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Hunting and Fishing Application

I hereby authorize the Oklahoma Department of Veterans Affairs to obtain any and all information relevant to this application. This form will be submitted to: Oklahoma Dept. of Veterans Affairs Claims and Benefits Division 125 South Main, Room 1B38 Muskogee, OK 74401 * Denotes a required field

Date*

First Name*

Last Name*

Address Line 1*

Address Line 2

Email*

City*

State*

Zip*

Claim/SSN*

Phone*

Date of Birth*

Drivers License*

% of Disability*

Disability Service Connected Non-Service Connected

Last Modified on Feb 09, 2021

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Oklahoma Department of Veteran Affairs
2132 NE 36th Street
Oklahoma City, OK 73111

Phone: Toll Free: 855-701-6382
Central Office Local: 405-523-4000

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