State Benefit Request

Veteran OR Surviving Spouse (Select ONE) *

Veteran
Surviving Spouse

Requests:

Property Tax Exemption Letter (Veteran rated 100% P&T by VA/ Surviving Spouse may be eligible)
Sales Tax Exemption Letter (Veteran rated 100% P&T by VA/ Surviving Spouse may be eligible)
Excise Tax Exemption Letter (Veteran only - rated 100% P&T by VA / NOT available for Surviving Spouse)
Military / Commissary ID Application (Veteran only - rated 100% P&T by VA)
Award Letter (Showing Percentage)

Reduced Car Tag Requests:

Reduced Car Tag/599 card (Veteran rated 50% or higher by VA)
Reduced Car Tag Letter (Surviving Spouses please select the date period your tag expires in the next section below.)

Reduced Car Tag Date Expiration Period

Does your tag expire BEFORE 12/31/2020
Does your tag expire AFTER 01/01/2021

Select ONE only

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 *

***Please note: Partial or incomplete entry of SSN or Claim number may result in a delay in receiving your State benefits.

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 laws, or necessary to process applications 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.

OKLAHOMA STATE BENEFIT REQUEST

PRIVACY STATEMENT