Evidence intake center veterans affairs

Jul 07, 2024
 RECORDS CUSTODIAN. MAIL or FAX TO. Centralized Support Division Claim Files, Service Treatment Records/ Military Treatment Records, DD Form 214, C&P Exams etc. Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Toll-free Phone: 1-800-827-1000 Toll-free Fax: (844) 531-7818. .

With the ever-evolving nature of technology, government agencies are constantly seeking ways to improve their services and provide better support to their clients. The Department o...Alamo 357. 34 17. May 01, 2023 #1. In the mail today, I received a letter from the "Evidence Intake Center" in Janesville WI... The letter is informing me that the Dept of Veterans Affairs was teamed up with the "Association of Military Banks" and that the program has now been expanded to "Include Financial Educational Services" and telling me ...As of 2015, Veterans with service-connected disabilities may be eligible for a one-time automobile allowance payment from the U.S. Department of Veterans Affairs for the purchase o...Are you a veteran or a family member of a veteran? If so, you may be eligible for a variety of benefits through the Department of Veterans Affairs (VA). To access these benefits, y...You may receive Veteran Readiness and Employment (VR&E) (Formerly known as Vocational Rehabilitation and Employment) services to help with job training, education, employment accommodations, resume development, and job seeking skills coaching. Other services may be provided to assist Veterans and Service members in …Due to the current VA Claims Backlog, if you request your C File from the Department of Veterans Affairs Evidence Intake Center, you can expect to get your VA C File in as early as 10 weeks. Keep in mind that it can take up to 12 months as it greatly varies depending on factors like where the records are stored (digital, non-digital), etc.As a leading healthcare provider for our nation’s veterans, Hines VA Medical Center offers a wide range of innovative technologies and treatments to ensure the best possible care. ... Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365 Toll-free (800) 827-1000 For Evidence or Information Related to Fiduciary Needs VA Fiduciary Intake Center P.O. Box 95211 Lakeland, FL 33804-5211 Fax (888) 581-6826 Toll-free (888) 407-0144 For Health Benefits (VA Form 10-10EZ) Health Eligibility Center The VA Evidence Intake Center functions as a centralized mail processing center for all veteran disability claims. Instead of sending any of your important documents to a regional office, you’ll send them to …One aspect of the center’s responsibilities is its connection to the Veterans Evidence Hub. This online platform is a centralized repository for veterans to submit and manage their evidence. By leveraging technology, the VA Evidence Intake Center enhances accessibility and transparency in the claims process. Importance of Evidence in VA ClaimsFAQ If you’re a marathoner (or training to be one), you may have noticed that many popular supplements intended to improve your physical performance, fall flat when used during end...DivComms. 97 18. Feb 27, 2020 #3. I recently got an envelope from the VA Evidence Intake Center. In it was my partial rating decision. Share this topic with: Share. Hello all, I just had my 2nd C & P exam (for an increase) 3 days ago and just checked my USPS mail notifications showing a letter from the VA Evid.Department of Veterans Affairs Pension Intake Center PO Box 5365 Janesville, WI 53547-5365 Toll-free (800) 827-1000 For Evidence or Information Related to Fiduciary Needs VA Fiduciary Intake Center P.O. Box 95211 Lakeland, FL 33804-5211 Fax (888) 581-6826 Toll-free (888) 407-0144 For Health Benefits (VA Form 10-10EZ) Health Eligibility CenterVeterans Affairs Evidence Intake Center PO Box 5154 Janesville, WI 53547. List only one individual. If more than one individual is requesting information, each person must complete a separate VA Form 10-306. Last Name, First Name, Middle Name. Mailing Address (including number and street or rural route, P.O. Box, City, State, ZIP Code and Country)Submit your complete application and the relevant items listed above, plus any additional paper records and evidence to: Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. If you need further assistance, visit your local VA Regional Office or BDD Intake Site.4 posts. HRSpecVeteran90. 11 2. Mar 08, 2021 #1. I am receiving something in the mail from the Evidence Intake Center and my anxiety is shooting through the roof. I am 100% P&T and have no idea what the Evidence Intake Center could be sending me. I did not file any new claims or anything.If you need to optimize Va evidence intake center letter prior to submitting it, the simplest way to do it is by using our robust yet simple-to-use online editing tools. ... A Statement of the Case is a document that explains the Department of Veterans' Affairs (VA) decision regarding your disability benefits case. The SOC, which you receive ... Veterans Pension and Survivor Benefit Claims Fax Toll Free: 844-531-7818 Or mail to: Department of Veterans Affairs Evidence Intake Center P.O. Box 4444 Janesville, WI, 53547-4444 Fax Toll Free: 844-655-1604 Or mail to: Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 You can also send a text message to The Evidence Intake Center (EIC) is the Veterans Benefits Administration’s (VBA) centralized processing location for inbound mail. Veterans send any...Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. Fax Toll Free: 844-531-7818 You may mail or fax Veteran claims for pension and/or survivors benefits and evidence to: Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 Fax Toll Free …The Evidence Intake Center (EIC) of the Veterans Benefits Administration (VBA) is a centralized processing site for handling inbound mail associated with …Veterans Claims Assistance Act (VCAA) In November 2000, Congress passed the Veterans Claims Assistance Act (VCAA) to define what VA's responsibilities are in assisting claimants in obtaining evidence to support a claim and also to define the responsibilities of the claimant. VCAA responsibilities are as follows: VA's Responsibilities include:IMPORTANT: Verify on Fax Confirmation Sheet the Claims Evidence is sent to. 844-531-7818. Disclaimer: VA Directive 6609, “Mailing of Sensitive Personal Information,” dated May 20, 2011 states that access to Veterans’ records is limited to authorized persons only. Information may not be disclosed from this file unless permitted by all ...DGAP-News: HELLA GmbH & Co. KGaA / Key word(s): Annual Report/Annual Results HELLA GmbH & Co. KGaA: HELLA significantly outpe... DGAP-News: HELLA GmbH & Co. KGaA / ...Line 1: Type of Document (Notice of Disagreement, Substantive Appeal, Evidence Submission etc) Line 2: Include the date of the Submission. Line 3: Write the name of …Corinne is 26 years old and has been married to Ted for 5 years. She worries that her marriage isn’t what it Corinne is 26 years old and has been married to Ted for 5 years. She wo...RECORDS CUSTODIAN. MAIL or FAX TO. Centralized Support Division Claim Files, Service Treatment Records/ Military Treatment Records, DD Form 214, C&P Exams etc. Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Toll-free Phone: 1-800-827-1000 Toll-free Fax: (844) 531-7818.Apr 9, 2024 · What evidence do I need to support my claim? You can support your VA disability claim by providing these documents: VA medical records and hospital records. These could relate to your claimed illnesses or injuries or they could show that your rated disability has gotten worse. Private medical records and hospital reports. Department of Veterans Affairs. Freedom of Information Act Services (005R1C) 811 Vermont Avenue, NW. Washington, DC 20420. Office: 1-877-750-3642. Fax: 202-632-7581.Welcome to the Buffalo Regional Office! Veterans can get information about benefits or file a claim for benefits by visiting our website at www.va.gov. Veterans with claims specific or other questions may request information via the following site: Ask VA or by telephone at 1-800-827-1000. For questions regarding Loan Guaranty or Education ...Department of Veterans Affairs Evidence Intake Center. P.O. BOX 5235. Janesville, WI 53547-5235. Or fax your information to: Toll Free: 844-531-7818. DID: 608-373-6690. I. List of VA PMCs The following is a list of the three PMCs, the geographical areas under their jurisdiction, and their fax numbers. ...2. Apr 21, 2021 #29. I just received a letter from Evidence Intake Center, saying that I owe $24, 445.62, (even though they took out $5,703.08 in taxes) and still are saying that I still owe them $24,445.62 because I was given this amount after I was forced out of the military before my tour of service was over.A good example of a VA appeal letter is posted on GreatSampleResume.com. An acceptable VA appeal letter has the applicant’s name, claim number and all of the decisions the applican...At the Midland Vet Center, we can connect you with the VA HUD-VASH program or other community resources. Call our Veterans Crisis Line at 988 and press 1 to get support anytime day or night. This service is private, free, and available 24/7. Our Vet Center can also connect you with ongoing counseling and services. number on each page. Send your application and any evidence in support of your claim to the following address: Department of Veterans Affairs Evidence Intake Center P. O. Box 4444 Janesville, WI 53547-4444 . If you are unable to mail your application or evidence, please use the following Fax Lines: • (844) 531-7818 (Toll Free) • My USPS Informed Delivery today shows that I am receiving a Department of Veterans Affair Intake Center Letter. I am currently rated at 70% and ha ... Department of Veterans Affair Evidence Intake Center. CrashNash. 1,769 1,992. 10 Year Member. CrashNash. 1,769 1,992. Post Oct 04, 2021 #1 2021-10-04T13:59+00:00.Mar 13, 2019 · 2. Apr 21, 2021 #29. I just received a letter from Evidence Intake Center, saying that I owe $24, 445.62, (even though they took out $5,703.08 in taxes) and still are saying that I still owe them $24,445.62 because I was given this amount after I was forced out of the military before my tour of service was over. Due to the current VA Claims Backlog, if you request your C File from the Department of Veterans Affairs Evidence Intake Center, you can expect to get your VA C File in as early as 10 weeks. Keep in mind that it can take up to 12 months as it greatly varies depending on factors like where the records are stored (digital, non-digital), etc.The funding fee charged by the Department of Veterans Affairs is fully deductible on Schedule A in the year the mortgage contract was issued, subject to income limitations. The IRS...Many of them are Veterans themselves. This service is private, free, and available 24/7. To connect with a Veterans Crisis Line responder anytime day or night: Dial 988 then select 1. Start a confidential chat. Text 838255. If you have hearing loss, call TTY: 800-799-4889. You can also: Call 911.Mail to: DEPARTMENT OF VETERANS AFFAIRS. CLAIMS INTAKE CENTER. PO BOX 4444. JANESVILLE, WI 53547-4444. or Fax to: TOLL FREE: 844-531-7818 & 248-524-4260 (Utilized for Foreign Claimants) return to top. Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability ...Dec 19, 2023 · You’ll need to submit evidence that shows at least one of these led directly to an added disability or to your injury or disease getting worse: VA carelessness or negligence, or. VA medical or surgical treatment, or. A VA health exam, or. A VA vocational rehabilitation course (under 38 U.S.C. Chapter 31), or. Some state Veterans cemeteries require that you live in that state or have other rules around eligibility. You can apply for a pre-need determination of eligibility from VA and also from a state or tribal Veterans cemetery. ... NCA FP Evidence Intake Center PO Box 5237 Janesville, WI 53547. Please don’t send us the originals of your DD214 and ...For general evidence or information related to your fiduciary records you may mail or fax information to: VA Fiduciary Intake Center. P.O. Box 5211. Janesville, WI 53547-5211. Fax 888-581-6826. To contact us by email, locate the appropriate fiduciary hub address below. Columbia Fiduciary Hub (Option 1): FL, GA, NC, SC. …2 days ago · Department of Veterans Affairs Attention: Insurance Center PO Box 5209 Janesville, WI 53547. Pension and survivor benefits; Department of Veterans Affairs Claims Intake Center PO Box 5365 Janesville, WI 53547-5365. Program of Comprehensive Assistance for Family Caregivers (PCAFC) Department of Veterans Affairs Evidence Intake Center PO Box 5154 Poststroke fatigue (PSF) is common and can be debilitating after both ischemic and hemorrhagic stroke. National Center 7272 Greenville Ave. Dallas, TX 75231 Customer Service 1-800-...name and VA file number on each page. Send your application and any evidence in support of your claim to the following address: Department of Veterans Affairs Evidence Intake Center P. O. Box 4444 Janesville, WI 53547-4444 . Sincerely yours, Enclosure . FL 21-30 XXX XXXX (RS) Enter recipient's name and address Enter VARO addressQuickSubmit is the new evidence intake tool for VA claims - VA News. Filing a claim online? QuickSubmit has replaced Direct Upload as the online tool to share documents with VA’s Evidence Intake Center.That letter broke down that a third party has been engaged to find and reach veterans that might be eligible for benefits. The problem seems to be that because they are a third-party they are not cross-checking for those who already have benefits or have filed. TLDR: If you recently visited the VA or have deployments in your file to PACT ...You may have been cheated on, or the one who cheated, but now looking to heal. Here are steps you can take. Therapy, self-compassion, and social connection can help you cope in the...The Madison VA Hospital and Clinics currently offers the Moderna Bivalent vaccine. Veterans can call the Vaccine Scheduling Line at608-280-2160 to make an appointment right away. We have appointments available at our main hospital and all of our Community Based Outpatient Clinics.7 FAM 541.1 Summary. (CT:CON-899; 09-24-2020) The Department of Veterans Affairs (VA) is responsible for providing federal benefits to veterans and their dependents through operating programs for health care, financial assistance, education, rehabilitation, insurance, and burial at national cemeteries. The Regional Federal Benefits Officer ...FAQ If you’re a marathoner (or training to be one), you may have noticed that many popular supplements intended to improve your physical performance, fall flat when used during end...Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more. ... Evidence Requirements. Evidence Needed; Private Medical Evidence; Compensation & Pension Exam; ... U.S. Department of Veterans Affairs | 810 Vermont …Many of them are Veterans themselves. This service is private, free, and available 24/7. To connect with a Veterans Crisis Line responder anytime day or night: Dial 988 then select 1. Start a confidential chat. Text 838255. If you have hearing loss, call TTY: 800-799-4889. You can also: Call 911.Korean War veterans may be eligible to receive health benefits and disability compensation for prolonged periods of time if they were exposed to dangers that could lead to health c...In March, the VA invited me – and a few other folks – to see an Evidence Intake Center in Newnan, Georgia. The Newnan, Georgia, EIC – now closed and defunct, but set up the same as the Janesville, WI, EIC – employs about 620 people (74 of whom are Veterans, 22 are family members of Veterans, 7 are Reservists, and 1 is in the National ...Jan 17, 2024 · Pension Management Centers. Use the map below to find the Pension Management Center that serves your state. Philadelphia VA Regional Office. Department of Veterans Affairs Claims Intake Center Attention: Philadelphia Pension Center PO BOX 5365 Janesville, WI 53547-5365 Fax: 1-844-655-1604 This page provides information about the Department of Veterans Affairs Foreign Medical Program. A health benefits program that provides care for Veterans with service-connected disabilities who are living in or visiting a foreign country. ... Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444. …The evidence intake center is a distribution center to go paperless and send out your appeal or claim to any of the R.O.s through out the country. Link to comment Share on other sites. ... DEPARTMENT OF VETERANS AFFAIRS CLAIMS INTAKE CENTER PO BOX 4444 JANESVILLE, WI 53547-4444 The Evidence Intake Center, or known as the EIC, is the Veterans Benefits Administration or VBA’s centralized processing location for all inbound mail. Veterans send any claims or appeals-related documents, including evidence and initial disability compensation applications, to this location for them to be scanned and saved in the electronic ... of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. VA DATE STAMP (DO NOT WRITE IN THIS SPACE) OMB Approved No. 2900-0877 Respondent Burden: 5 Minutes Expiration Date: 08/31/2026. 7. E-MAIL ADDRESS € 2. SOCIAL SECURITY NUMBER. 3. VA FILE NUMBER (If applicable) 4. DATE OF BIRTH (MM-DD-YYYY) 1.Dec 8, 2023 · Other Services Handled by the VA Evidence Intake Center. It’s a common misperception that the Evidence Intake Center (EIC), part of Veterans Affairs, is a one-trick pony dealing solely with disability claims. This belief isn’t entirely accurate. Hey! We didn't forget about your claim! (We totally did!) Sorry it's taken so long! Here's a letter to try and convince you we didn't forget about your claim. Standard letter. So I got this letter today from the VA saying they are still processing my claim.Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. VA DATE STAMP (DO NOT WRITE IN THIS SPACE) 2. VETERAN'S SOCIAL SECURITY NUMBER. 3. VA FILE NUMBER (If applicable) 4. VETERAN'S DATE OF BIRTH (MM/DD/YYYY) 1. VETERAN/BENEFICIARY'S NAME (First, Middle Initial, Last) Month. Day. Year. 5. VETERAN'S ...Veterans Pension and Survivor Benefit Claims Fax Toll Free: 844-531-7818 Or mail to: Department of Veterans Affairs Evidence Intake Center P.O. Box 4444 Janesville, WI, 53547-4444 Fax Toll Free: 844-655-1604 Or mail to: Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 You can also send a …Mar 29, 2024 · Department of Veterans Affairs Attention: Insurance Center PO Box 5209 Janesville, WI 53547. Pension and survivor benefits; Department of Veterans Affairs Claims Intake Center PO Box 5365 Janesville, WI 53547-5365. Program of Comprehensive Assistance for Family Caregivers (PCAFC) Department of Veterans Affairs Evidence Intake Center PO Box 5154 EQS-News: Aumann AG / Key word(s): Preliminary Results/Forecast Aumann AG: Aumann reaches all-time highs in order intake, order backl... EQS-News: Aumann AG / Key word(s): ...RECORDS CUSTODIAN. MAIL or FAX TO. Centralized Support Division Claim Files, Service Treatment Records/ Military Treatment Records, DD Form 214, C&P Exams etc. Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444 Toll-free Phone: 1-800-827-1000 Toll-free Fax: (844) 531-7818.For assistance or to ask questions about your claim status please call the Veterans Benefits Administration National Call Center at 1-800-827-1000 . Report the passing of a Veteran or beneficiary. Check on the status of your claim. Obtain financial documentation. Request information on burial and mortuary benefits.For decisions made before February 19, 2019, you may appeal any decisions to the Board. To do so, submit VA Form 10-307, Program of Comprehensive Assistance for Family Caregivers (PCAFC) Notice of Disagreement (NOD) to Veterans Affairs Evidence Intake Center in Janesville, Wisconsin.Department of Veterans Affairs Evidence Intake Center P.O. Box 4444 Janesville, WI 53547-4444. What to expect at your VA claim exam. You don’t need to bring anything to your exam. If you have any new non-VA medical records (like records from a recent surgery or illness), be sure to submit them before your appointment.The Evidence Intake Center (EIC) is the Veterans Benefits Administration’s (VBA) centralized processing location for inbound mail. Veterans send any...You may mail or fax claims and evidence to: Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. Fax Toll Free: 844-531-7818. 1-800-MyVA411. The Department of Veterans Affairs established 1-800-MyVA411 (1-800-698-2411) to help Veterans, their family members, caregivers, and survivors understand and …Jan 17, 2024 · Veterans Claims Assistance Act (VCAA) In November 2000, Congress passed the Veterans Claims Assistance Act (VCAA) to define what VA's responsibilities are in assisting claimants in obtaining evidence to support a claim and also to define the responsibilities of the claimant. VCAA responsibilities are as follows: VA's Responsibilities include: Veterans Affairs Evidence Intake Center PO Box 5154 Janesville, WI 53547. List only one individual. If more than one individual is requesting information, each person must complete a separate VA Form 10-306. Last Name, First Name, Middle Name. Mailing Address (including number and street or rural route, P.O. Box, City, State, ZIP Code and Country)If you want to notify us by submitting the form, download and fill out an Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966). Download VA Form 21-0966 (PDF) Mail your completed form to this address: Department of Veterans Affairs Claims Intake Center PO Box 4444 …

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That It’s a common misperception that the Evidence Intake Center (EIC), part of Veterans Affairs, is a one-trick pony dealing solely with disability claims. This belief isn’t entirely accurate. ... Contacting the VA Evidence Intake Center. As a veteran, it’s crucial to know how to get in touch with the VA Evidence Intake Center (EIC). The EIC ...

How 800-698-2411. February 28, 2024. When you file a claim for Veterans Pension, Survivors Pension, VA Dependency and Indemnity Compensation (DIC), or accrued benefits, we review all available evidence (supporting documents) to determine if you qualify for benefits. Find out what the evidence must show and what documents you’ll need to support ...name and VA file number on each page. Send your application and any evidence in support of your claim to the following address: Department of Veterans Affairs Evidence Intake Center P. O. Box 4444 Janesville, WI 53547-4444 . If you are unable to mail this form, please use the following Fax Lines: Sincerely yours, Enclosure . FL 21-30 XXXX (RS)If you prefer to have a VSO assist you with your claim instead of an individual, complete, VA Form 21-22, Appointment of Veterans Service Organization as Claimant's Representative. For more information, you can contact us through Ask VA: https://ask.va.gov/, or call us toll-free at 800-827-1000 (TTY:711).Veterans Affairs Evidence Intake Center P.O. Box 5154 Janesville, WI 53547. You can also seek review through the VHA Clinical Review Process. Please contact the Patient Advocate at your local VA medical facility for more information on the Clinical Review Process. Review options for decisions issued on or after February 19, 2019

When Evidence intake letter. Currently at work and my usps informer delivery shows I have a letter from Veteran Affairs Evidence Intake Center. 4 years separated, 80% is this a re-eval? I got that one time and it was an invite for a bank account or something, junk mail. O okay, thank you for your input.What evidence do I need to support my claim? You can support your VA disability claim by providing these documents: VA medical records and hospital records. …For assistance or to ask questions about your claim status please call the Veterans Benefits Administration National Call Center at 1-800-827-1000 . Report the passing of a Veteran or beneficiary. Check on the status of your claim. Obtain financial documentation. Request information on burial and mortuary benefits.…

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lyndhurst public schools employment Alamo 357. 34 17. May 01, 2023 #1. In the mail today, I received a letter from the "Evidence Intake Center" in Janesville WI... The letter is informing me that the Dept of Veterans Affairs was teamed up with the "Association of Military Banks" and that the program has now been expanded to "Include Financial Educational Services" and telling me ... keurig k cup supreme descalefieldings funeral home obituaries The Evidence Intake Center is the king of (sometimes) useful spam that can really help people - that’s why they continuously send them despite our aggravation. Take a breath, they are most likely just letting you know of an additional benefit that you may be eligible for. Let’s see what it is, and move from there. 8.Department of Veterans Affairs Evidence Intake Center P.O. Box 4444 Janesville, WI, 53547-4444. Veterans Pension and Survivor Benefit Claims. FAX: Toll Free: 844-655-1604. Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365. To fax your documents without international costs, great day fresh beat bandidentogo lawton okflying saucers mushrooms Veterans Affairs Evidence Intake Center P.O. Box 5154 Janesville, WI 53547. Appeal to the Board. All PCAFC decisions can be appealed to the Board. To appeal a PCAFC decision to the Board issued on or after February 19, 2019, you will need to submit a completed VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement) (pdf) to: where has sticks been on on patrol live The Center receives between 5,000 and 7, 000 requests each week from the Department of Veterans Affairs and other federal agencies requiring the transfer of original records to the Document Intake Facility in Jainesville, Wisconsin for scanning into VBMS. These paper records are not returned to the Center. first officer delta salaryjohn deere 71 planter manual pdfmason city walmart pharmacy Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444. Fax Toll Free: 844-531-7818 You may mail or fax Veteran claims for pension and/or survivors benefits and evidence to: Department of Veterans Affairs Pension Intake Center P.O. Box 5365 Janesville, WI 53547-5365 Fax Toll Free …