CVCS

California Action Plan for Reintegration

CalVet Connect can help you successfully re-enter civilian life by connecting you to the veterans benefits and services you have earned.

Complete the following form. A Veterans Services representative will contact you to answer your questions, and connect you with the appropriate service providers.

CalVet may need to share the information you provide with other federal, state, or county service providers to respond to your needs but will not share your information to outside marketers or vendors.

Veteran's Information: (Fields marked with an asterisk '*' are required)

Veteran Information

* Veteran's First Name

* Veteran's Last Name

Phone

*SSN (Last 4 digits)

* Veteran's Date of Last Discharge

() -

* Veteran's e-mail address:

Veteran Address

* Veteran's Street Address
Veteran's Street Address (line2)
* City	* State	* ZIP Code
How did you hear about the California Action Plan for Reintegration? Source of information for "Other":

Branch of Service

* Veteran's Branch of Service (Check all that apply)
Air Force	Army National Guard	Marine Corps
Air Force Reserve	Army Reserve	Marine Corps Reserve
Air National Guard	Coast Guard	Navy
Army	Coast Guard Reserve	Navy Reserve

Request

State Benefits	DD-214 Requests	Housing	Veteran's Business Ownership
Agent Orange	Education/Training	Legal Assistance	Veterans License Plate Program
CalVet Home Loans	Enroll in College	Minority Veterans	Vets Homes
Cemeteries and Burials	Employment	OEF/OIF Veterans	Veterans Organizations
College Fee Waiver for Dependents	Financial Assistance	TBI/PTSD	Volunteer
Compensation & Pension Benefits	Health care	Transportation	Women Veterans Roster
Other (Please specify)