Veterans and Eligible Spouses or Persons Triage Form
“This form is used to determine your eligibility for additional services and is intended solely to provide priority to Eligible Veterans and Eligible Spouses or Persons that meet certain criteria. This information is being requested on a voluntary basis and will be kept confidential. Refusal to provide the information will not subject you to any adverse consequences.”
For questions, contact our Technical Consultant, Dulce Alire at firstname.lastname@example.org or (970) 498-6053.