Appendix C: Requesting Verification from the Federal Department of Veterans Affairs

Philadelphia Regional Office

Veterans Affairs
Regional Office and Insurance Center
5000 Wissahickon Avenue
Philadelphia, PA 19144
Phone No.: 1-800-227-1000 or 1-877-294-6380

Insert at lower-left corner of envelope (for CAO use only): Attention: 213 - DO NOT OPEN IN MAILROOM

Use this address for the following counties:

Pittsburgh Regional Office

Veterans Affairs
Regional Office
1000 Liberty Avenue
Pittsburgh, PA 15222
Phone No: 1-800-227-1000 or 1-877-294-6380

Insert at lower-left corner of envelope (for CAO use only): CP 21 (A and A) - DO NOT OPEN IN MAILROOM

Use this address for the following counties:

What to Provide

The CAO must provide the VA with the following when requesting verification of the benefit amount:

• A copy of the signed Authorization for Information (PA 4).

• Full name and birth date of the veteran.

• Full name and birth date of the claimant.

• Veteran's VA claim or "C" number, military service number, or Social Security number.

• Relationship to the veteran of the claimant, such as wife, widow, parent, or child.

Sample Letter Text

Please provide monthly VA benefit amounts and the portion attributable to Aid and Attendance for the individual listed below:

Name of Recipient: _________________

Relationship to Veteran:

Veteran's Full Name (print): _________________

Veteran's Date of Birth: ________

Veteran's Service Serial Number: ________

VA Claim Number: ________

Veteran's Social Security Number: ________

I hereby authorize release of the above information by Veterans Affairs.

________________________
Signature of VA Recipient

Updated March 12, 2012, Replacing January 26, 2010