ACCREDITED VA CLAIMS AGENT #60720

Join the Wait List

Tell us about your claim. When intake opens, we'll be in touch.

This is the waiting list for Borne Accredited Claims. When intake for BAC is open, veterans from this waitlist will be sent a 21-22a (Power of Attorney) and BAC's Fee Agreement. If a veteran chooses to be on this waitlist, we highly recommend the veteran submits an Intent to File.

You are NOT a client of BAC until BAC sends you a 21-22a and Fee Agreement, you sign the 21-22a and Fee Agreement and return these documents. Finally, these documents must be received by the Department of Veterans Affairs.

About you

First name*

Example: John

Last name*

Example: Smith

Date of birth*

Email*

Example: johnsmith@email.com

Phone*

Your VA claim

The more accurate this is, the faster we can assess your case.

Overall VA rating*

Example: 70%

TDIU / IU P&T*

If you are TDIU, IU, TDIU P&T or IU P&T, choose "Yes"

List ALL service-connected disabilities*

Example: Tinnitus 10%, PTSD 50%, Hypertension 0%…

List ALL denied VA claims*

Example: Sleep Apnea, Lumbar Strain, Migraines…

Are you claiming SMC L through T?

Do you have an open HLR?

Is this a claim for survivor benefits (DIC)?*

Mailing address

We need this to send your 21-22a and fee agreement when intake opens.

Street*

Example: 111 Apple St

Apt / Unit

Example: 123

City*

Example: Louisville

State*

Example: KY

ZIP*

Example: 12345

Country*

Example: US

Privacy

Do you agree to our Privacy Policy?*

Read the Privacy Policy before answering.

Last updated 2026-09-07. Borne Accredited Claims is an accredited VA claims agent under 38 CFR §14.629 and is not part of, or endorsed by, the Department of Veterans Affairs. We do not guarantee any specific outcome on any claim. Submitting this form does not create a representation relationship.