INTAKE FORM

Intake Form


IMPORTANT: If you have never filed a claim for VA disability compensation, we regret that we can not assist with the preparation and filing of original claims. We strongly recommend seeking assistance from your state or county veterans' service organization, or one of the national organizations (i.e. DAV, VFW, American Legion, etc.), who have accredited representatives can help you with this process free of charge.


No attorney-client relationship is established or created by completing this questionnaire. Once we have received your completed questionnaire and have had a chance to review it, we will contact you by email, phone, or mail to further discuss your intake materials and our evaluation process. If we cannot accept your case for representation, your information will be destroyed.


Please complete the entire intake form. Questions with an asterisk are required to submit the form.


Intake Form

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