Veteran Intake Questionnaire

Please fill out our Veterans Intake Questionnaire to give us more information about you. You will be assigned to a Veterans Specialist and will get back to you soon.

Name : *

First

Middle

Last

Username : *

Email : *

Password *

Password

Confirm Password

Branch of Service : *

Current Va Rating : *

Phone Number : *

Phone Number (Additional)

Other number where we can reach you.

Facebook Account:

Please input complete link. https://www.facebook.com/ACCOUNTNAME/

Viber Account:

Please input either your phone number or exact name associated with your Viber account.

Referral Name: *

Type the name who refer you to this site:

eBenefits Premium Account : *

If No, please take your time to create one.

VA Account : *

If No, please take your time to create one on : https://www.va.gov/

My Health Account : *

If No, please take your time to create one on : https://www.myhealth.va.gov/

Note :

You will need to submit forms to help you with your claims. We have a team of Veteran Winners who cares about you and we will guide you to get the disability rating you deserve.

VHV2020, Inc. is not an attorney or a pool of attorneys, law firm or law office. It is not an accredited or recognized VA claim agent nor is it an individual or entity that is allowed and accredited by the VA to represent any and all of its Affiliates. VHV2020, Inc. does NOT represent veterans before the VA or BVA in connection with any claim for VA disability benefits. Veterans are appraised that there are free resources available to aid them in the applications they have before Department of Veterans Affairs (VA) such as but not limited to the preparation, filing, presentation and processing of the VA disability claim. Veterans may search for and appoint an accredited VSO by clicking this link: https://www.va.gov/ogc/apps/accreditation/index.asp.