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GovBenefits.gov - Your Benefits Connection
GovBenefits.gov - Your Benefits Connection Group of potential benefit recipients
 
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>> Locate Federal Benefits >> U.S. Department of Veterans Affairs

AM I ELIGIBLE: QUESTIONNAIRE


A maximum number of 5 question(s) remaining.
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Answer questions and review all benefits you may be eligible to receive.

Depending on your answers, you may be presented with additional questions. To ensure the most accurate results, you should answer all the questions listed. You may click the 'Stop and View Results' button at any time to review results based on the answers you already submitted. Your answers are used only to determine potential eligibility. GovBenefits.gov does not keep any data you enter. 		Stop and view results

1.
Are you the spouse or surviving dependent of a veteran(alive or deceased)?
Yes
No
No Answer
2.
What length of time, in years, did you or your family member serve in the military? Example: 12
3.
Have you or a family member served in any of the following areas in the military?(check all that apply)
Servicemember on active duty or ready reservists
Commissioned Corps of the National Oceanic and Atmospheric Administration
A midshipman of the four service academies
Individual Ready Reserve or the Inactive National Guard
Reserve Officer Training Corps
The regular or reserve corps of the Public Health Service
4.
If you or a family member were in the active military service, what was the discharge status of the individual? (skip if not applicable)
Dishonorable
General
Honorable
No Answer
5.
Do you have a family member who died due to any of the following?(check all that apply)
While serving in the military active duty
Terrorist-related aircraft crashes on September 11, 2001
As a result of a service-connected disability/injury
Answer more questions Stop and view results
 
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