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.

Claim Information:

Branch of Service: *Please make a selection

Unit/Ship/Duty Station: *Required

Date(s) of Incident: *Required

Individuals Seeking: *Required

Medical Nature of Claim: *Required

Contact Information:

Full Name: *Please provide your name

Phone Number:

E-mail:

*Please provide a valid email

VFW Post: *Required