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Request VALOR Act benefits - OLRH

As an active military personnel, veteran, or a military spouse, you may request VALOR act benefits from the Office of Local and Regional Health.

Contacts

Office of Local and Regional Health

Phone

Phone: Call Office of Local and Regional Health, Phone: at (617) 753-8018

Online

Email: Email Office of Local and Regional Health at RS.CHO@Mass.gov

The Details   of Request VALOR Act benefits - OLRH

How to file   Request VALOR Act benefits - OLRH

To request benefits under the VALOR Act, you must identify yourself by completing and signing the applicable affidavit form below:

Submit online:

Please use the eLicensing system to upload the appropriate affidavit and supporting documentation to your new application or by beginning an amendment to your current registration and/or certification.  

If this is your first time using this new portal, please visit eLicensing System User Guide.

To request benefits under the VALOR Act, you must identify yourself by completing and signing the applicable affidavit form below:

Mail the form to:
Office of Local and Regional Health
Attn: Valor Act Liaison
91 East Mountain Road, Westfield, MA 01085

Downloads   for Request VALOR Act benefits - OLRH

Open DOC file, 60.5 KB,  Affidavit of Veteran Status (English, DOC 60.5 KB)
Open DOC file, 62.5 KB,  Affidavit of Military Service Status (English, DOC 62.5 KB)
Open DOC file, 62.5 KB,  Affidavit of Military Spouse Status (English, DOC 62.5 KB)

Contact   for Request VALOR Act benefits - OLRH

Address
RS/CHO Credentialing, C/O Office of Local & Regional Health, 67 Forest Street , Marlborough, MA 01752
Directions 
Phone
Phone: Call Office of Local and Regional Health, Phone: at (617) 753-8018
Online
Email: Email Office of Local and Regional Health at RS.CHO@Mass.gov

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