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Home My WebLink About20100556.tiff State of Colorado Department of Military and Veterans Affairs Divison of Veterans Affairs no COUNTY VETERANS SERVICE OFFICERS f ` MONTHLY REPORT AND CERTIFICATION OF PAY County: Weld Month of: October , 2009 SECTION I: GENERAL INFORMATION SECTION II: NEW CLAIMS INITIATED Telephone Calls 177 Appointed Representative: Office (Walk-ins) 123 21-22 CVA 0 Home Visits • 0 21-22 Other 2 Outreach Visits (i.e. NH...) - 0 Community Events/Forums 1 Service Connected Disability Compensation Correspondence Received 31 21-526 I(SC - New/) I 17 Correspondence Written .18 21-4138 - Other SC (Inc, Reopen, etc) 4 Information and Referral/Inquiries 27 Contacts: VAMC Vans 61 Dependent Indemnity Compensation (DIC) Requests for: 21-534 . I 1 Military Records & Corrections SF-180 8 Non-Service Connected Pension DD 149/293 0 21-526./ 527 5 21-526/527 w/A&A 5 Request for Medical Treatment Records 21-4142 I I I 8 Death Pension / Widows Pension 21-534 3 Request for Medals 7 wl Accrued Benefits 0 Operation Recognition 0 Burial Allowance Request for State Benefits: I 4 I 21-530 I 0 Request for VTF Grant Assistance I 0 Vocational Rehabilitation 28-1900 / CH 31 .1 1 I Request for VA Healthcare 10-10 EZ - 8 Educational.Assistance Programs 10-10 EZ-R 2 CH 30, 32, 34, 1607 0 CHAMPVA 0 CH 35 0 Miscellaneous Claims Claims for Disability Insurance Other (Specify) n 29-357 / 29-4364 I 0 Other (Specify) 0 Other (Specify) 0 VA Home Loan Other (Specify) 0 26-1800 / 1817 I 2 Appeals NOD / DRO / VA9 I 3 Vd"O CVA-26(Revise 2/12007)071(7257/7 p4d I`/. VCD -1147usC0klC� ��0 55� SECTION III: CERTIFICATION BY COUNTY VETERANS SERVICE OFFICER I hereby certify,the above captioned monthly report is true and accurate. I have been paid the following amount(s)for the month of October ,2009 from Weld County: , Paid In-Kind Salary $ 4,310.09 Salary $ • Expenses $ None Expenses $ Utilities County pays utilities in lieu of retttlltles $ Office SpaceCounty p$ys utilities in lieu tfic@apace $ • Telephone $ 161.45 Telephone $ Internet $ 82.99 Internet $ Office Supplies $ 52.00 Office Supplies $ • Postage $ 20.50 Postage $ Travel $ None - Travel $ Training Conference $ None Training Conference $ Other Copier $ 96.00 Other $ Other $ None Other $ TOTAL • $ 4,723.03+utilities TOTAL $ C �1 ) /�; /O (Signature of County terans Service Officer (Date) Dorothy Strong, Vete ans Counselor fo • - Pat Persichino, Veterans Service Officer - SECTION IV: CERTIFICATION BY COUNTY COMMISSIONER OR DESIGNEE In accordance with CRS 28-5-707, I hereby certify the ac u�r{a y of the Report( -26, revised / 2007): . 7L1,"�/scrrvp 4 I.-�-� geemnselor (Signature) Douglas 'Rademacher, Chair County Commissioner or Designee of (Printed/Typed Name) • Weld County March 17, 2010 Date • This certification, submitted monthly, properly signed and executed, will be considered as application for the monetary benefits to the County General Fund, in accordance with 28-5-804 (2002) Colorado Revised Statue. This form is to be submitted by the 15th day of the following month. Mail to: Colorado Division of Veterans Affairs Attention:•Deputy Director • 7465 E. 1st Avenue, Suite C Denver, CO 80230 CVA-26(Revised 2/1/2007) State of Colorado Department of Military and Veterans Affairs ;"teic Divison of Veterans Affairs EN, Tv ` COUNTY VETERANS SERVICE OFFICERS NC?''''''''''''''.* MONTHLY REPORT AND CERTIFICATION OF PAY County: Weld Month of: November , 20 09 SECTION I: GENERAL INFORMATION SECTION II: NEW CLAIMS INITIATED Telephone Calls 705 Appointed Representative: Office (Walk-ins) 107 21-22 CVA 0 Home Visits 1 21-22 Other 3 Outreach Visits (i.e. NH...) 0 Community Events/Forums 1 Service Connected Disability Compensation Correspondence Received 28 21-526 I(SC - New/) I 15 Correspondence Written 13 21-4138 - Other SC (Inc, Reopen, etc) 3 Information and Referral/Inquiries 32 Contacts: VAMC Vans 45 Dependent Indemnity Compensation (DIC) Requests for: 21-534 I 0 Military Records & Corrections SF-180 7 Non-Service Connected Pension DD 149/293 1. 21-526 / 527 5 21-526/527 w/A&A 4 Request for Medical Treatment Records 21-4142 I I I 8 Death Pension / Widows Pension 21-534 4 Request for Medals 2 w/Accrued Benefits 0 Operation Recognition 0 Burial Allowance Request for State Benefits: I 3 I 21-530 11 Request for VIF Grant Assistance I 0 Vocational Rehabilitation 28-1900 / CH 31 I 1 Request for VA Healthcare 10-10 EZ - 10 Educational Assistance Programs 10-10 EZ-R 3 CH 30, 32, 34, 1607 0 CHAMPVA 0 CH 35 1 Miscellaneous Claims Claims for Disability Insurance Other (Specify) 0 29-357 / 29-4364 I 0 Other (Specify) 0 Other (Specify) 0 VA Home Loan Other (Specify) 0 26-1800 / 1817 I 4 Appeals NOD / DRO / VA9 I 4 CVA-26(Revised 2/7/2007) SECTION III: CERTIFICATION BY COUNTY VETERANS SERVICE OFFICER I hereby certify,the above captioned monthly report is true and accurate. I have been paid the following amount(s)for the month of November 20 09 from We]d County: • , Paid In-Kind Salary $ 4,310.09 Salary $ Expenses $ None Expenses $ County pays tilities in lieu of 4gti#ties $ Utilities County pays tilities in lieu of r®ftice Space $ Office Space Telephone $ 136.51 Telephone - $ Internet $ 82.99 Internet $ Office Supplies $ None Office Supplies $ • Postage $ 26.57 Postage $ Travel $ None Travel $ Training Conference $ None Training Conference $ Other Copier $ 96.00 Other $ Other $ None • Other $ TOTAL $ 4,652.16+utilities - TOTAL $ V 7 2 )) j5 / C- 9-O7 0 (Signature of County V' erans Service Officer / (Date) Dorothy Strong, Veter ns Counselor for ( Pat Persichino, Veterans Service Officer • SECTION IV: CERTIFICATION BY COUNT COMMISSIONER OR DESIGNEE In accordance with CRS 28-5-707, I hereby certify the ac ur y of the Report R-26.revise 2/1/2007): • A19,a qq Dorothy Strong, Veter ns Counselor U, ci A5 O'K,f14v'U .. County Commissioner or Dr gnee (Signature) • Douglas Rademacher. Chair County Commissioner or Designee of . (Printed/Typed Name) Weld County March 17, 2010 Date This certification, submitted monthly, properly signed and executed, will be considered as application for the monetary benefits to the County General Fund, in accordance with 28-5-804 (2002) Colorado Revised Statue. This form is to be submitted by the 15th day of the following month. Mail to: Colorado Division of Veterans Affairs Attention:•Deputy Director 7465 E. 1st Avenue, Suite C • Denver, CO 80230 • . • CVA-26(Revised 2/1/2007) State of Colorado Department of Military and Veterans Affairs s. r Divison of Veterans Affairs r 9 # COUNTY VETERANS SERVICE OFFICERS ,r—'` � MONTHLY REPORT AND CERTIFICATION OF PAY County: Weld Month of: December Y0 09 SECTION I: GENERAL INFORMATION SECTION II: NEW CLAIMS INITIATED Telephone Calls 172 Appointed Representative: Office (Walk-ins) 120 21-22 CVA 0 Home Visits a 21-22 Other 4 Outreach Visits (i.e. NH...) 4 Communit Events/Forums 1 Service Connected Disability Compensation Correspondence Received 27 21-526 I(SC - New/) [ 13 Correspondence Written 15 21-4138 - Other SC (Inc, Reopen, etc) 4 Information and Referral/Inquiries 29 Contacts: VAMC Vans 53 Dependent Indemnity Compensation (DIC) Requests for: 21-534 . I 1 Military Records & Corrections SF-180 6 Non-Service Connected Pension DD 149/293 2 21-526 / 527 5 21-526/527 w/A&A 6 Request for Medical Treatment Records 21-4142 I I I 6 Death Pension /Widows Pension 21-534 3 Request for Medals t w/Accrued Benefits 0 Operation Recognition 0 Burial Allowance 'Request for State Benefits: I 4 21-530 I 0 Request for VTF Grant Assistance I 0 I Vocational Rehabilitation 28-1900 / CH 31 I 0 Request for VA Healthcare 10-10 EZ 8 Educational Assistance Programs 10-10 EZ-R 2 CH 30, 32, 34, 1607 0 CHAMPVA 0 CH 35 0 Miscellaneous Claims Claims for Disability Insurance Other (Specify) 0 29-357 / 29-4364 I 0 Other (Specify) 0 Other (Specify) 0 VA Home Loan Other (Specify) 0 26-1800 / 1817 I 3 Appeals NOD / DRO / VA9 I 3 CVA-26(Revised 2/1/2007) SECTION III: CERTIFICATION BY COUNTY VETERANS SERVICE OFFICER I hereby certify,the above captioned monthly report is true and accurate. I have been paid the following amount(s)for the month of December , 2009 from Weld County: • , Paid . In-Kind • Salary $ 4.310.09 Salary $ Expenses $ None Expenses $ Uflhtygunty pays util$ties in lieu of rent Utilities $ Office S`pj ays utilities in lieu of rent Office Space $ • Telephone $ 168.54 Telephone $ Internet $ 82.99 Internet $ • • Office Supplies $ None Office Supplies $ Postage $ 28.72 Postage $ Travel $ None • Travel $ Training Conference $ None Training Conference $ Other Copier $ 96.00 Other $ Other $ None Other $ • TOTAL • $ 4,686.34+utilities • TOTAL $ Signature of Co ty Veterans Service Off r (Date) . i Dorothy Strong, V terans Counselor fo Pat Persichino, Veterans Service Officer • SECTION IV: CERTIFICATION BY COUNTY Cp-MMISSIONER OR DESIGNS In accordance with'CRS 28-5-707, I hereby certify the accuracy f the Report C 6, rev. / 007): L - 7 Dorothy trong, Vetera Counselor c�2,N/ 5 ...hit t • e — County Commissioner or De nee fii l)) (Signature) • Douglas Rademacher, Chair County Commissioner or Designee of (Printed/Typed Name) - Weld • County • March 17, 2010 Date • This certification, submitted monthly, properly signed and executed, will be considered as application for the monetary benefits to the County General Fund, in accordance with 28-5-804 (2002) Colorado Revised Statue. This form is to be submitted by the 15th day of the following month. Mail to: Colorado Division of Veterans Affairs Attention:,Deputy Director • 7465 E. 1st Avenue, Suite C • Denver, CO 80230 • CVA-26(Revised 2/1/2007) State of Colorado Department of Military and Veterans Affairs ,r Divison of Veterans Affairs 4 r�r' I COUNTY VETERANS SERVICE OFFICERS °Fpn, ex�'" MONTHLY REPORT AND CERTIFICATION OF PAY County: Weld Month of: January , 20 10 SECTION I: GENERAL INFORMATION SECTION II: NEW CLAIMS INITIATED Telephone Calls 209 Appointed Representative: Office (Walk-ins) 118 21-22 CVA 0 Home Visits 0 21-22 Other 3 _ Outreach Visits (i.e. NH...) 0 Community Events/Forums 1 Service Connected Disability Compensation Correspondence Received 25 21-526 I(SC - New/) I 16 Correspondence Written 18 21-4138 - Other SC (Inc, Reopen, etc) 5 Information and Referral/Inquiries 41 Contacts: VAMC Vans 49 Dependent Indemnity Compensation (DIC) Requests for: 21-534 I 0 Military Records & Corrections SF-180 10 Non-Service Connected Pension DD 149/293 1 21-526./ 527 6 21-526/527 w/A&A 5 Request for Medical Treatment Records 21-4142 I 1 I 11 Death Pension / Widows Pension 21-534 3 Request for Medals 'I w/Accrued Benefits 0 Operation Recognition 0 Burial Allowance Request for State Benefits: I 5 21-530 I 1 Request for VTF Grant Assistance I 0 I Vocational Rehabilitation 28-1900 / CH 31 I 1 Request for VA Healthcare 10-10 EZ 9 Educational Assistance Programs 10-10 EZ-R 1 CH 30, 32, 34, 1607 0 CHAMPVA 1 CH 35 0 Miscellaneous Claims Claims for Disability Insurance Other (Specify) 0 29-357 / 29-4364 I 0 Other (Specify) 0 Other (Specify) 0 VA Home Loan Other (Specify) 0 26-1800 / 1817 I 3 Appeals NOD / DRO / VA9 I 4 CVA-26(Revised 211/2007) SECTION III: CERTIFICATION BY COUNTY VETERANS SERVICE OFFICER I hereby certify,the above captioned monthly report is true and accurate. I have been paid the following amount(s)for the month of January , 2010 from Weld County: , Paid In-Kind Salary $ 4,310.09 Salary $ Expenses $ None Expenses $ Utilities County pays utilities in lieu of retglities $ Office County pays utilities in lieu of re ice Space $ Telephone $ 178.97 Telephone $ Internet $ 82.99 Internet $ Office Supplies $ None Office Supplies $ Postage $ 45.33 Postage $ Travel $ None Travel $ Training Conference $ None Training Conference $ Other Copier $ 96.00 Other $ Other $ None Other $ TOTAL $ 4,713.58+utilities TOTAL $ '7/,�J// /3, )/L (Signature of COL/ Veterans Service O cer (Date) Dorothy Strong, Ve erans Counselor r Pat Persichino, Veterans Service Officer SECTION IV: CERTIFICATION BY COUNTY COMMISSIONER OR DESIGNEE In accordance with CRS 28-5-707, I hereby certify the accuracy f t e Report(CV revised 2/ 7): Dorothy Strong, Ve e -ans Counselor etc J` 4:44--74-4,711-4-/-7County Commissioner or Desi ee III (Signature) I Douglas Rademacher. Chair County Commissioner or Designee of (Printed/Typed Name) • Weld County March 17, 2010 Date This certification, submitted monthly, properly signed and executed, will be considered as application for the monetary benefits to the County General Fund, in accordance with 28-5-804 (2002) Colorado Revised Statue. This form is to be submitted by the 15th day of the following month. Mail to: Colorado Division of Veterans Affairs Attention:•Deputy Director • 7465 E. 1st Avenue, Suite C Denver, CO 80230 CVA-26(Revised 2/1/2007) State of Colorado Department of Military and Veterans Affairs o r$k ; Divison of Veterans Affairs t 1il. COUNTY VETERANS SERVICE OFFICERS MONTHLY REPORT AND CERTIFICATION OF PAY County: Weld Month of: February 2010 SECTION I: GENERAL INFORMATION SECTION II: NEW CLAIMS INITIATED Telephone Calls 173 Appointed Representative: Office (Walk-ins) 121 21-22 CVA 0 Home Visits 0 21-22 Other 3 Outreach Visits (i.e. NH...) 1 Community Events/Forums 2 Service Connected Disability Compensation Correspondence Received 23 21-526 I(SC - New/) I 15 Correspondence Written 18 21-4138 - Other SC (Inc, Reopen, etc) 4 Information and Referral/Inquiries 35 Contacts: VAMC Vans 51 Dependent Indemnity Compensation (DIC) Requests for: 21-534 . I 1 Military Records & Corrections SF-180 8 Non-Service Connected Pension DD 149/293 2 21-526 / 527 7 21-526/527 w/ A&A 8 Request for Medical Treatment Records 21-4142 I I I 4 Death Pension / Widows Pension 21-534 6 Request for Medals 1 w/Accrued Benefits 0 Operation Recognition 0 Burial Allowance Request for State Benefits: I 3 21-530 I 2 Request for VTF Grant Assistance I 0 I Vocational Rehabilitation 28-1900 / CH 31 I n Request for VA Healthcare 10-10 EZ 8 Educational.Assistance Programs 10-10 EZ-R 2 CH 30, 32, 34, 1607 0 CHAMPVA 0 CH 35 0 Miscellaneous Claims Claims for Disability Insurance Other (Specify) 0 29-357 / 29-4364 I 0 Other (Specify) • 0 Other (Specify) 0 VA Home Loan Other (Specify) 0 26-1800 / 1817 I 2 Appeals NOD / DRO / VA9 I 2 CVA-26(Revised 2/1/2007) SECTION III: CERTIFICATION BY COUNTY VETERANS SERVICE OFFICER I hereby certify,the above captioned monthly report is true and accurate. I have been paid the following amount(s)for the month of February 2010 from Weld County: Paid In-Kind Salary $ 4,310.09 Salary $ Expenses $ None Expenses $ Utilities County pays utilities in lieu of rebJtilltieS $ OffiCAalepays utilities in lieu of rentOffice Space $ Telephone $ 162.38 Telephone - $ Internet $ 82.99 Internet $ • Office Supplies $ 41.00' Office Supplies $ Postage $ 29.59 Postage S Travel $ None Travel $ Training Conference $ None Training Conference $ Other Copier $ 96.00 Other $ Other $ • Other $ TOTAL • $ 4,651.46+utilities • TOTAL $ /-.31 JC/O (Signature of County eterans Service OfF r (Date) Dorothy Strong, Vete ans Counselor f - Pat Persichino, Veterans Service Officer SECTION IV: CERTIFICATION BY COUNTY COMMISSIONER OR DESIGNEE In accordance with CRS 28-5-707, I hereby certify the accur cy of e Report(CV -2 A revised 2`. / 007): gCkiew.? County Commissioner or Desthtee Dorothy Stron (Signature) -Veterans Counselo J Douglas Rademacher, Chair County Commissioner or Designee of (Pfnted/Typed Name) Weld County • March 17, 2010 Date This certification, submitted monthly, properly signed and executed, will be considered as application for the monetary benefits to the County Geheral Fund, in accordance with 28-5-804 (2002) Colorado.Revised Statue. This form is to be submitted by the 15th day of the following month. • Mail to: Colorado Division of Veterans Affairs Attention:•Deputy Director 7465 E. 1st Avenue, Suite C Denver, CO 80230 • CVA-26(Revised 2/1/2007) Hello