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Forms & Surveys

Click on the form or survey you want to complete, print and fill out the document, then mail to:

Department of Veterans Affairs
Vocational Rehabilitation & Employment
500 Gold Avenue SW
Albuquerque, NM 87102

If you elect to e-mail the form or survey, save it as a rich text file on your computer and then send it as an attachment to:

VAVBAALBVRC@vba.va.gov

Note: When accessing forms and surveys, use the arrow back key to return to the web page.
Veterans' Forms
 
   
VA 20-572  (Request Change of Address)
VA 20-1905c  (Monthly Record of Training and Wages)
VA 21-686c  (Declaration of Status of Dependents)
VA 21-4138  (Statement in Support of Claim)
VA 28-1900  (Disabled Veterans Application for Vocational Rehabilitation)
VA 28-1905m  (Request for Supplies)
VA 3288  (Request for and Consent to Release Information)
Contractors' Forms
 
   
VA 20-572  (Request Change of Address)
VA 20-1905c  (Monthly Record of Training and Wages)
VA 21-686c  (Declaration of Status of Dependents)
VA 21-4138  (Statement in Support of Claim)
VA 28-1902  (Counseling Record - Personal Information)
VA 28-1905  (Authorization and Certification of Entrance or Reentrance
                       into Rehabilitation and Certification of Status)
VA 28-1905d  (Special Report of Training)
VA 28-1905m  (Request for Supplies)
VA 28-1910  (Application and Public Voucher for Advancement from the
                       Vocational Rehabilitation Revolving Fund)
VA 28-8606  (Notes from Counseling and Next Steps)
VA 28-8861  (Request for Medical Services - Chapter 31)
VA 119  (Report of Contact)
VA 3288  (Request for and Consent to Release Information)		  
 

Surveys

                     
 
Contractor's Survey

                       Employer's Survey
Training Workshop Survey   Veteran's Survey

This is a Rectangle Button With the Word E-Mail and a Picture of an Envelope. This is a Link to the Albuquerque Regional Office Inquery Mailbox. If you have questions about VA benefits, e-mail our Veterans Assistance Staff.


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Reviewed/Updated: December 1, 2008