Environmental & Toxic Exposure

• Ionizing Radiation

• Agent Orange

• Gulf War

• Depleted Uranium Follow-Up Program

• Toxic Embedded Fragments

• Speak to an Environment Health Coordinator
  Angela (Kay)Write, Fort Harrison: 406-447-7292

• VA Special Issues Helpline: 800-749-8387

• Visit: https://www.publichealth.va.gov/exposures

• Call the VA Benefits Office: 800-827-1000

• Newsletters: https://www.publichealth.va.gov/exposures/publications/index.asp

Registry is open to any veteran or service member who served in OEF/OIF/OND or in Djibouti, Africa, after September 11, 2001, or Operations Desert Shield or Desert Storm or the Southwest Asia theater or operations after August 2, 1990.

How do you participate?

• Complete web-based health questionnaire at https://veteran.mobilehealth.va.gov/AHBurnPitRegistry

Any Air Force Veteran or Air Force Reservist personnel that were assigned to one of the affected aircrafts and developed a disability linked to agent orange exposure should file a claim.

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How to check if your assignment was affected:

• Visit: https://www.publichealth.va.gov/PUBLICHEALTH/exposures/agentorange/locations/residue-c123-aircraft/index.asp

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Apply online through the VA Benefits portal. Fill out VA Form 21-526

• Be sure to list each C-123 related disability

• Include, if available:

  • Discharge paperwork (DD214)

  • USAF Form 2096 (assignment)

  • USAF Form 5 (aircraft flight duties)

  • USAF Form 781 (aircraft maintenance duties)

  • Dependency records (marriage and children's birth certificates)

  • Medical evidence