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How does a Veteran relate to your question?

Are you the Dependent?
Is Veteran Deceased

What is your question?

Please ask your question or describe the issue in detail in the space below. If the question, or issue, is about a disability, please be specific as to the type of disability(ies) or the issue(s). If you have multiple claims for benefits pending and want the status, please tell us which claim this is about.

Please do not enter your name, file number, or social security number in the question box to the right. You will be asked this information in the fields below.

Topic, Sub-topic, and Inquiry Type?

Your contact information?

Since we have more than one million records in the IRIS system, it looks for an EXACT match of all identifying information, including your first name, last name, suffix, and email address. If you have submitted an inquiry previously, please be sure to enter your name and email address exactly as you did before to avoid problems finding your record.

It's not required, but providing your Email Address may dramatically reduce the time it takes to process your request, by helping us better match your information.

Dependent information?

Although not required, providing the Dependent Email address may reduce the time it takes to process your request by helping us to match identifying information.

Veteran information?

Although not required, providing the Veteran Email address may reduce the time it takes to process your request by helping us to match identifying information.

Veteran's Branch of Service, Social Security Number, Claim Number and/or Service Number, and Service Dates (if known):

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Providing as many of these identifying pieces of data as possible will reduce the time it takes to process your request, by helping us better match information.

Please click on the "Submit" button JUST ONE TIME.  There may be a delay as long as 25 seconds while your information is routed electronically to the appropriate office.   Again, please click only once.   Processing is complete when your screen changes to an acknowledgement from VA that your message has been received.

VA Form0873

OMB Number: 2900-0619
Estimated Burden: 10 minutes

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average ten (10) minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This collection of information is intended to fulfill the need identified by the Department of Veterans Affairs (VA) to categorize your question, complaint, compliment, or suggestion and collect the necessary information to respond to it. Results will be used to automatically route your inquiry to the appropriate person in the VA, which will help ensure that you receive a response in a timely manner. Use of this form is voluntary and failure to participate will have no adverse effect of benefits to which you might otherwise be entitled.