HomeMy WebLinkAbout20063183.tiff COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICERS-MONTHLY REPORT AND CERTIFICATION OF PAY
COUNTY of Weld Month of October; 2006
SECTION I: GENERAL INFORMATION
Telephone Calls 115 Correspondence Received 53 _
Office(Public Contacts) 143 Correspondence Written . 10
Home Visits 0 Information and Referral/Inquiries 15
Outreach Visits(Le. NH...) 0 Other(i.e: VCAA Notice Respone) 3
• Community Events/Forums 0 State Benefit(s) 1
Contacts/Vans Cheyenne & Denver 38
Reguest for Medals 2 Request for Military Records&Corrections
Operation Recognition 0 SF-180 A
DD 149 D
Request for Medical Treatment Records DD 293 O
21-4142 I 2 NA 13075 0
Other( ) 0
SECTON II: NEW CLAIMS INITITATED _
[Provide number of new claims Initiated for current reporting monthj
Ap kited Representative: Death Pension/Widows Pension
21-22 ]CVA 0 21-534 2
21-22 Other 6 wl Accured Benefits 0
Claims for SC Entitlement: Request for VA Healthcare
21-526 (SC-New/) 7 10-10 EZ a
214138 (SC-Informal Claim) 0 10-10 EZ-R B
21-4138 (SC-New Issue) 5 10-583
21-4138 (SC - Reopen) 8 10-10d (CHAMPVA-Dependents) c
21-4138 (SC -Increase) 3 10-7959a (CHAMPVA) n
21-4138 (SC -s. hion. ) 0 10-7959C (CHAMPVA-Insurance Cert n
21-4138 (SC -Reinstatement) 0 -
21-4138 (SC w/IU) n Vocational Rehabilitation
21-8940 (IU) n 28-1900 CH 31 1
21-4140 (IU-Employer) n 28-1900(Independent Living Program) 0
21-4138 (SMC) n
21-686c 1 Educational Assistance Programs
MGIB CH 30 0
Non Service Connected Pension: VEAP CH 32 0
21-526 2 VN Era Gi CH 34 0
21-527 1 22-5490 CH 35 1
686c 1 Sel Reservist NG CH 1606 0
21-526/527 w/A&A 0 21.674 0
21.4138(Reinstatement) 0
EVR(My) 0 MIcellaneous Claims
21-8416 8 21-8678 (Clothing Allowance) 0
5655 0 21-4502 (Auto Grant/Adaptive Equipment) 0
26-4555 (Housing Grant) 0
Request for Waivers/Compromise: 10-0103 (HISA Grant) 0
21-4138 1 Medicaid Application Assistance 0 _
• 5655(FSR) 1 SSA Application Assistance 0
Other(Specify)Verif. of VA income 8
Dependent Indemenity Compensation(DIC) Other(Specify) 21-4171 2
21-534 n Other(Specify) 21-4172 2
w/Accured Benefits 0 011
2006-3183
1/ ay-a& e ''• vR, 0 o v 4O&_L
SECTION II (Continued):
— Burial Allowance Claims for Insurance
21-530 0 29-357 0
40-1330 0 29-4364 0
21-2008 0 29-336 (Designation of Beneficiary) 0
21-4125 (Claim for Lump Sum Payment) 0
VA Home Loan
26-1800 8 Requests w/VTF(Grant),#Vets Assisted
26-1817 0 Rental Assistance n
Utilities Assistance O
Homeless Veterans Claims Filed Prescription Assistance/Other Medical O
SC 0 Food O
NSC 0 Transportatior 0
Clothing - 0
Incarcerated Veterans Other 0
• 21-4193 Release/Reinstatement 0
21-4138 (Apportionment) O
Appeals DRO Election
NOD 2 Review 0
VA 9 0 Hearing 0
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 , 20 06 from Weld County:
Salary $3.887.46
Expenses
Office Space Pay utilities in lieu of rent
Telephone $165.73
Office Supplies $134.91
Travel _ $65.38
Training Conference _ $267.00
OtherInternet _$ 82.99
Other
Total S4.601.47 + utilities
•
a p�
r. 1� -SG' o--C-7— 11-7-06
(Signature of County V rans Service Offs ., ) (Date)
Dorothy Strong, Vete}}}}}}ans Counselor r
Pat Persichino Veterans Service Officer
SECTION IV: CERTIFICATION BY COUNTY COMMISSIONER OR DESIGNEE
In accordance with CRS 28-5 07, I hereby certify th-;accuracy of Report A-26, ed 9/1 ):
0 j - unselor
t c dauf(t &m spi$�rdr gr �s e of
el i�i Chairman
Weld County
11/20/2006 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 Av:nue, Suite C
Denver, CO 86230 CVA-26(Revised 9/1/2006)
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number Benefits & Services Claimed Number
Telephone calls ins Military Records Request(SF-180 9
Office, Public Contacts 115 Compensation 7
Home, Public Contacts 0 DIC 0
21-22- Colo. Veterans Affairs 0 Pension
21-22-Other Organizations 2
g 6 Death Pension 0
Medicaid Cases 6 _Burial Allowance 0
Loan Guaranty 4 VocRehab & Education 2
Medical Benefits Claims 10 Miscellaneous 36
State Benefits Claims 1 Letters Written
17
Weld County Month September, 2006
I hereby certify that on this date 11-07-06 , I have been paid a salary/services
expenses for the month of September, 20 06 from Weld County in the
amount of$3,921.55* dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,
ri
which cover the support of the veteran service officer.
*plus utilities utities
y7/7/
A hereby certify e accuracy of this Report(CVA-26,revised 3/27/06). !t ‘ / - ,
Dorothy Str g, Veterans///Cunselox
unty Veterans Service Officerporothy Stron , Veterans Cqu selor
for Pat Persichino, Service Officer
County Commissioner or Designee of
M. J. Geile, Chairman 11/20/2006
Weld County
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 Statutes.
This form should be submitted before the 15th of the following month. Mail to:
Colorado Division of Veterans Attain
Attention: Director
799 Shsrr.tan St,su7tt 260 7465 East First Ave. , Suite C
Denver, CO 80230
i
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number Benefits & Services Claimed Number
Telephone calls 1 19 Military Records Request(SF-180
Office, Public Contacts 1 8
109 Compensation 8
Home, Public Contacts 1 DIC 0
21-22- Colo. Veterans Affairs 0 Pension
2
21-22-Other Organizations 0
g 8 Death Pension p
Medicaid Cases 7 Burial Allowance 3
Loan Guaranty 2 VocRehab & Education 1
Medical Benefits Claims 15 Miscellaneous 48
State Benefits Claims 1 Letters Written 9
Wpl t County Month Anglict, 7noR
I hereby certify that on this date' 11-07-06 , I have been paid a salary/services
expenses for the month of August 2006 from Weld County in the
amount of$3,931.44* dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,,
which cover the support of the veteran service officer.
pus utilities / �j ,
Thereby certify the ccuracy of this Report (CVA-26, revised 3/27/06)y'-4-9FX')
Dorothy Str g, Veterans C selox
l 'aunty Veterans Service Officerrorothy Strong, Veterans Coun for
for Pat Persichino, Service Officer
County Commissioner or Designee of
M. S. Geile, Chairman 11/20/2006
Weld County
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 Statutes.
This form should be submitted before the 15'"of the following month. Mail to:
Colorado Division of Veterans Affairs
Attention: Director
789Sh.....an KAHN.260 7465 East First Ave. , Suite C
Reertrree-90103r Denver, CO 80203
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number Benefits & Services Claimed Number
Telephone calls 116 Military Records Request(SF-180
Office, Public Contacts 126 Compensation l9
Home, Public Contacts 9 DIC
21-22- Colo. Veterans Affairs
0 Pension 2
21-22-Other Organizations 9 Death Pension 1
Medicaid Cases 6 Burial Allowance 2
Loan Guaranty 3 VocRehab &Education 3
Medical Benefits Claims 10 Miscellaneous 40
State Benefits Claims 1 Letters Written
1.2.
Weld
County Month July, 2006
I hereby;certify that on this date 11-07-06 , I have been paid a salary/services
expenses for the month of July 20 06 from Weld County in the
amount of $3,918.94* dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,
which cover the support of the veteran service officer.
*plus utilities ( t
I hereby certify th ccuracy of this Report(CVA-26, revised 3/27/061, `i
•
Dorothy Strong Veterans Co nselor
' County Veterans Service Officer Dorothy Strong, eterans Cou elor
for Pat Persichino, Service Officer
County Commissioner or Designee of
. . Geile, Chairman 11/20/2006
Weld County
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 Statutes.
This form should be submitted before the Is''of the following month. Mail to:
Colorado Division of Veterans Affairs
Attention: Director
78'9 St,wilt 260 7465 East First Ave. , Suite C
Dermiceflgffe. Denver, CO 80203
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number Benefits & Services Claimed Number
Telephone calls _ 123 Military Records Request(SF-180 12
Office, Public Contacts 118 Compensation 8
Home, Public Contacts 0 DIC
21-22- Colo. Veterans Affairs I
� Pension 2
21-22-Other Organizations 10 Death Pension 1
Medicaid Cases 8 Burial Allowance
Loan Guaranty 2
2 VocRehab & Education 2
Medical Benefits Claims 12 Miscellaneous 38
State Benefits Claims 2 Letters Written 7
Weld County Month June, 2006
I hereby certify that on this date 11-07-06 , I have been paid a salary/services
expenses for the month of June. 20 06 from Weld County in the i
amount of$3,916.46* dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,
which cover the support of the veteran service officer.
*plus utilities ' '
Thereby certify the accuracy of this Report (CVA-26, revised 3/27/06) e ��/r " Y w "�
�� orothy Str , Veterans Coun elo
ey County Veterans Service Officer Dorothy Strong, Veterans Cour/ for
for Pat Persichino, Service Officer
( County Commissioner or Designee of
M. J. Geile, Chairman 11/20/2006
WA]A County
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 Statutes.
This form should be submitted before the Ir of the following month. Mail to:
Colorado Division of Veterans Affairs
Attention: Director
7.9gh,,....,.9.,Nuke goo 7465 East First Avenue, -Sttite c
Denver-E6'80203. Denver, CO 80230
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number Benefits & Services Claimed Number
Telephone calls 118 Military Records Request(SF-180 10
Office, Public Contacts 131 Compensation
Home, Public Contacts 7
1 DIC 0
21-22- Colo. Veterans Affairs 0 Pension 2
21-22-Other Organizations 7 Death Pension 0
Medicaid Cases 10 Burial Allowance 2
Loan Guaranty 3 VocRehab & Education 1
Medical Benefits Claims 14 Miscellaneous 43
State Benefits Claims 1 Letters Written 10
wO1,1 County Month May, 2006
I hereby certify that on this date 11-07-06 , I have been paid a salary/services
expenses for the month of May 20 Ub from Weld County in the
amount of$3,924.59 * dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,
which cover the support of the veteran service officer. c -,
*plus utilities
�I hereby certify the a c acy of this Report(CVA-26,revised 3/27/06). _t A/� tyi\C
-
Dorothy Strong, /V/eterans Couns o
' eo ` Veterans Service Officer Dorothy Strong, Ve erans Counsel
for Pat Persichino, Service Officer
C ty Commissioner or Designee of
. J. Geile, Chairman 11/20/2006
Weld County
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 Statutes.
This form should be submitted before the 151°of the following month. Mail to:
Colorado Division of Veterans Affairs
Attention: Director
7465 East First Ave. , Suite C
3. Denver, CO 80203
I
COLORADO DEPARTMENT OF MILITARY AND
VETERANS AFFAIRS
COUNTY VETERANS SERVICE OFFICER's MONTHLY REPORT
AND CERTIFICATION OF PAY
Benefits & Services Claimed Number _Benefits & Services Claimed Number
Telephone calls 125_ Military Records Request(SF-180 8
Office, Public Contacts 143 _Compensation 7
Home, Public Contacts 1 DIC 0
21-22-Colo. Veterans Affairs 0 Pension 3
21-22-Other Organizations 7 Death Pension
Medicaid Cases 1
t t Burial Allowance 1
Loan Guaranty 12 VocRehab & Education 1
Medical Benefits Claims 15 Miscellaneous
State Benefits Claims 1 Letters Written 10
10
Weld County Month April, 2006
I hereby certify that on this date 11-07-06 I have been paid a salary/services
April
expenses for the month of 2006 from Weld
$4,023. 18* County in the r
amount of dollars for services to veterans in the operation of the county
veteran's service office. This is in accordance with CRS 28-5-707. Expenses include
office space, telephones, supplies, travel, training conferences and other county expenses,
which cover the support of the veteran service officer.
*plus utilities
I reby certify the uracy of this Report(CVA-26, revised 3/27/06 .
���``` Dorothy Stron Veterans Couns i
4nty Veterans Service Officer Dorothy Strong, eterans Counse
! 7 for Pat Persichino, Service Officer
ounty Commissioner or Designee of
M. J. eile, Chairman 11/20/2006
Weld County
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 Statutes.
This form should be submitted before the 15WI'of the following month. Mail to:
Colorado Division of Veterans Attain
Attention: Director
789 Sherman St,suite 260
Denver,CO 80203.
I
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