MaxiAids.com for Department of Veterans Affairs

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Your request will be reviewed and approved upon eligibility confirmation. For faster service use your E mail address which contains the VA.GOV domain. Once your request is approved we will send you email confirmation.

New Account

Email Address:

Password:

Full Name:

VA Center Name / Organization:

Address:

City / Town:

State:

Zip / Postal Code:

Phone Number:
Ext:
Fax Number:

CONFIDENTIALITY NOTICE:
The information on this pages and any attachments contain confidential information.
This information is intended only for the qualified individuals or entity.