79177900.

doc DEPARTMENT OF VETERANS AFFAIRS RO NAME STREET ADDRESS CITY, STATE ZIP In reply refer to: Month Day, Year Mx. Beneficiarys Name Street Address Cty, State Zip Dear Mx. Beneficiarys Name: We received your written disagreement with the Department of Veterans Affairs (VA) decision of Month Day, Year regarding our selection of a fiduciary. We will advise you shortly regarding the status of your disagreement. DO YOU HAVE QUESTIONS OR NEED ASSISTANCE? If you have any questions, you may contact us by telephone, e-mail, or letter. If you Telephone Use the Internet Write Here is what to do. Call us at 1-800-827-1000. If you use a Telecommunications Device for the Deaf (TDD), the number is 1-800-829-4833. Send electronic inquiries through the Internet at https://iris.va.gov. Put your full name and VA file number on the letter. Please send all correspondence to the address at the top of this letter. RO/Section No. Claim Number

In all cases, be sure to refer to your VA file number, xxx xx xxxx. We have no record of your appointment of a service organization, agent, or attorney to assist you in this matter. You can contact us for a listing of the recognized veterans service organizations and VA-accredited agents or attorneys. This information is also available online at http://www.va.gov/ogc/apps/accreditation/index.asp. OR

We sent a copy of this letter to your representative, Name of Accredited POA, whom you can also contact if you have any questions or need assistance. Sincerely,

Manager, Veterans Service Center / Fiduciary Hub Manager cc: Any POA of record