Publications, Polices & Forms

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• Application for Veterans Flag on Drivers License or Identity Card

• Connecticut Wartime Service Medal Application Posthumous Rev 223

• DD214 Form

  Military personnel records can be used for proving military service or as a valuable tool in genealogical research.

• DVA HIPAA Notice Rev June 2023

• DVA Legal Internship Application

• Food Service Reservation Form

• HCC Cover Application Updated 8422

• Middletown State Veterans Ceremony Rule and Regulations

• Request for Authorization to Release Medical Records/Health Information

• Residential Cover Application Updated 8422

• SF 180, Request Pertaining to Military Records

• State of CT Guide to Benefits

  Male and female veterans are eligible for state benefits in a variety of areas.

• VA Form 10-10EZ, Application for Health Benefits

  With VA health care, you’re covered for regular checkups with your primary care doctor and appointments with specialists (like cardiologists, gynecologists, and mental health providers). You also gain access to home health and elder care, plus medical equipment, prosthetics, and prescriptions.