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United States Department of Veterans Affairs

Welcome to the VA´s Inquiry Routing & Information System! We are here to answer your questions. Please complete the following details on your inquiry using the form below. You should expect a response from us within 5 business days.

What is your Question?

Please ask your question or describe the issue in detail in the space below. If the question, or issue, is about a disability, please be specific as to the type of disability(ies) or the issue(s). If you have multiple claims for benefits pending and want the status, please tell us which claim this is about.

Question * Required Please do not enter your name, file number, or social security number in the question box to the right. You will be asked this information in the fields below.

Select a Topic and the Inquiry Type

Screen Reader users press enter to select a Please Select a Topic. Please Select a Topic * Required

Route to State To ensure we route your submission to the proper office for reply,
please select the state where your regional office is located.

Medical Center List To ensure we route your submission to the proper office for reply,
please select the proper location (i.e. where you received care, or nearest facility):

Screen Reader users press enter to select a Select an Inquiry Type?. Select an Inquiry Type? * Required

Inquiry Type Help

Enter Your Contact Information in the section below so that we can respond to you.

How Would You Like Us To Respond to Your Inquiry? * Required How Would You Like Us To Respond to Your Inquiry?

Form of Address * Required

First Name * Required

Middle Initial

Last Name * Required If your name includes a suffix such as Jr, Sr, IV, etc., please enter in separate Suffix field below.

Suffix Only if applicable, enter a two letter suffix such as, Jr, Sr, or a Roman numeral such as I, II, III, etc. If you submitted an inquiry previously and entered a Suffix, please be sure to enter it again here.

Email Address We use your email address as a primary identifier. If you have submitted an inquiry previously, please use the same email address you entered before.

Daytime Phone

Street

City

State

Country * Required

Zip code

Veteran Status as it pertains to this inquiry

I am asking about benefits/services: * Required

Veteran Status Help

Are you the Dependent?

Yes No

Your Relationship to Veteran

Is Veteran Deceased

Yes No

Date of Death if known (MM-DD-YYYY)

Dependent Information

Dependent Relation to Veteran

Dependent Form of Address

Dependent First Name

Dependent Middle Initial

Dependent Last Name If last name name includes a suffix such as Jr, Sr, IV, etc., please enter in separate Suffix field below.

Dependent Suffix Only if applicable, enter a two letter suffix such as, Jr, Sr, or a Roman numeral such as I, II, III, etc. If you submitted an inquiry previously and entered a Suffix, please be sure to enter it again here.

Dependent Email Address

Dependent Daytime Phone

Dependent Street

Dependent City

Dependent State

Dependent Country

Dependent Zip code

Please enter information about the veteran below:

Veteran Form of Address

Veteran First Name

Veteran Middle Init

Veteran Last Name If last name includes a suffix such as Jr, Sr, IV, etc., please enter in separate Suffix field below.

Veteran Suffix Only if applicable, enter a two letter suffix such as, Jr, Sr, or a Roman numeral such as I, II, III, etc. If you submitted an inquiry previously and entered a Suffix, please be sure to enter it again here.

Veteran Street

Veteran City

Veteran State

Veteran Country

Veteran Zip Code

Select Branch of Service from dropdown list and then enter Social Security Number, Claim Number and/or Service Number along with Service Dates below if known.

Branch of Service If more than one branch of service, enter last branch.

Veteran SSN (No Hyphens) If your claim number is the same
as your Social Security Number,
enter it here (type all numbers, no hyphens).

Veteran Service Number (If Service Number is other than your SSN or claim number, enter it here. Enter 12 digits, numbers only; no hyphens, spaces, etc.)

Vet Claim Num(other than SSN) Claim Number format must be: 6, 7 or 8 numeric digits. Enter numbers only. Do not include 'C' or other letters, spaces, or periods.

Veteran Date of Birth (MM-DD-YYYY)

Date Entered Active Duty (MM-DD-YYYY)

Date Released Active Duty (MM-DD-YYYY)

Please click on the "Submit" button JUST ONE TIME. There may be a delay as long as 25 seconds while your information is routed electronically to the appropriate office. Again, please click only once. Processing is complete when your screen changes to an acknowledgement from VA that your message has been received.

Your question hasn't been submitted yet.

VA Form0873
DEC2005

OMB Number: 2900-0619
Estimated Burden: 10 minutes

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this form will average ten (10) minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the form. This collection of information is intended to fulfill the need identified by the Department of Veterans Affairs (VA) to categorize your question, complaint, compliment, or suggestion and collect the necessary information to respond to it. Results will be used to automatically route your inquiry to the appropriate person in the VA, which will help ensure that you receive a response in a timely manner. Use of this form is voluntary and failure to participate will have no adverse effect of benefits to which you might otherwise be entitled.

Inquiry Routing & Information System (IRIS)