OKLAHOMA STATE BENEFIT REQUEST

Veteran or Surviving Spouse MUST have an Oklahoma Address
**Requested benefits will be mailed to the address the U.S. Department of Veterans Affairs has on file for you after your eligibility has been verified. To update your address, call 1-800-827-1000**

Veteran OR Surviving Spouse (Select ONE) *

Veteran
Surviving Spouse

Requests: *

Reduced Car Tag Card / Letter (Surviving Spouses please put the year your tag expires in the comments box below)
Property Tax Exemption Letter
Sales Tax Exemption Letter
Excise Tax Exemption Letter - (Veteran only / NOT available for Surviving Spouse)
Military / Commissary ID Application
Award Letter (Showing Percentage)

Veteran's Name *

First

Last

Spouse's Name

First

Last

MUST add spouse's name if applicable

Address *

Address Line 1

Address Line 2

City

State

Zip Code

***Address must match the Federal VA Benefits office file, if not please contact the Federal VA to update your address - 1-800-827-1000

Phone *

Email *

Claim Number/SSN *

Date Submitted *

Select today's date

Comments/Additional Information

PRIVACY STATEMENT

How We Collect Information About You:
Oklahoma Department of Veteran Affairs (ODVA) and its employees and volunteers collect data through a variety of means including but not necessarily limited to letters, phone calls, emails, voicemails, and from the submission of applications that is either required by lasw, or necessary to process apllications or other requests for assistance through our organization and the Department of Veterans Administration.
What We Do Not Do With Your Information:
Information about yourself, VA claims/Benefits, financial situation, medical conditions/care etc., that you provide to us in writing, via email, on the phone (including information left on voice mails), contained in or attached to applications, or directly or indirectly given to us, i held in strictest confidence. We do not give out, exchange, barter, rent, sell, lend, or disseminate any information about applicants or clients who apply for or actually receive our services that is considered patient/client confidential, is restricted by law, or has been specifically restricted by a patient/client in a signed HIPAA consent form.
How We Do Use Your Information:
Information is only used as is reasonably necessary to process your application/claim to the VA or to provide you with advice, information, assistance or other services as provided by our organization. This information may be logged for accounting purposes only and will not be made public by any means other than is regulated by the State of Oklahoma and the United States of America as applicable by state and federal law / regulations.

VSR Staff Directory

Jackie Whitten
Director, Claims & Benefits
Phone: 405–523-4021

State Benefit Request

OKLAHOMA STATE BENEFIT REQUEST

PRIVACY STATEMENT