Service Officer Report Form - Department of Arizona

This report will automatically be reported to Department and your District Service Officer when you click “submit”.

All fields are required so if you have nothing to report for a certain category please type “0” or “None”.

If you desire, you may save your progress and submit later. The link is at the bottom of the page.

Legion Post: *

District: *

Month Ending: *

Service Officer Reporting Name: *

First

Last

Post Commander's Name: *

First

Last

Number of Outgoing Calls: *

Number of Incoming Calls: *

Number of Veterans Assisted: *

Number of Veterans Counseled: *

Number of Claims Opened Requiring Veterans Benefit Center (VBC): *

Number of Hours Volunteered at a VA Facility / V.A.V.S. *

Number of Hours for the Month: *

Number of Miles for the Month: *

Dollar Amount of Welfare Issued: *

Dollar Amount of Temporary Financial Assistance (TFA) Issued: *

Additional Information to Report: *

Submitter's Email (Will Receive a Copy of Form): *

Confirm Email

Submitter's Signature:

Clear Signature