Request for Vocational Expert Opinion.
Please fill out this form completely. Your responses will be sent to Patrick Clifford, who will contact you directly if he is able to offer assistance.
Email address *
Please confirm that you understand the following before I can ask you any other questions: *
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What is your full first and last name? *
Your answer
What branch of the service did you serve in? *
What years did you serve in the military? *
Your answer
Which BEST describes your CURRENT VA service connection ratings? (choose the best one) *
Are you currently employed? (choose one) *
If you are NOT working, what is the last date that you worked?
Your answer
What is the highest level of education you achieved? *
Describe the type of jobs you are trained to perform. *
Your answer
What service connected disabilities are preventing you from getting or keeping substantially gainful employment? *
Your answer
What is your phone number? *
Your answer
What city do you live in? *
Your answer
What state do you live in? *
Your answer
Check all that apply: *
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A copy of your responses will be emailed to the address you provided.
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This form was created inside of Attig Steel PLLC.