Request for assistance

Tell us what you need help with

This short form lets Juan J. Torres, a VA-accredited claims agent, look at your situation before anything is signed. He reviews every request personally and replies within 5 business days.

Submitting this request does not create an attorney/agent–client relationship or appoint a representative.

Please do not include your Social Security number or medical records.

About you

First name *Last name *Email Phone

Give us an email, a phone number, or both. Email is the best way to reach you.

Country *State / territory

What you need

What do you need help with? *Briefly, what is going on? *Conditions you want to claim or appeal, in a few sentences. No medical records, please.0/3000

A little more (optional)

Branch of service Era of service

Date on your most recent VA decision letter

If you have one. Most VA decisions can be appealed within one year of this date.

Do you have a representative now? How did you hear about us?

Verification

Submitting this request does not create an attorney/agent–client relationship or appoint a representative. Please do not include your Social Security number or medical records.