VFW.org

VFW Claim Form

Use this form to request substantiation for an existing VA medical claim. This is a free service provided to VFW members. Fill out all the required blanks and click "Submit" when finished. VFW will run a claim notice only ONCE in the magazine.

*All fields are required.

Full Name:  
Branch of Service:  
Unit/Ship/Duty Station:  
Date(s) of Incident:   
Individuals Seeking:  
Medical Nature of Claim:  
Phone number:  
E-mail:  
VFW Post:  

(Click "Submit" to send the form electronically to VFW's claims editor.)