Quiz Leave a Comment / Uncategorized / By Eli S Please enable JavaScript in your browser to complete this form. - Step 1 of 8Is the veteran or spouse over the age of 65? *YesNoNextIs the veteran receiving 100% disability benefits from the VA? *YesNoNextAre you inquiring about a Veteran or the surviving spouse of a Veteran?VeteranSurviving SpouseNoneNext(Only for Surviving Spouses) Was the Surviving Spouse married to the Veteran at the time of his passing?YesNoNextDid the Veteran serve at least one day during a period of war?YesNoUnsureEligible Wartime Periods includes: ● World War 2: December 7, 1941 – December 31, 1946 ● Korean Conflict: June 27, 1950 – January 31, 1955 ● Vietnam Era: August 5, 1964 – May 7 1975. For those that served in the Republic of Vietnam the dates are November 1, 1955 – May 7, 1975 ● Gulf War: August 2, 1990 – TBDNextDoes the Veteran / Surviving Spouse need assistance with their activities of daily living?YesNoUnsureActivities of daily living includes: Eating / Drinking (not meal prep), Ambulating (Including Fall Risk), Transfering, Dressing, Personal Hygiene, Bathing / Showering (Including stand by assistance, Toiliting.NextAre the assets (not including a home) of the Veteran / Surviving Spouse below $150,537?YesNoUnsureNextPlease submit the form below to receive the results via email.Name *FirstLastPhone *Email *Submit
