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If you are Veteran in search of benefits, please be advised that my office cannot file a claim for you, nor can we file an appeal on your behalf.  I can inquire as to the status of your claim or appeal.  If you are a Veteran seeking help with a claim, please fill out this online form and privacy release.  Please print, sign and send the privacy release to my Hartford office.  Please include the claim number, Veteran’s social security number and a copy of your DD214 if you have one.  Once this information is received, a member of my Constituent Services team will contact you to discuss how we can best help you resolve your issue.  Please allow up to two weeks from the time we receive your privacy release for my office to contact you.

If your issue is time sensitive please contact my Hartford office at 860-258-6940.  Listed below are some websites and phone numbers that can be of use to Military members, Veterans and their families.

Many benefit questions can be answered on the Department of Veteran Affairs website at

Veterans Suicide Prevention Hotline: 1-800-273-8255

National Center for Homeless Veterans: 1-877-424-3838

Women Veterans

State of Connecticut Department of Veterans Affairs

Connecticut Vet Centers:

Danbury 457 North Main Street, Danbury, CT 06811 203-790-4000 or 1-877-927-8387

Norwich: 2 Cliff Street, Norwich, CT 06360, 860-887-1755 or 1-877-927-8387

Rocky Hill: 25 Elm Street, Suite A, Rocky Hill 06067 860-563-8800 or 1-877-927-8387

West Haven: 141 Captain Thomas Blvd. West Haven, CT 06516, 203-932-9899

There are two VA Hospitals in Connecticut and six Community Based Outpatient Clinics in: Danbury, New London, Stamford, Waterbury, Willimantic and Winsted

VA Hospitals in Newington and West Haven, CT


Outpatient Clinics


New London:





Preview and Submit

This is a preview of your Request. Please confirm that all of the information below is correct before submitting. If you would like to make any changes to the information you have provided, please use the "Edit" button below. Using your browser's buttons to navigate will cause all form information to be lost.

Primary Contact Info

Your Name
Your Contact Information

Federal Agency Information

Federal Agency Information
  1. Veterans Affairs

Additional Information

Additional Information
  1. Social Security No. format: XXX-XX-XXXX
  2. Social Security No. format: XXX-XX-XXXX

Description of Request

Your Request
  1. (please describe the problem in as much detail as necessary)

Preview and Send Request

Please click on the Preview button to review any information you have entered on this page.

Once you have reviewed your information on the next page, press the Print and Submit button. This will generate a PDF containing all of the information you have entered as well as a privacy release form. Please print the form, sign and date the last page, and return the form in its entirety to my Hartford office by fax or mail.

Although the information on your form will be submitted to my office electronically, we cannot open an inquiry on your behalf until we receive your signed form.


Preparing PDF...

Thank you for contacting me. The information on your form has been submitted electronically to my office. A PDF of your form is being generated automatically and should be ready within 10 seconds. If one is not available to download in that time, click here.

Once we have received your signed authorization, my staff will begin assessing how we can help. Please allow up to 30 days from the day we receive your release for my office to contact you. Thank you.