Fill in claim request

Here is what you need to know before starting:

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The process will take about 20 minutes to complete.

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We value your confidentiality so your data will not be saved anywhere and will go straight to VA (Veterans Affairs).

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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.

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If at any time you get stuck and need assistance, use the “Ask for help” button in the top-right corner of the screen.

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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
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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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Please visit VetNexus on a desktop or laptop to access the full functionality of the platform.

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