Buddy Statement

Please complete the following with your information.

On the next page we will ask for info about the veteran.
YOUR Full Name*

First NameLast Name
Your Phone Number
Please enter a valid phone number.
Your Email Address*
example@example.com

Did you serve with the veteran?
Did you personally witness the veteran experience an injury or traumatic event during service?
Describe what you witnessed in service.
WHAT happened in service? WHEN did it happen? WHERE were you stationed when it happened?
Did the veteran tell you that he or she was injured in service?
What did the veteran tell you about what happened in service?

Describe the changes you have personally witnessed in the veteran from the time they were in service through today.
Provide a few examples of the differences you noticed before and after service. Try to be as detailed as possible. Examples: They were outgoing when they joined but became very isolated and kept to themselves after the incident.
Describe the veteran's symptoms and limitations today that YOU HAVE PERSONALLY witnessed and explain how they have impacted the veteran's life and ability to work.
The more specific you can be, the better. The more examples you can provide about how the symptoms you've witnessed and how they have impacted the veteran's life or ability to work, the more competent and credible your statement will be.
Example:

John Smith had trouble lifting boxes at work on 12/01/2018.

Better Example:

On 12/01/2018, I saw that John Smith could not lift a 20 pound box of auto-parts. I asked him why and he told me it was because his doctor has a limitation of lifting no more than 10 pounds due to his heart condition.
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