Skip to main content
State Agencies
Veterans Services
OKVETWORKS
VSR Staff Directory
Suicide Prevention
Women Veterans
Veterans Employment Services
Veterans Guardianship
Asset Map
Veterans Centers
Ardmore
Claremore
Clinton
Lawton
Norman
Sallisaw
Sulphur
Talihina
ELIGIBILITY
Benefits
Hunting & Fishing Application
Education
State Approving Agency
SAA Staff
Jobs
Human Resources
Jobs ODVA
About ODVA
Administrative Staff
Governing Statutes
Veterans Commission
Veterans Registry
Contact
Events
5th Annual Women Veterans Symposium
2020 ODVA Road Trip
OKC Military Veterans Resource Fair
Oklahoma Veterans Commission Meeting Notice
ODVA
Application Test Page
Application Test Page
First Name*
Last Name*
Email*
Phone
Address Line 1*
Address Line 2
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code*
County*
Religious Preference
Select One*
Male
Female
Date of Birth*
Race*
SSN*
VA Claim Number
Birthplace (City & State)
Preferred First Name
Previous Occupation
Dropdown
Married
Divorced
Separated
Widowed
Never Married
If currently married, has veteran's spouse had prior marriages?
If currently married, has veteran's spouse had prior marriages?
Yes
No
If yes, number of previous marriages
1
2
3
4
5
6
7
8
9
10
Marriage 1
Date of Marriage
Place of Marriage
Name of Spouse
Type of Marriage (ex. ceremony, common, tribal)
Reason for Termination
Date of Termination
Place of Termination
Marriage 2
Date of Marriage
Place of Marriage
Name of Spouse
Type of Marriage (ex. ceremony, common, tribal)
Reason for Termination
Date of Termination
Place of Termination
Submit
Last Modified on
Nov 23, 2020
Back to Top