Fill in claim request
Here is what you need to know before starting:
The process will take about 20 minutes to complete.
We value your confidentiality so your data will not be saved anywhere and will go straight to VA (Veterans Affairs).
Make sure you finish the form in one go and don’t leave the website after you begin, otherwise you’ll have to start from scratch.
If at any time you get stuck and need assistance, use the “Ask for help” button in the top-right corner of the screen.
Here are the information you will need to complete the claim:
- Identification and address information
- Toxic exposure information
- Service and service pay information
- Outside providers information
- Bank account information (if applicable)
- Digital signature
Disclaimer
We only support FDC Program and Standard Claim Process claims. If you wish to claim any of the following:
- IDES or BDD Claims
- Supplemental Claims
- Dependents
- Individual Unemployability
- Post-Traumatic Stress Disorder
- Specially Adapted Housing or Special Home Adaptation
- Auto Allowance
- Veteran/Spouse Aid and Attendance benefits
Ask for a referral and we will contact you.
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