Denial in Writing Request Letter

This letter is used to ask VR to send you a decision in writing, when they have only verbally told you a decision that you want to appeal.

Denial in Writing Form

Your Name(Required)

First Last

Your Email(Required)

Your Address(Required)

Street Address Address Line 2 City State ZIP Code

Recipient's Name(Required)

Recipient's Email(Required)

Service being denied(Required)

(e.g. close my case, not provide a specific service, refuse to open a VR case, refuse to provide a Post-Employment Service, reduce a maintenance payment, not provide maintenance, etc.).

Date of Verbal Denial(Required)

Recipient's Address

Street Address Address Line 2 City State ZIP Code

Hidden

Please provide your answer to my request in writing by

Denial in Writing Request Letter

Denial in Writing Request Letter

Denial in Writing Form

ACDL Tucson
Location

ACDL Phoenix
Location

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