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- This page, Request VALOR Act benefits, is offered by
- Bureau of Health Professions Licensure
- Department of Public Health
Request VALOR Act benefits
As an active military personnel, veteran, or a military spouse, you may request VALOR act benefits from the Bureau of Health Professions Licensure (BHPL).
Contact for Request VALOR Act benefits
Bureau of Health Professions Licensure
Online
Email the VALOR Act Liaison
Email Bureau of Health Professions Licensure at valoractliaison@massmail.state.ma.us
The Details of Request VALOR Act benefits
What you need for Request VALOR Act benefits
How to file Request VALOR Act benefits
To request benefits under the VALOR Act, you must identify yourself by completing and signing the applicable affidavit form below:
- Affidavit of Active Military Status BHPL (PDF)
- Affidavit of Military Spouse Status BHPL (PDF)
- Affidavit of Veteran Status BHPL (PDF)
Mail the form to:
Bureau of Health Professions Licensure
Attn: Valor Act Liaison
250 Washington St.
Boston, MA 02108
Downloads for Request VALOR Act benefits
Open DOC file, 42 KB,
Affidavit of Active Military Status BHPL (DOC)
(English, DOC 42 KB)
Open DOC file, 42.5 KB,
Affidavit of Military Spouse Status BHPL (DOC)
(English, DOC 42.5 KB)
Open DOC file, 41.5 KB,
Affidavit of Veteran Status BHPL (DOC)
(English, DOC 41.5 KB)
Contact for Request VALOR Act benefits
Address
Attn: Valor Act Liaison, 250 Washington Street, Boston, MA 02108
Online
Email the VALOR Act Liaison
Email Bureau of Health Professions Licensure at valoractliaison@massmail.state.ma.us