Veteran Benefits

If you or your spouse have served in the U.S. military, you may be eligible for veteran benefits. Please complete the form below with your legal name if you would like to be contacted about your eligibility for veteran benefits. Your information will also be sent to the Ohio Department of Veterans Services (ODVS) to help connect you to potential veteran benefits. Skip this step

All veteran benefits, including spouse/widow(er) benefits, are based on the veteran’s military service. Please complete the veteran’s information below:

Veteran's First Name:^*

Veteran's Last Name:^*

Please provide the address for the veteran or veteran's spouse/widow(er).

Mailing Address:^*

City:^*

State:

Zip:^* (format: 99999)

County of Residence:^*

Phone and/or email is required.^*

Phone:

Email:

I prefer to be contacted by:

Phone

Please select one of the following that applies to you:^*

I am a veteran

I am a veteran’s spouse

I am representing a veteran

First Name:^*

Last Name:^*

Does the veteran or veteran's spouse currently receive any benefits from the VA?^*

Yes

Did the veteran serve in the Active Duty, National Guard or Reserve?^*

Active Duty

National Guard

Reserve

If you selected ‘Active Duty’, does the veteran have 24 months or more of Active Duty while in service?^*

Yes

If you selected ‘National Guard' or ‘Reserve’, does the veteran have 6 months or more of activated National Guard/Reserve service time not including training time?^*

Yes

Please Identify which period(s) of time the veteran served. Select all that apply:^*

World War II (December 7, 1941 - December 31, 1946)

Korean conflict (June 27, 1950 - January 31, 1955)

Vietnam era (February 28, 1961 - May 7, 1975 for Veterans who served in the Republic of Vietnam during that period; otherwise August 5, 1964 - May 7, 1975)

Gulf/Afghanistan/Iraq War (August 2, 1990 - through a future date to be set by law or Presidential Proclamation)

Military Service Since September 11th, 2001

Other, including peacetime

Is the veteran or spouse/widow(er) seeking long term care (nursing home, care at home, etc.)?^*

Yes

After you click "Submit and Continue," your information will be submitted to the Ohio Department of Veterans Services. On the next page, click "OK" to continue checking your eligibility.

If you click "SKIP," information about your veteran status will not be submitted to the Ohio Department of Veterans Services. On the next page, click "OK" to continue checking your eligibility.