Veterans Benefits Clinic Intake Form
Please complete this form PRIOR to calling (434) 817-2189 to pre-register for the clinic. The clinic will be held on Monday, July 17, from 4-7pm at the University of Virginia School of Law, 580 Massie Rd.
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Phone Number
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Email Address
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Do you need handicapped parking?
Branch of service
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Dates of service
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Have you filed a claim for disability benefits?
Have you received a decision?
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