OF VETERAN Include Area Code PERSON CONTACTED TYPE OF CONTACT check one PERSONAL TELEPHONE ADDRESS OF PERSON CONTACTED Include Area Code PERSON WHO CONTACTED YOU CONTACTED YOU Include area code BRIEF STATEMENT OF INFORMATION REQUESTED AND GIVEN Continue on page 2 if needed DIVISION OR SECTION VA FORM SEP 1997 R EXECUTED BY Signature and title VA FORM 119 SEP 1997 R PAGE 2. REPORT OF CONTACT NOTE As appropriate once this form is completed it becomes a permanent record in the veteran s folder. Please do not use a pencil to complete this form* VA OFFICE IDENTIFICATION NOS* C XC SS XSS V K etc* LAST NAME-FIRST NAME-MIDDLE NAME OF VETERAN Type or print DATE OF CONTACT ADDRESS OF VETERAN TELEPHONE NO.
How to prepare VA 119
1
Get the VA 119 on the internet
Make use of your desktop or mobile phone to open up the form on the web within a PDF file editor. Click Get Form to view the current version of the form.
2
Complete the form
Complete the template in depth, writing accurate info. If you have a signature field, add your signature by drawing or writing it.
3
E-file the papers
You are able to skip printing and deliver your papers online via e-mail. Consult with the specific regulators whether the template is accepted digitally.
Online technologies make it easier to arrange your document administration and enhance the productiveness of your workflow. Look through the quick guideline so that you can fill out VA 119, stay clear of errors and furnish it in a timely way:
How to complete a VA form 119 report of contact?
-
On the website containing the document, click on Start Now and go to the editor.
-
Use the clues to fill out the suitable fields.
-
Include your individual data and contact information.
-
Make absolutely sure that you enter correct information and numbers in correct fields.
-
Carefully review the content in the blank as well as grammar and spelling.
-
Refer to Help section when you have any issues or address our Support team.
-
Put an electronic signature on the VA 119 printable while using the support of Sign Tool.
-
Once document is completed, click Done.
-
Distribute the prepared form by way of email or fax, print it out or download on your device.
PDF editor will allow you to make modifications towards your VA 119 Fill Online from any internet connected device, customize it in accordance with your needs, sign it electronically and distribute in different means.
What people say about us
Submit documents in a timely manner with a trustworthy web-based solution
Video instructions and help with filling out and completing blank va form 119
Hey you you you hey everyone this is Brian from active melody comm well in this week's guitar lesson we're going to take a look at a very young Eric Clapton cream-style guitar solo now obviously cream was a trio they did not have a rhythm guitar player when they played live it was just Jack Bruce Ginger Baker Eric Clapton rest in peace Jack Bruce but when they did their studio work they would obviously they would do overdubs Clapton would over dub Leeds and so some of you may have noticed that in the intro that there was actually a rhythm guitar part and that's just to help with the when you're playing along when you're practicing this style of playing it does help to have that rhythm track to help with your timing, so that's why it's included so you cream purists may have noticed that, but that's why so if you'd like to download the ablative and the jam track to practice with and watch the part 2 video you can get all of that at active melody comm just look for EP 1 1 9 that's a lesson number for this lesson so let's go ahead and start with part 1 alright so let's talk through tone settings real quick before we jump into the lesson now I'm playing on the Gibson es-335 this is a dot series guitar the reason I grabbed this guitar was because that's the one that Clapton used when he played with cream now he didn't have a dot series, but he did have a cherry red es-335 like this in fact that was the reason I bought this one I wanted to have a guitar that looked similar and sounded similar I just thought it had such a great tone and I love this guitar it's just an awesome guitar um, but anyway I have the pickup selector switch set, and it's between the two pickups so it's in the middle position picking up from both pickups I have both volumes set at about 7 sorry both volumes of each pickup are set at about 7, and I have the tone turned all the way almost all the way up about 8 on this one and about 8 on this one, so that's the tone settings now Clapton would use what he's called what he called woman tone in those days a woman tone is kind of a're almost getting a bass I think you put it on the bass pickup or the neck pickup and then turn the bass all the way up and get this kind of nice little breakup sound now that works great on a Fee which he would play on but that I'm able to simulate it at least with the petals that I'm using and then this set up it's pretty close the thing you don't want to have is you don't have a real crunchy sound if.
Common Mistakes
Inappropriate Social Security Numbers
Incorrect taxpayer name
Numerous filing statuses
Neglecting to sign your blank
Arithmetic mistakes
Benefit from
No-ads plan
Focus on submitting VA 119 without stressing about annoying ads or unwelcome videos.
Expert instruments
Get the best from an all-in-one editor that helps you finish your record, modify it, and share it.
Safe setting
The service is compliant with worldwide requirements and SOC 2 Type II accredited to ensure your workflow is secure and safe.
Superior export option
Save your valuable form within the format that is convenient for you such as .pdf, .docx, .xlsx, .pptx and .jpeg.
People also search for VA 119
list of va forms
va correspondence claim
va forms online
va form 10-10172
report of contact va form
va report of contact
report of contact
report of contact blank form
report of contact form
va form 10230
va119
Report of contact va form - FAQ
What is the purpose of VA 119?
It's to give veterans a voice, through the congressional committee charged with representing the interests of their fellow countrymen. The committee is a bipartisan body that was established in 1975 to represent the interests of active and reservists.
“As the military continues to draw down its ranks, it is important for our veterans organizations to be active in ensuring that our veterans, as they transition into civilian life, have the support and assistance they need. That is the purpose of VA 119. We want our veterans to be heard in an unbiased, fair, and open process. In that process, we will work together to address their concerns.”— Senator Tammy Baldwin.
What will be considered during VA 119?
During VA 119, two veterans who have served in Iraq and Afghanistan will have their testimony provided to select groups of lawmakers, including members of the Senate Select Committee on Intelligence, the House Permanent Select Committee on Intelligence and the House Select Committee on Foreign Affairs.
Who will be selected to receive testimony in VA 119?
The veterans who will testify at VA 119 will be chosen, in addition to any other veterans from their community, based on specific criteria, including their age and their service in a service-connected setting.
What will happen if a veteran does not want to testify at VA 119?
If the veteran does not wish to testify at VA 119, they may submit a written request to the Veterans Subcommittee Chair for consideration of their comments during the hearing, or at a future session.
How can a veteran access VA 119?
VA 119 will operate as a virtual hearing. Veterans using the hearing service will be able to request a webcast presentation of their testimony in written form in advance, at no cost. If the veteran would like to view a video version of their testimony in a separate session, those sessions will cost 14 per person or 75 per family member.
Will lawmakers use VA 119?
Some congressional staffers in both chambers have already expressed interest in using VA 119 as a tool to learn more about the needs of our veterans.
Please contact any of your elected officials to make this a reality:
Denny Heck (D – WA-08×, or
Lies Leibniz (D – IL – 4th CD×, or
John Confers (D – MI – 15th.
Who should complete VA 119?
As you may know from our previous posts about the course, VA119 should be completed in conjunction with either the VA 120 (for veterans with two or more years of serviceĂ—, or VA 120B (veterans with one or fewer years of serviceĂ—. This is because it is likely that your student visa will expire before you can complete VA 120. If you can complete VA 120 at any time, skip to the next section.
When do I need to complete VA 119?
If you are currently enrolled on a VA health care plan when you are entitled to participate in VA benefits (such as retirement, disability, or survivor benefits×, you will be treated as a member of your home state's health care workforce (the “employment of veterans and civilian personnel”). You can complete VA 119 right away from the date of your scheduled departure or discharge, unless you are under VA medical suspension or have been medically evacuated to another country. Under VA regulations you cannot be required to enroll in a new program during the period of medical suspension. However, if you have been medically evacuated, you can enroll in VA health care program if you will complete VA 119 by the expiration of the period of suspension of your enrollment. The first thing to do after completing VA 119 is to submit a completed health plan and any required information. Do not wait until the last minute to apply for a card and start the application process.
Do I need to enroll in new health care program when my enrollment ends?
You may stop enrollment early if you will not be needed for six months. Do not stop enrollment early if you will be needed for six months for reasons related to your participation in VA health care. You can stop enrollment before or at the expiration of any period of suspension or leave for medical reasons that were not valid, or for any other reasons authorized by GAO.
Do I need to have my doctorĂ—medicalĂ—surgeon letter in order to enroll in VA health care?
You will need to have your doctorĂ—medicalĂ—surgeon letter in order to enroll in VA health care.
Can I continue to live as a resident and still be enrolled in VA health care programs and benefits?
Yes. VA health care programs and benefits allow permanent residents to apply for and continue participation in VA health care programs and benefits. The primary requirement is that your residency meets VA criteria. A resident can be registered in one VA health care program, and may continue that participation if its purpose is not related to providing medical service (, you may continue to be a registered mental health therapist and practice in a VA clinicĂ—. You must meet the following VA criteria during the time you are registered as a permanent resident: be legally qualified to practice, and meet the qualifications as set forth by VA when doing so.
in some programs, may be enrolled in VA medical benefits
Be enrolled in VA's prescription drug program, or a VA health care facility pharmacy under the state plan.
Is there a.
Can I create my own VA 119?
A: You can create VA 119s with our tools, but you might need to upload your original VA files separately. VA files and our tools require you to have Microsoft Internet Explorer or Microsoft Silver light installed. VA file files are very large and take a long time to download. After that, you will have the tools to create the VA.
Is VA 119 my own work?
A: As long as you are able to accurately recreate the work for this list, the work is yours. However, if you are sharing a VA with more than one person, you must each sign a separate agreement. Some VA119 projects require the use of other companies' logos, and other projects require that logos or other intellectual property be included. If you are creating a VA to be shared with a group, we will not accept liability if they use or distribute your work in a way that is not consistent with the restrictions included in the agreement.
What should I do with VA 119 when it’s complete?
This document should be used to make a formal request for VA funding for your project.
You can request funding through the Office of Legislative Services (OLSĂ—, the Congress website. OR you can write to OLD at the following address:
Office of Legislative Services
The Congress
Attention: Secretary of Veterans Affairs
Washington, 20401
Why do I have to pay taxes on VA funds?
VA and related governmental agencies are permitted to solicit funds for the VA system using tax-deductible sources of funds. These federal sources include employee wages and compensation, charitable contributions, premiums from health-care plans, property taxes for real and personal property, and employment taxes on fringe employment. The federal tax-deductible amounts are based on actual use of VA services instead of the cost of the service. To request a tax exemption on VA funding, check the applicable box. For additional information regarding tax exemptions, see Internal Revenue Service Information for Veterans. What are the eligibility requirements for receiving VA funding?
All projects must be conducted by veterans from Federal, State, or local government, nonprofit organizations, or private organizations that are qualified by the VA to conduct research andĂ—or development on behalf of the United States. All types of project funding, including research-related, experimental research, and demonstration projects, are eligible. Your project must be conducted for a VA project or research purpose, and must not interfere with federal laws or regulations.
Is VA-funded research the same as research done at universities and other agencies?
VA's research is conducted by veterans in the United States. VA has its own programs, such as the National Center for PTSD, to support veterans in the treatment of Post Traumatic Stress Disorder.
I have a research grant from an outside agency. When will this funding be released?
VA will release the grant funds once VA is satisfied that the project has met VA's eligibility criteria. For more information on our process for awarding research grants, please contact the Information Resources and Assistance section of the Veteran's Affairs Office of Research and Development, Attn: Research Grants and Grants Policy Specialist.
What are the awards for research presented at scientific and conference meetings? What is required to be listed as part of a conference abstract?
The grants available for submission for VA research are listed under the Research Grants. These awards are awarded by the.
How do I get my VA 119?
You can contact VA for help:
By phone: or (TDD for hearing-impaired or if you are on TTY, call)
By email:
In the Mail: VA will give you a VA 119 after your original prescription has been filled, shipped, and received.
How do I get an extra prescription?
Call: (TDD-Hearing Impaired and TDD-Wheelchair Users: call +)
By phone: (TDD for hearing-impaired or if you are on TTY, call)
You can get a copy of your VA 119 within the hour and have it faxed to you. Or, you could use the Electronic Prescription Record (EPR) to download a VA 119 and order it from VA at a later time. Visit for more information.
Additional Information
Additional information about Medicare's Prescription Drug Benefit Program, including how to obtain a Medicare supplement benefit program document, is available by visiting
Contacting VA
If you have questions about your benefits or about the VA, please call for the hearing-impaired, disability information line, or email VA at
If you need further information about your VA benefits, please contact Benefits by e-mail.
Additional information from the National Veterans' Oral Health & Safety Administration at.
What documents do I need to attach to my VA 119?
If you apply for an exemption from a VA examination or from a physical examination, you need to submit:
Documents to support the reasons you are exempt;
Proof of the exemption, such as a certificate or letter issued by the Department, such as a Notice of Exemption; and
Original or certified copies of your birth certificates, marriage records and death certificates. An original certificate with a matching last name may suffice, and a certified copy may meet the same proof requirements.
How do I submit documentation of my exemption?
Documentation is required if you are applying for, or applying to extend the duration of, a current exemption from a VA physical or examination. If you are applying for an exemption for the sole purpose of expediting the VA's decision process, you do not need to provide any documentation.
The following types of documentation are acceptable:
Birth certificates, marriage records and death certificates with a matching last name;
Certifying official certificates with a matching last name and current date of issuance;
Certificate of naturalization or naturalization papers; or
Official military orders or other official documents that indicate the relationship of the person to the Armed Forces
What documents do I need to amend my exemption?
If you are applying for an exemption to a VA examination or to a physical examination, you need to submit.
What are the different types of VA 119?
VA 119 may be given on top of other types of prescriptions to meet the specific needs of patients who can't get the treatment that their other medications cannot. This includes low-income patients without insurance and patients on waiting lists for other VA medications.
What are the possible side effects?
The most common side effects of VA 119 are headache, nausea and vomiting. They usually go away after you've been taking it for a while. If you have severe nausea and vomiting, ask for more help and ask your doctor to give you extra help.
Where is VA 119 available?
This medicine is available over-the-counter and can be prescribed by your doctor. But it must be used carefully because it has lots of different ingredients in it. Some people have had bad reactions to this drug and have had to stop taking it. Talk to your doctor. Remember, this is not a narcotic. It may seem scary if taken by mouth.
What types of VA 119 do you have?
Many combinations of medication are used to treat VA 119. Your doctor will talk to you about the different medications that may work best for you. You may need to try several types.
How are the different types of VA 119 different?
We provide VA 119 from different types that help each other in different ways. If you are trying to treat the symptoms of VA 119 or someone who already takes this medication, talk to your doctor; they may be able to recommend one type of VA 119 that works well for you. Each type of VA 119 is made up of many components:
VA 119 with acetaminophen
VA 119 with acetaminophen and ibuprofen
VA 119 with nimesulide
VA 119 with nimesulide and a prescription from your doctor
VA 119 with acetaminophen and dexmedetomidine in 2 tablets
VA 119 with acetaminophen and fluconazole
VA 119 with acetaminophen and hydrocodone
VA 119 with acamprosate and propofol
VA 119 with hydroxychloroquine
VA 119 with hydroxychloroquine and hydroxychloroquine in 2 dosages
VA 119 with hydroxychloroquine in 2 dosages and chloroquine in 2 dosages
VA 119 with hydroxychloroquine and amiodarone
VA 119 with hydroxychloroquine in 2 dosages.
How many people fill out VA 119 each year?
The VA 119 is an application that allows you to fill out form DD214, and it is generally filed monthly. The form is on average submitted each March.
How long does the process take?
It depends on how many people are applying for benefits, and how many people are eligible to receive benefits.
Is there an “out-of-competition” period in the VA 119 process?
Yes, if you are applying for benefits after 6×30/2016 then there will be an “out-of-competition” period at 10:01am EST on January 6, 2017. During this “out-of-competition” period, no new applications should be submitted during the same timeframe.
Do I need to contact the Veterans Benefits Administration (VBA) in my area to apply?
No, all eligible applicants must do it themselves. VBA will provide online form’s) they can use to complete.
Can an individual file VA 119?
Yes, individuals can file VA 119 online and also use VBA's online service to file.
Am I required to file VA 119?
Yes, individuals are required to file VA 119 within 15 calendar days of receiving their first monthly benefit payment (see above) or on filing their first online application for benefits, whichever occurs first, even if the person does not file VA 119.
Where can I find instructions for VA 119 filing?
You can find instructions for submitting or viewing a VA 119 online form by clicking here at the Veterans Benefits Administration website. VBA can help you with the filing of VA forms by providing you with more of their online resources for Veterans.
Can a service-connected disability be paid out through VA 119?
VA 119 offers the ability to pay for disability compensation through monthly benefits.
Do I need the same paperwork when I file VA 119 as I do when I file my disability claims application?
VA 119 must include all completed information from the Veteran's Application for Benefits.
Where can I find instructions for VA 119 filing?
You can find instructions for filing online or by phone by speaking by phone using the VA-1 toll-free number.
Is there a due date for VA 119?
VA 119 refers to an application for a new VA-approved insurance card. The date of the application is the time when the VA issued your original insurance card. If your application is submitted within 60 days of the date your current insurance card was issued, or you are receiving compensation as an employee from the date that your current insurance card was issued, VAC will process your application within six months from the date of the original application.
Is there a reason why I am not listed on my previous insurance card?
If you no longer have a current insurance card, you are not listed on your old card. To update your information, you must call VAC at to process an application for a new insurance card.
How many days do I have to wait in line at my local VAC office?
How long is the wait time?
How long will I be waiting to see the front desk clerk?
Will the new card be accepted by VAC?
My application did not receive a response, how can I contact them?
I am not listed on my document. How do I update my information?
I am enrolled in VA health insurance that is not covered by the VA health care card. What should I do.
Popular VA 119 Forms
Va form 0861
Get the va form 0861 and complete it using the feature-rich document editor. Manage docs easily while keeping your data risk-free with va form 0861 on the web. ...
Va form 21-0820 fillable
Find the va form 21-0820 fillable and complete it with the full-featured PDF editor. Manage docs quickly while keeping your data risk-free with va form 21-0820 fillable online. ...
Va report of contact examples
Get the va report of contact examples and fill it out using the feature-rich document editor. Work easily and keep your data safe with va report of contact examples on the web. ...
Va form 9957
Get the va form 9957 and fill it out with the full-featured document editor. Work easily and keep your data risk-free with va form 9957 on the web. ...
If you believe that this page should be taken down, please follow our DMCA
take down process here.
More info
Show details