VA Disability Compensation

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Consultation Form

In order to serve you better, please fill out this consultation form and click Submit.  Once we have reviewed your information, our office will contact you using the contact information you provide.  Please be sure and include a phone number where we can reach you.

Veteran's Name (If you are contacting us on behalf of a veteran, please provide your name also.)

Phone Number and email

Are you a veteran?

Were you injured as a result of your service?

Do you suffer from a disease or illness you believe is related to service?
Have you applied for VA disability? If yes, what was the last correspondence you received from the VA?
Do you have a current VA decision that is within the appeal period?
Are you currently represented by an attorney, agent, or veteran’s service organization?
Our office is located at:
175 2nd St
Belleville, MI
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