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Attend a Webinar test

By submitting this form you agree to be contacted either by phone or email by a representative of APSC who will schedule a date for you to attend a webinar regarding the Aid and Attendance Pension Benefit program. (APSC will NOT share your information contained in this form with anyone other than our in-house representatives).

Your Name(Required)
Your Email(Required)
Please select your Outreach Specialist from the list below. Please ONLY choose one.(Required)
Are you a representative of a Licensed Care Facility?(Required)
My Veteran is:(Required)
Your relationship to Veteran(Required)
Contact Preference(Required)

To receive this benefit the Veteran must meet the following eligibility requirements

Eligibility Requirements (Must meet all. Click each box signifying you understand )(Required)
Must have served at least ONE day during a period of war(Required)
* If physically in the country between 1961-1964, you may also be eligible.
Choose the Webinar day and time that work best for you(Required)
The workshop usually lasts 40 minutes or less.
MM slash DD slash YYYY
On December 13th there will NOT be a 10 AM Webinar. There will be NO webinars on December 27th.
This field is for validation purposes and should be left unchanged.
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