• Claimant Intake

    Submit your info. Upload your docs. Get on the roster.

  • Important Intake Notice

    This form is for initial intake and roster organization only. Submitting this form does not create an attorney-client relationship, does not guarantee legal representation, and does not guarantee eligibility, compensation, payment, or recovery from any fund, lawsuit, settlement, or legal proceeding.

    Information submitted through this form may be reviewed by the lead plaintiff/organizer, authorized intake reviewers, and potential legal counsel for intake, roster organization, claim evaluation, and possible next steps.

  • Government Non-Affiliation Notice

    This website and intake form are not operated by, sponsored by, endorsed by, or affiliated with the United States government, the U.S. Navy, the Department of Defense, the Department of Justice, the USVSST Fund, or any government agency.

    Submitting this form is not the same as filing an official claim with the USVSST Fund, a court, or any government agency.

  • Format: (000) 000-0000.
  • Your Role

  • Upload Your Documents **

    We retain these to build the intake packet. PDF, JPG, or PNG. Under 5MB each.

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  • Security Notice: Documents are intended to be stored through a secure third-party form and document upload system. However, no digital system is 100% secure. By submitting information and uploading documents, you acknowledge the inherent risks of electronic submission and storage.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Security Notice: Documents are intended to be stored through a secure third-party form and document upload system. However, no digital system is 100% secure. By submitting information and uploading documents, you acknowledge the inherent risks of electronic submission and storage.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Security Notice: Documents are intended to be stored through a secure third-party form and document upload system. However, no digital system is 100% secure. By submitting information and uploading documents, you acknowledge the inherent risks of electronic submission and storage.

  • ** Document Upload Notice

    Only upload documents that you own or are legally authorized to share. Uploaded documents may contain sensitive personal, military, medical, legal, or claim-related information, including DD214 records, VA disability information, medical records, witness statements, and court documents.

    Use this secure form for document uploads. Do not email sensitive documents unless specifically instructed by authorized legal counsel.

    Uploading documents does not create an attorney-client relationship, does not guarantee representation, does not guarantee eligibility, and does not guarantee compensation or payment.

  • Required Acknowledgments*

  • Before submitting, please review the following website policies:

    • Privacy Policy
    • Terms of Use
    • Legal Disclaimer
    • No Attorney-Client Relationship Disclaimer
    • Claims and Outcome Disclaimer
    • Data Handling Policy
    • Document Upload and Consent Notice
    • Government Non-Affiliation Notice

  • Attorney Review Notice: This intake form and related disclaimers should be reviewed and approved by qualified legal counsel before submission. Nothing in this form should be interpreted as legal advice.

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