Contact Us Please provide your information, and we will contact you soon. We look forward to connecting with you.info@veteranclaimsgroup.com6080 Center Drive, Suite 600 Los Angeles, CA 90045 (310) 426-8823 Name * First Name Last Name Email * Phone (###) ### #### Message * State of Residence * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakpta Ohio Oklahoma Oregon Pennsylvania Pennsylvania South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming Unknown Is the Claimant currently on appeal, and/or has the Claimant received an unfavorable VA decision within the last year?* * Yes No N/A Do you have a current or previous diagnosis of cancer? * Yes No Are you Employed? * Yes No Were you or a loved one seriously injured after 9/11/2001 in Iraq or Afghanistan by an attack involving an IED, rocket, mortar, small arms fire or similar incident resulting in serious bodily injury such as an amputation, serious nerve or muscular injury, shrapnel injuries, lost vision, significant scarring, organ damage, or other similar types of bodily harm? * Yes No How Did You Hear About Us? DISCLAIMER * An attorney-client relationship only begins if and when a bilaterally signed agreement is executed by an attorney and a claimant. Next Level Legal/Veteran Claims Group reserves the right to refer any communications submitted here to other law firm it feels may be better situated to assist in your case. I have read and agree to the disclaimer above. Thank you!
