Benefits for spina bifida linked to agent orange | veterans affairs

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Benefits for spina bifida linked to agent orange | veterans affairs"


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HOW TO APPLY FOR BENEFITS You’ll need to fill out an Application for Benefits for Certain Children with Disabilities Born of Vietnam and Certain Korea Service Veterans (VA Form 21-0304). Get


VA Form 21-0304 to download You’ll also need to submit this evidence: * Your birth certificate or another document showing the biological relationship between you and your Veteran parent,


AND * Service records that prove your Veteran parent served in Vietnam, Thailand, or in or near the DMZ during the qualifying dates listed above, AND * Medical records with the diagnosis of


spina bifida  You can apply by mail, in person, or with the help of a trained professional. OPTION 1: BY MAIL OR FAX Mail your completed form and supporting evidence to this address:


Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444 Or you can fax them to . If you’re outside the U.S., fax them to 1-.  OPTION 2: IN PERSON Bring your


completed form and supporting evidence to a VA regional office near you. Find a VA regional office near you OPTION 3: WITH THE HELP OF A TRAINED PROFESSIONAL You can work with a trained


professional called an accredited representative to get help applying for benefits. Get help applying for benefits If you already have an accredited representative or a power of attorney and


you need to update their information, call us at (TTY: 711). We’re here Monday through Friday, 8:00 a.m. to 9:00 p.m. ET. FOR QUESTIONS ABOUT COMPENSATION OR APPLYING FOR BENEFITS Call us


at (TTY: 711). We’re here Monday through Friday, 8:30 a.m. to 5:00 p.m. ET.  Or send us an email at [email protected]. FOR QUESTIONS ABOUT THE SPINA BIFIDA HEALTH CARE BENEFITS PROGRAM


Call us at (TTY: 711). We’re here Monday through Friday, 8:00 a.m. to 6:45 p.m. ET. You can also contact us online through Ask VA. Contact us online through Ask VA Or send us an email at



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