Veteran and Military Community Federal Employee Form

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This form is for potential, current, and past employees, trainees, and contractors of the United States government, who are veterans, military spouses, or members of the Guard or Reserves to share their experience and concerns with the Senate Committee on Veterans’ Affairs, Democratic Staff.

If you are a veteran or member of a veteran’s community and wish to share information regarding any impacts the current Administration has had on access to VA health care and benefits, please click HERE.

If you are a potential, current, or past employee, trainee, and contractor of the Department of Veterans Affairs or a member of their community and wish to share your experience, please click HERE.

Privacy and Information Sharing *

Please select at least one option here to ensure the Committee understands how you would prefer your information to be handled.

I consent for the Committee to share my story with my city and state, but not my name or contact information, publicly.

I consent for the Committee to share general information about my experience, but not my location, publicly.

I am interested in giving a quote or an interview with Committee staff or members on the condition of anonymity.

I am interested in giving a quote or an interview with members of the press on the condition of anonymity.

I am interested in sharing my story, including my personal information publicly with the Committee or the press.

Other:

Required

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