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Do you need help with a claim involving one or more of the following:

Sleep ApneaPTSD / Pscyhiatric conditionMigrainesTraumatic Brain InjuryCondition resulting from radiation exposureHerbicide exposure.Burn-pit exposureCamp Lejeune exposureTCE/Benzene exposuresNerve related conditions (Conditions like: multiple sclerosis, ALS/Lou Gehrig's, Parkinson's, Fibromyalgia, Rhabdomyelosis, Chronic Fatigue Syndrome)Joint Conditions (Knees, Back, Hips, Ankles, etc)Survivor Benefits (DIC, Accrued Benefits)Gulf War SyndromeSpecial Monthly CompensationReduction of BenefitsUnemployabilityI'm a Black veteran with COPD or other respiratory disorder.Something else

What do you need our help with in your VA claim or appeal?

Give us a sense of what's most important to you in your claim/appeal.

Tell us about your military service.

Include things such as your dates of service, branch, final rank, nature of your discharge (medical, honorable, dishonorable, etc).

Tell us about your service connected disabilities and ratings.

What major conditions are you ALREADY service connected for, and what are the ratings (if you know) and what is your total rating?

Are your service connected conditions preventing you from working or holding down a decent job?

Yes

Tell us about your most recent job.

Include things like when you last worked, what kind of work you do, and what pay/salary you earned in your last job.

I'm not working but attending school full time.

How are your service connected disabilities affecting with your education?

No

Do you have a copy of your most recent VA Ratings Decision you can share with us?

Be sure that the VA Rating Decision or BVA decision that you send to us is relevant - in other words, it must discuss the issues and conditions you are wanting us to review in your case.

Yes

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No, but I have other information I can upload.

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No, but I can fax you a copy (Our Fax number is 214-741-2337)

No, I don't have a copy available.

How were you referred to our law firm?

Friend or family member

Who can we thank for referring you to us?

Veterans Law Blog®

Another attorney

What is the attorney/firm's name?

Online Search or Social Media

Which site or search terms (if you remember)?

For example, Google search, Yahoo search, Facebook, LinkedIn, etc.

Other

Tell us how you discovered us:

Which of the following groups do you identify with?

Our law firm is committed to ensuring that veterans in under-represented communities have equal access to representation. Please let us know if you identify with any of the following groups. THIS IS COMPLETELY OPTIONAL.

BlackHispanic / LatinXAsian-AmericanOther race/ethnicityMaleFemaleNon-BinaryTransgenderGay/Lesbian/Bisexual/Queer/Intersex

ACKNOWLEDGEMENT AND ACCEPTANCE

I understand that by submitting this information to Attig | Curran | Steel, I am only requesting a case review, and am NOT a client of Attig | Curran | Steel or its attorneysI understand that unless I sign a written contract with an attorney at Attig | Curran | Steel, I remain responsible for ALL deadlines and action in my own claims and appeals.If you cannot help in my claim or appeal, but know an attorney who might be able to help, I consent to you sharing my claim and contact information with them, and I consent to the other firm contacting me directly.

THANK YOU