Let's Connect!

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Did someone refer you?
Please Select
Please Select
Yes
No
4
Do you mind sharing their name?
5
What type of claim do you need assistance with?* This field is required.
Please Select
Please Select
First time filing for a specific condition.
I was denied and I need to file a supplemental claim.
I need help with a higher-level review (HLR).
I need to file an appeal to the Board of Veterans Appeals.
A combination of one or more of the above.
6
Do you know your current VA Disability rating?* This field is required.
Please Select
Please Select
Yes
No
7
What is your current rating?* This field is required.
Please Select
Please Select
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
8
Phone Number* This field is required.We can text too!
Please enter a valid phone number.
9
As an accredited claims agent there are several things we will need to do to before we can work together. Take a few minutes to watch this tutorial as it explains the limited fees and the documents we would need to both fill out to provide to the VA so I can work for you:

https://www.loom.com/share/d8e55cfbaac841ad86ea34b334c72daf?sid=0449787e-8c19-411f-b978-f3afb436b825

Just copy and paste the link into your browser if the hyperlink is not showing.
10
Are you ready to fill out the paperwork required by the VA to work together?* This field is required.
Please Select
Please Select
YES! Send me the links so I can fill them out and sign them digitally.
No, I would like to talk more over email first as I have more questions.
I think Stew is awesome, but I need more time.
Should be Empty: