'57-PC Home Sign-up/Update FAQs Support Groups Literature VA Claims Links Prostate Cancer-VA Claims The VA presumes Agent Orange as a cause for anybody who has been diagnosed with prostate cancer who served in Viet Nam, and I believe Cambodia and Laos. To get a claim form, call your nearest VA center and ask for the forms to submit a claim for Agent Orange illness. I understand there is a large backlog of claims, so be patient - I submitted mine on 31 October '03, got a form this week stating they The forms I submitted were VA Forms 21-4138, Statement in Support of Claim, and 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs (for your physicians). I also included a copy of my DD-214, and two letters from guys I flew with in 'Nam attesting to my exposure to Agent Orange-the latter weren't asked for, but I put 'em in anyway to bring the package gross weight up to gummint standard. Any questions, call Fred Smith at fhsmith3@bellsouth.net or (770) 631-9339.
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