hub within the broader framework of the Department of Veterans Affairs. Its primary purpose is to collect and process the evidence submitted by veterans in support ...The new number is 800-MyVA411 (800-698-2411), and provides a single access point to all VA contact centers. Make sure to add the number to your contacts for easy access. The number is available ...United States Department of Veterans Affairs Regional Office, Honolulu ... Phone Number Email; Hawaii: 1-800-827-1000 1-800-MyVA411: [email protected]: Guam (671) 687-2096 ... VR&E Office (808) 433-0560: [email protected]: You may mail or fax claims and evidence to: Department of Veterans Affairs Claims Intake Center PO …Contact Us. Please reach us toll-free at (888) 407-0144 and select the appropriate Fiduciary hub below. For general evidence or information related to your fiduciary records you may mail or fax information to: VA Fiduciary Intake Center P.O. Box 5211 Janesville, WI 53547-5211 Fax 888-581-6826The claim status tool won’t provide an exact date. But if the status is “complete,” this means we’ve already mailed your letter. It will take 7 to 10 business days to arrive from the date we mailed it. If you don’t receive your letter within 10 days, call us at 800-827-1000 ( TTY: 711 ).Intake Site At NAS Jacksonville. | Regional Benefit Office. Department of Veterans Affairs. Jacksonville, FL 32217. Presence at Facility and hours of operation. Monday - Friday 8:00 - 3:30. return to top. Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family member—like health care ...Veterans Evaluation Services, customer service number 877-637-8387. If you're outside the continental U.S., customer service number +1-713-255-5656. Note: The contractor list here isn't an official recommendation or endorsement. If we determine that you need an exam, we'll assign a contractor to you based on location and availability.To file your claim through a VSO, you must sign a United States Department of Veterans Affairs (USDVA) Appointment of Representation form, which authorizes the VSO to act on your behalf in preparing, presenting, and pursuing your claim for any and all benefits from the federal VA. ... or ask the VA to get evidence from a VA Medical Center ...Number and street or rural route, city or P.O., State an. ... claims for any and all benefits from the Department of Veterans Affairs (VA) based on the service of the veteran named in Item 1. If the individual ... Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444. Pension Intake CenterDepartment of Veterans Affairs, VA, Veteran Health Administration, Office of Community Care, VHA OCC, community care, emergency care, health care claim form, unauthorized emergent services, care coordination, Veteran, VA Form 10-10143f Created Date: 8/26/2020 12:46:11 PMEnter International Phone Number (If applicable) Receipt by the student of VA Dependents' Educational Assistance (DEA), the Federal Employee's Compensation Act, or benefit from another Federal Agency (i.e. ... Department of Veterans Affairs Evidence Intake Center ... Janesville, WI 53547-4444 Department of Veterans Affairs Pension Intake Center ...Contact. Search. Contact Us. FAQs. Ask a Question. Toll Free Numbers. Locator. Hospitals and Clinics. ... U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. Last updated May 02, 2024. Get help from Veterans Crisis Line. Call 988 (Press 1) Text to 838255; Chat confidentially now; Call TTY if you have hearing loss 1 ...3. If you received a letter from VA requesting additional evidence for your claim or appeal, you can mail/fax to the following address or fax number (also address for FOIA requests): Department Of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Toll Free Fax: 844-822-5246 4.U.S. Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444 Or, you can fax it to: (844) 531-7818 (inside the U.S.) (248) 524-4260 (outside the U.S.) You can also go to your local regional office and turn in your application for processing. For more information, visit the VA Compensation website.DEPARTMENT OF VETERANS AFFAIRS EVIDENCE INTAKE CENTER PO BOX 4444 JANESVILLE, WI 53547-4444. If due dates and missing documents become an issue in your VA disability benefits claim, you’ll be glad you used certified mail. That little green postcard that proves your documents were delivered can be helpful when it comes to disputing your ...Contact Us. 1-800-562-2308. [email protected] (360)725-2182 - King County ... Washington State Department of Veterans Affairs Homeless Veterans' Reintegration Program is supported by the U.S. Department of Labor. A total of $500,000, or 100 percent, of the program is financed with federal funds. ... credible evidence indicating that the ...Evidence requirements for military Veterans applying for VA disability compensation benefits Apply for and manage the VA benefits and services you've earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more. ... Wireless Number. ... U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW ...Evidence Can Be Submitted by Mail or by Fax. Evidence should be submitted by fax or mail to the following location: Department of Veterans' Affairs. Claims Intake Center. PO Box 4444. Janesville, WI 53547 …The U.S. Department of Veterans Affairs presents a basic overview of disability compensation, including a brief definition of disability compensation, benefit rates description, eligibility, the evidence required, presumed disabilities, and how to apply. ... Department of Veterans Affairs. Compensation Intake Center. P.O. Box 4444. …Contact number for Evidence Intake Center in Janesvilles, WI A sk Y our ... DEPARTMENT OF VETERANS AFFAIRS CLAIMS INTAKE CENTER PO BOX 4444 JANESVILLE, WI 53547-4444Veterans Affairs Evidence Intake Center P.O. Box 5154 Janesville, WI 53547. You can also seek review through the VHA Clinical Review Process. Please contact the Patient Advocate at your local VA medical facility for more information on the Clinical Review Process. Review options for decisions issued on or after February 19, 2019The Department of Veterans Affairs has maintained a Regional Office and Outpatient Clinic in the Philippines since 1922. ... Phone Number: Trunk line: +63 (02) 8550-3888, or dial #MyVA ... Department of Veterans Affairs Claims Intake Center P.O. Box 4444 Janesville, WI 53547-4444. Contact Information: Trunk line: ...Find out which VA insurance programs may be right for you and the form you need. Search for DD forms and instructions at the official DOD forms website. Can’t find the VA form you’re looking for? Contact us. Last updated: October 12, 2022. Feedback. Search for a VA form by keyword, form name, or form number.Get address and hours, parking and transportation information, and health services offered at Bob Stump Department of Veterans Affairs Medical Center ... Phone numbers Main phone: 928-445-4860. Mental health care: 928 …At the heart of the matter lies the significance of evidence and documentation in the VA claims process. Understanding the VA Evidence Intake Center. The center serves as a crucial hub within the broader framework of the Department of Veterans Affairs. Its primary purpose is to collect and process the evidence submitted by veterans in support ...Call 865-633-0000 to schedule an appointment with one of our counselors. Intake visit. After your initial contact with us, the Vet Center Director will work to match you with a counselor. You can expect a return call within 1 to 2 business days, and we will schedule your first appointment within 2 to 10 business days.Phone Number Email; Hawaii: 1-800-827-1000 1-800-MyVA411: [email protected] ... [email protected]: You may mail or fax claims and evidence to: Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. Fax Toll Free: 844-531-7818. 1-800-MyVA411. The Department of Veterans Affairs established …Go to your nearest VA medical center or clinic. Bring a signed Application for Health Benefits (VA Form 10-10EZ) with you. Find a VA medical center or clinic near you. Or get help through your state's Department of Veterans Affairs. Find your state's Department of Veterans Affairs. Option 4: Apply with the help of a trained professionalAddress. 790 Veterans Way. Pensacola, FL 32507-1000. Get directions on Google Maps to Pensacola VA Clinic.The Department of Housing and Urban Development (HUD) offers a rental assistance program called the Veterans Affairs Supportive Housing (VASH) program. This program provides rental...Nov 21, 2023 · Foreign Medical Program (FMP) For eligible Veterans living or traveling abroad, VA offers medical services through the Foreign Medical Program (FMP). Through this program, FMP will pay for health care services, medications, and durable medical equipment for service-connected conditions and conditions associated with and held to be aggravating a ...
1100 Tunnel Road. Asheville, NC 28805-2087. Get directions on Google Maps to Charles George Department of Veterans Affairs Medical Center. Main phone: 828-298-7911. Mental health care: 828-298-7911, ext. 2519. See all locations.. Homestead movie theater
2. For certification of total service connected disability, form must be mailed to the Department of Veterans Affairs, Evidence Intake Center, PO Box 4444, Janesville, WI 535474444, or you may contact them by email at [email protected]. 3. Deliver or mail the claim form with certification by the Department of Veterans Affairs to:Wireless Number. Email Address ... VA's Fiduciary Program was established to protect Veterans and other beneficiaries who, due to injury, disease, or due to age, are unable to manage their financial affairs. VA will only determine an individual to be unable to manage his or her financial affairs after receipt of medical documentation or if a ...Visitors seeking assistance from our Public Contact Team are encouraged to schedule a ... You may mail or fax Veteran compensation claims and evidence to: Department of Veterans Affairs Claims Intake Center ... Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 Fax Toll Free 844-655-1604 . Office Status.Find a VA medical center, clinic, hospital, national cemetery, or VA regional office near you. You can search by city, state, postal code, or service. You'll get wait times and directions.QuickSubmit is the new evidence intake tool for VA claims - VA News. Filing a claim online? QuickSubmit has replaced Direct Upload as the online tool to share documents with VA's Evidence Intake Center.2. SOCIAL SECURITY NUMBER 3. VA FILE NUMBER (If applicable) 4. DATE OF BIRTH 5. VETERAN'S SERVICE NUMBER (If applicable) 8A. CURRENT ADDRESS (No. and Street or rural route, City or P.O., State and Zip Code) No. & Street Apt./Unit Number City State/Province Country ZIP Code/Postal Code No. & Street Apt./Unit Number CityDepartment of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. INSTRUCTIONS: NOTE: 10A. PROVIDER OR FACILITY NAME . 10D. PROVIDER/FACILITY STREET ADDRESS (Number and street or rural route, P.O. Box, City, State, ZIP Code and Country) From: 10C. DATE(S) OF TREATMENT: (Include the time period (MM/DD/YYYY)This form will be used by the Department of Veterans Affairs in the United States. A VA Form 21-0845 is known as an Authorization to Disclose Personal Information to a Third Party. ... Preferred phone number; Preferred email address; ... Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Fax to: 844-531 ...Veterans Affairs Evidence Intake Center P.O. Box 5154 Janesville, WI 53547. You can also seek review through the VHA Clinical Review Process. Please contact the Patient Advocate at your local VA medical facility for more information on the Clinical Review Process. Review options for decisions issued on or after February 19, 2019Contact Us. Board of Veterans' Appeals. P.O. Box 27063. Washington, DC 20038. FAX: 1-844-678-8979 (Toll Free) Use Ask VA for a status report on your appeal before the Board. In your submission, please be sure to include your name, file number, and specific request.Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. VA DATE STAMP (DO NOT WRITE IN THIS SPACE) 2. VETERAN'S SOCIAL SECURITY NUMBER. 3. VA FILE NUMBER (If applicable) 4. VETERAN'S DATE OF BIRTH (MM/DD/YYYY) 1. VETERAN/BENEFICIARY'S NAME (First, Middle Initial, Last) Month. Day. Year. 5. VETERAN'S ....
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