Overview of VA Form 21-534EZ: Part 1 - YouTube

Channel: Veterans Benefits Administration

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>>Text: Applying for Survivor Benefits through the Fully Developed Claims Process
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>>Graphics: U.S. Department of Veterans Affairs Seal and Logo
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>>Narrator: Overview of VA Form 21-534EZ, Application for DIC, Survivors Pension and/or Accrued
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Benefits, Part One
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This is Part One of a two-part video series.
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This part will provide a general overview and cover topics related to pages 1-5 of VA
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Form 21-534EZ.
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While there are over 21.8 million living Veterans today that have served our country,
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VA has not forgotten the sacrifices made by our nation’s fallen soldiers and their families.
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President Lincoln's second inaugural address so eloquently stated VA’s obligation:
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“…to care for him who shall have borne the battle and for his widow and his orphan.”
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Through VA’s Dependency and Indemnity Compensation (DIC), Survivors Pension, and Accrued benefits,
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VA provides support to eligible survivors of military Servicemembers and Veterans.
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VA now offers a way for survivors to obtain these benefits faster through the Fully Developed
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Claims, or FDC, Program.
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This Program uses new and simplified application forms that tell survivors exactly what records
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and documentation are required to support their claim.
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In this video, we will quickly walk through:
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DIC and Survivors Pension benefits, and
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VA Form 21-534EZ Application for DIC, Death Pension, and/or Accrued Benefits,
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which allows eligible survivors to file an FDC for DIC, Survivors Pension, and/or Accrued Benefits.
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We will also:
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Review what survivors need to know to accurately file an FDC, and
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Provide important reminders and tips to ensure documentation is complete and ready for claims
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submission and review.
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DIC is a tax-free monetary benefit paid to eligible survivors of military Servicemembers
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who died in the line of duty,
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or eligible survivors of Veterans whose death resulted from a service-related injury or disease,
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or who were rated totally disabled from their service-connected disabilities for a certain
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period of time. Survivors may include a spouse, unmarried
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children and in some cases, parents of certain deceased Veterans.
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Information on eligibility requirements may be found at www.benefits.va.gov.
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To qualify for DIC, a surviving spouse must generally have been:
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Married to a Servicemember who died on active duty, active duty for training, or inactive
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duty training, OR
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Been married to a Veteran for at least one year, OR
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Had a child with a Veteran, AND Cohabited with a Veteran continuously until the Veteran's death
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or, if separated, was not at fault for the separation, AND is not currently remarried.
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Note that if you are a surviving spouse and remarry on or after December 16, 2003,
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and on or after attaining age 57, then you are entitled to continue to receive DIC.
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If you are a surviving child, you are also eligible for DIC if you are:
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Not included on a surviving spouse's DIC, AND
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Unmarried, AND
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Under age 18, or between the ages of 18 and 23 and attending school.
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DIC claims by parents of a Veteran are need-based, meaning that your income must be less than
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the limit established annually by law to qualify.
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Claims for Survivors Pension are also filed on the VA 21-534EZ form.
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Survivors Pension is a tax-free monetary benefit payable to low-income, un-remarried surviving spouses
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and/or unmarried children of a deceased Veteran with wartime service.
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To qualify for Survivors Pension, deceased Veterans must have met the following service requirements:
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They must have served at least 90 days of active military service with at least one
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day during a wartime period if they served on or before September 7, 1980, OR
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If they entered active duty after September 7, 1980, they must have served at least 24
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months or the full period for which they were called or ordered to active duty with at least
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one day during a war time period, AND
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They did not receive a dishonorable discharge from service.
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Un-remarried spouses are eligible for Survivors Pension at any age.
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However, children of a deceased Veteran applying for Survivors Pension must be:
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Under 18 years old, OR
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Under 23 years old if attending a VA-approved school, OR
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Permanently incapable of self-support due to a disability before age 18
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In addition, Survivors Pension is based on your yearly family income, which must be less
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than the amount set by Congress in order to qualify.
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Visit www.benefits.va.gov/pension today to learn more about how VA calculates Survivors Pension.
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Now let’s discuss the Fully Developed Claim Program and using VA Form 21-534EZ.
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The FDC Program and EZ form are useful because:
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You learn exactly what evidence is needed to support your claim for DIC without having
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to wait for additional instructions after the claim is filed, AND
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A shortened application form reduces paperwork and allows for a quicker claims decision than
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traditional claims processing.
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Before you file your claim, VA strongly encourages you to work with an accredited Veterans Service
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Organization, or VSO, to assist you with your claim.
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A VSO can help you gather evidence and ensure you are submitting a completed claim.
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Best of all, their service is free to you.
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You can find an accredited VSO online by going to eBenefits at www.ebenefits.va.gov , or
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by calling 1-800-827-1000.
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To learn more about how a VSO can help you with your claim, watch the “Benefits of
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Working with a VSO to Submit an FDC” video on the VBA YouTube Channel.
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Let’s take a look at the application.
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VA Form 21-534EZ is a shortened and simplified claims application form used in the FDC Program.
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The first five pages review the claim filing notice and requirements.
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The last five contain the actual application.
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The FDC Notice part of the form explains the general differences between the FDC and the
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standard claims process in terms of: How VA will assist with the claim
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What you as a claimant need to do
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When and how you should submit information and evidence
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The first section on Page 1 outlines key criteria for the Program.
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It explains what documents you will need to submit along with your application.
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The supporting documents and requirements that you must submit include:
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A copy of a Veteran’s death certificate, unless he or she died on active duty, AND
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If claiming Survivors Pension, all necessary income and net-worth information, and a completed
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VA Form 21-2680, Examination for Housebound Status of Permanent Need for Regular Aid and Attendance,
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and/or a completed VA Form 21-0779, Request for Nursing Home Information in Connection
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with Claim for Aid and Attendance, if claiming increased survivor benefits, or
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If you are claiming DIC, any service treatment records or personnel records in the custody
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of a Reserve or Guard Unit, all relevant private medical treatment records and identification
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of any treatment records at a federal facility, or
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If claiming DIC as the parent of a Veteran, submitting all necessary income and net-worth
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information is required.
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A completed VA Form 21-524, Statement of Person Claiming to Have Stood in Relation of Parent,
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is required if you were a foster parent of the Veteran, or
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If claiming DIC with increased survivor benefits, submitting a completed VA Form 21-2680 and/or
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a completed VA Form 21-0779.
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Page 1 also identifies the requirements for certain claimants:
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If you are claiming benefits as the surviving spouse of a Veteran, you must submit a copy
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of your marriage certificate.
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If claiming benefits for a child or biological/adoptive parent of the Veteran, submit a copy of the
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birth certificate or court record of adoption.
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If claiming benefits for a child of a Veteran between ages 18 and 23, a completed VA Form
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21-674, Request of Approval of School Attendance, should be submitted.
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If claiming benefits for a seriously disabled or helpless child of a Veteran, then private
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medical treatment records related to the child’s disabilities should be submitted.
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Page 2 explains the benefits of filing a Fully Developed Claim:
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It is the fastest way to get your claim processed and there is no risk to participate.
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If it is determined that your claim does not qualify for the FDC Program for reasons such
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as insufficient evidence, it will simply be rerouted to the standard claims process.
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Your claim will still be processed, but not within the faster time frame.
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Page 2 also provides a side-by-side comparison of the FDC Program and the standard claims process.
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When filing an FDC claim, VA will help obtain certain evidence needed for your claim.
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Just like the standard claims process, VA can retrieve relevant records from a Federal
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facility, such as a VA medical center if necessary for your claim.
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While in the standard claims process VA will make every reasonable effort to obtain relevant
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records not held by a Federal facility,
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in the FDC Program, you must provide all of this information when you submit your claim.
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This allows VA to process your claim faster.
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Remember, in order to qualify for the FDC Program, all information and evidence must
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be submitted simultaneously with your claim.
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On the other hand, if you choose to go through the standard claims process instead, you have
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one year to submit all of your documents after the initial claim application has been received.
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Page 2 also explains where you should submit the application.
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Currently, FDC DIC and Survivors Pension claims cannot be filed electronically on the eBenefits website.
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All claim applications must be either mailed or faxed to your local pension management
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center or delivered in person to the closest VA benefits office.
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Visit www.va.gov/directory, to use the VA Facility Locator to find the benefits office
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closest to you, or get help by calling 1-800-827-1000.
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Pages 3 - 5 outline what evidence you must submit to support your claim, depending on
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the type of claim you are filing.
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Evidence tables provide clear instructions regarding required evidence for each type
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of claim.
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The evidence tables clearly state what must be submitted to support Survivors Pension,
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DIC, Reopened DIC,
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Increased Survivor Benefits Based on Need for Aid and Attendance or Being Housebound,
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Accrued Benefits, and Helpless Child claims. This information helps you confirm that you
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are submitting ALL of the necessary paperwork to complete your FDC claim.
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Remember, failure to submit all necessary documents upfront may result in your claim
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being rerouted from the FDC Program to the standard claims process.
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Remember to consider using an accredited VSO to ensure your claim is complete.
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Page 5 also explains how VA determines the effective date of entitlement of your claim.
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In general, the effective date is usually when VA receives the claim application.
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However, if VA received the claim within one year of the date of a Veteran’s death, entitlement
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may be from the first day of the month in which the Veteran died.
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This page also provides important resources about the FDC Program and VA benefits including:
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The VA FDC webpage at www.benefits.va.gov/fdc/
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VA resources on benefits, including www.va.gov;
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The VA IRIS system at http://iris.va.gov, which is a secure, web based, messaging application
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for VA website visitors to communicate with VA electronically; and
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The number for VA’s Pension Call Center: 1-877-294-6380.
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If you use a Telecommunications Device for the Deaf (TDD), please dial 711.
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Remember to watch Part Two to learn about filling out the application portion of VA
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Form 21-534EZ.
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>>Text: Integrity, Commitment, Advocacy, Respect, Excellence
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>>Graphic: ICARE Logo
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>>Graphic: U.S. Department of Veterans Affairs Seal and Logo