REQUEST AN APPOINTMENT WITH THE VETERANS SERVICE OFFICER

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Please complete this form to send a message to and/or to request an appointment with the Kosciusko County Veterans Service Officer.

* Denotes a required field
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Phone*
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ZIP*
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Second portion of ZIP Code is optional.
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Have you ever filed a VA claim before?*
Do you currently have a claim or appeal pending?*
Are you already service-connected for VA Disability?*
 
Are you homeless or at risk of becoming homeless?*
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