If you are seeking assistance, please fill out the form below and some will contact you as soon as possible.
As part of the verification process, please be prepared to submit a copy of one of the following documents:
- DD214 (Member 4 or Service 2)
- VA ratings decision (showing dates of service and VA ratings)
- Enlisted Record Brief (ERB) or Officer Record Brief (ORB)
- Medical Evaluation Board (MEB) or Physical Evaluation Board (PEB) narrative letter
- Current unit orders (if you are on active duty) to a Warrior Transition Unit (WTU) or Warrior Transition Battalion (WTB)
- Line of Duty (LOD) documentation – form and memo
- Purple Heart Orders or Citation
Other official documents verifying eligibility will be considered on a case-by-case basis.