The Veterans Northeast Outreach Center, Inc.

 

The Veterans Northeast Outreach Center, Inc.

Forms

Adobe Acrobat Reader must be used to view forms located on this website.

Click here to download the latest release, version 6.0. Please follow on-screen instructions.

Previous Adobe Reader Versions including 4.05 and 3.01 are still compatible and will display the forms correctly. However, be aware that Version 5.0 is not compatible. We regret any inconvenience this may cause.

Many of the following forms have multiple pages. Be sure to download all pages. These forms are in the PDF format (Adobe Acrobat Portable Document Format (PDF)). Unfortunately, previous PDF readers will not work with this format.

If you experience difficulty reading or interpreting either the form or instructions, please contact the Veterans Northeast Outreach Center at (978) 372-3626 or e-mail vetreach@northeastveterans.org

Health Care Benefits
Education
Application for VA Disability
V.A. Home Loan Guaranty
Discharge Up-Grades
Death and Burial Benefits
Agent Orange / Persian Gulf Information
Employment Resources
Vocational Rehabilitation for Disabled Veterans
Mass. Chapter 115 Benefits
Military Records
Veterans License Plate
Community Resources

VA Health Care Benefits & Resources

In October 1996, Congress passed Public Law 104-262, the Veterans' Health Care Eligibility Reform Act of 1996. This legislation paved the way for the creation of a Medical Benefits Package - a standard enhanced health benefits plan generally available to all enrolled veterans. Like other standard health care plans, the Medical Benefits Package emphasizes preventive and primary care, offering a full range of outpatient and inpatient services.

To enroll you must completeForm 10-10EZ : Application for Health Benefits and send it along with a copy of the DD214 to

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830



Bedford VA Medical Center
200 Springs Road
Bedford, MA. 01730

http://www.visn1.med.va.gov/bedford/default.htm

Haverhill VA Outpatient Clinic
108 Merrimack Street 
Haverhill, MA. 01830
(978) 372-5207

http://www.visn1.med.va.gov/bedford/bedopc_hav.htm

Manchester VA Medical Center
718 Smyth Road
Manchester, N.H. 03104
(603) 624-4366

http://www.visn1.med.va.gov/manchester/default.htm

To locate other VA health facilities please use the 
VHA FACILITY LOCATOR


Top of Page

Employment Resources

Mass. Dept. of Employment & Training
80 Merrimack Street
Haverhill, MA. 01830
(978) 374-4753

http://www.detma.org/


Top of Page

Social Security

Social Security Administration
Haverhill office
367 Main Street
Haverhill, MA. 01830
(978) 374-1960
(1-800) 772-1213

http://www.ssa.gov/SSA_Home.html


Top of Page

Education
There are a variety of educational opportunities awaiting Veterans who are interested in taking advantage of their Veterans benefits. Programs such as the Vietnam Era G.I. Bill, VEAP (Veterans Educational Assistance Program), Montgomery G.I. Bill, are available for active

duty and reserve Veterans. There are a number of stipulations to these programs, and it is best for the Veteran to review their options in person at the VNOC Outreach Center with a qualified staff person. Additionally, staff at the Northern Essex Community College can also be of assistance:

Northern Essex Community College
Elliott Way
Veterans Service Organization
(978) 556-3000

http://www.necc.mass.edu/financial/financial_vets.shtml

Top of Page

Vocational Rehabilitation for Disabled Veterans

To request vocational rehabilitation services through the V.A. Veterans must be disabled 20% or higher to qualify. The following form must be completed:
V.A. form 28-1900 “Application for Vocational Rehabilitation”
Send along with a copy of DD 214 to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830


Top of Page


Application for VA Disability

To apply for either service or non-service connected disability through the Veterans Administration the following forms must be completed:

V.A. 21-526 “Application for Compensation”
V.A. 21-22 “ Appointment of Veterans Service Organization as Claimant's Representative”
These forms along with a copy of the Veteran’s DD 214
Can be sent to:

The Veterans Northeast Outreach Center
10 Reed Street
Haverhill, MA 01830


Top of Page


Mass. Chapter 115 Benefits                                     

This is an entitlement benefit for honorably discharged Massachusetts Veterans, administered through the Veterans Service Officer (Veterans Agent) of the city/town where the Veteran resides. The maximum award ranges to $1,500 YEARLY Application to be filled out and DD 214 send to:

Contact your local Veteran Service Officer (check list below) for assistance.


Top of Page


Merrimack Valley Veteran Service Officers

Amesbury

Ron Koontz

978-388-8136

Andover

John Doherty

978-623-8200

Bedford

William Hennrikus

781-275-6450

Billerica

Ken Buffum

978-671-0968

Boxford

Ed Mitchell

978-682-6378

Burlington

Bob Hogan

781-270-1959

Carlisle

Ken Buffum

978- 671-0968

Chelmsford

Martin Walsh

978-250-5238

Concord

Paul McGrath

978-318-3411

Dracut

William Zounes

978-453-9492

Georgetown

Terry Hart

978-356-3915

Groveland

Terry Hart

978-356-3915

Haverhill,

Mike Ingham

978-374-2351

Lawrence

Dan Lannon

978-794-5846

Lowell

Joe Dussault

978-970-4068

Merrimac

978- 346-8862

Methuen

Ed Curran

978-794-3237

Newbury

Terry Hart

978-356-3915

Newburyport

Frank Dezenzo

978-465-4418

North Andover

Ed Mitchell

978-682-6378

North Reading

Timothy Callahan

978-664-6011

Reading

Paul Farrell

781-658-3311

Salisbury

Ray Mace

978-474-7510

Tewksbury

Ellsworth Hart

978-640-4485

Tyingsboro

Kevin O’Connor

978-649-7771

West Newbury

Terry Hart

978-356-3915

Wilmington

Paul Farrell

508-658-2040


V.A. Home Loan Guaranty
To request a home loan guaranty the following form must be completed:
V.A. 26-1880 “Request for Determination of Eligibility and Available Loan Guaranty Entitlement”. Along with a copy of the Veteran’s DD214 may be sent to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01832

Top of Page

Discharge Up-Grades

To apply for a discharge up-grade, send a valid DD214, along with V.A. form DD293 to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830

Top of Page

Military Records

If a Veterans is in need of replacing lost or destroyed discharge separation and medical records duplicate copies may be obtained by completing Form SF-180 and sending it to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830

Be sure to include complete information regarding time of service, rank, branch of service, and social security number and SIGNATURE.

Top of Page

Death and Burial Benefits

GOVERNMENT HEADSTONE OR MARKER
To apply for a headstone or marker for private or state veterans cemetery the following form must be completed: VA form 40-1330.

Send with a DD 214 and Death Certificate to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830

Burial in Massachusetts Veterans Memorial Cemeteries

To apply for a plot in one of the two state designated cemeteries for Veterans the following form must be completed: Form # PIA-101  along with a current DD214 and send to:

Veterans Northeast Outreach Center, Inc.
10 Reed Street
Haverhill, MA 01830

Top of Page

VETERANS LICENSE PLATE
Department of Veterans Services form with DD 214 to:

Robert C. McKean
Director of External Affairs
100 Cambridge St.
Room 1002
Boston, MA 02202
Phone: 617-727-3578 ext. 108
Fax # 617-727-5903

Top of Page

Agent Orange /
Persian Gulf Information

Veterans who served during the Persian Gulf War and/or claim exposure to Agent Orange are provided free comprehensive medical examinations at the nearest VA Medical Center to their home. Veterans are asked to direct their questions to Veterans Northeast Outreach Center, Inc. at (978) 372-3626 or the VA at 1-800-749-8387.

Top of Page

Community Resources

Community Action, Haverhill Drop In Center
(978) 373-1971
(978) 521-4350

Fuel Assistance
(978) 373-1971

Disabled Persons Commission
1-800-426-9009

Legal Assistance
Merrimack Valley Legal Services
1-800-427-2521

Lazarus House/Good Shepherd Center, Lawrence 689-8575
Dental Clinic 682-2227
Emmaus House - 373-7290/373-6400/ 373-7509
Womens Resource Center, Haverhill 373-4041
Catholic Charities, Haverhill 372-1031
Haverhill Club House 521-6952

Alcoholics Anonymous, Merrimack Valley 373-9514

Salvation Army, Haverhill 374-7571
Dept. of Transitional Assistance, Haverhill 372-7191

24 Hour Hotlines
Samaritans, Haverhill 372-7200
North Essex Community Mental Health, 521-7777 / 1-800-281-3223

Veterans Resources
State Dept. of Veterans Services (617) 727-3578
City of Haverhill Veterans Services Dept. 374-2351
City of Amesbury Veterans Services Dept. 388-8136
VA Haverhill Outpatient Medical Clinic, 372-5207 / 372-5114
Bedford VA Medical Center 1-800-838-6331 / 1-781-275-7500
Bedford VA Medical Center Dorm Program 1-781-687-2795
Bedford VA Medical Center, Bill Davis 1-781-687-2704
Manchester VA Medical Center 1-800-892-8384
Northampton VA Medical Center 413-584-4040
Boston Vet Center 617-424-0665
DAV, Boston, MA. 617-565-2575
DAV Manchester, N.H. 603-666-7664
New England Shelter for Homeless Veterans 1-800-734-2062
Chelsea Soldiers Home 617-884-5660
Jamaica Plain VA Medical Center 617-232-9500
Brockton VA Medical Center 508-583-4500
West Roxbury VA Medical Center 617-323-7700
VA Outpatient Medical Clinic, Boston 617-248-1000
VA Outpatient Medical Clinic, Lowell 508-617-9000
VA Outpatient Medical Clinic, Springfield 413-785-0301
VA Outpatient Medical Clinic, Worcester 508-856-0104

Top of Page

Mental Health Resources

North Essex 
Community Mental Health Center, Haverhill 
373-1126

Team Coordinating Agency, 
Haverhill 
373-1181

Anna Jaques Hospital
Newburyport
463-1000


Top of Page


Services | History | People | Support/Volunteer
News You Can Use | Calendar of Events  
VNOC in the News | Contact Us | Home

65 Cedar Street
Haverhill, Massachusetts 01830
Tel: 978-521-9668
Fax: 978-521-9672
E-mail: vneoc@northeastveterans.org
Hours: Monday - Friday 9:00 AM - 5:00 PM
evenings by appointment