VA Loan Military Service Verification Form
Please complete this form to verify your military service for VA loan eligibility. All information is required for accurate verification.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Branch of Military Service
*
Please Select
Army
Navy
Air Force
Marine Corps
Coast Guard
Space Force
Other
Service Status
*
Active Duty
Veteran
Retired
Reservist/National Guard
Dates of Military Service (Start and End)
*
Rank at Discharge or Current Rank
*
Type of Discharge (if applicable)
*
Please Select
Honorable
General
Other Than Honorable
Entry Level Separation
Still Serving
Upload Military Service Documentation (e.g., Statement of Service or DD-214)
*
Upload a File
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Choose a file
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of
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