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Veterans Benefits and Claims Planning Assistance

To learn if a veterans benefits advisor / planner would be beneficial to your situation and to be connected with one who meets your needs, please answer the following questions. 
  1. What is your relationship to the veteran?*
    Please select your relationship to the veterans from the menu.
  2. What is the current status of your claim?*
    Please select your claim status.
  3. For what type of claim are you seeking assistance. Choose all that apply.*






    Please select at least one.
  4. How much care does the applicant currently require?*
    Invalid Input
  5. What type of assistance is the applicant seeking?*
    Invalid Input
  6. What is the veteran’s marital status?*
    Invalid Input
  7. What is the approximate income of the veteran and / or their spouse? Do not include income from the VA.*
    Please select an approximate monthly income.
  8. What is the approximate value of the veteran's assets, not including their home?*
  9. Did the veteran serve during wartime?*
    Please select an answer from the menu.
  10. In what state does the veteran reside?*
    Invalid Input
  11. Enter your full name*
    Invalid Input
  12. Please enter your email address*
    Invalid Input
  13. Please enter your phone number*
    Please enter a valid 10-digit phone number.

By clicking "Submit", you agree to our Terms of Use, our Privacy Policy, and our Agreement to be Contacted by Telephone. You also consent that we, or our partner providers, may reach out to you about senior living solutions or Medicare insurance using a system that can auto-dial; however, you do not need to consent to this to use our service.