Forms


The following forms are available to private attorneys who want to participate or who are already participating as a Judicare attorney:

PAI Attorney Sign-Up Form

IRS Form W-9
An IRS Form W-9 is required of all participating attorneys.  Please complete and return your W-9 to Judicare.

IRS Standard Mileage Rates for 2014
Mileage will be reimbursed at the rate of the time the case was approved.

Application for Accreditation as a Claim Agent or Attorney for the Dept. of Veterans Affairs.

Appointment of Veterans Service Organization as Claimant's Representative.


Downloads
Filename Description Date Added File Size
  PAI Sign-Up form
03/16/2016 224.5 KB
  Request for Taxpayer Identification Number and Certification
10/10/2014 109.6 KB
  Application for Accreditation as a Claims Agent or Attorney for the Dept. of Veterans Affairs
10/10/2014 576.9 KB
  Appointment of Veterans Service Organization as Claimant's Representative
10/10/2014 599.5 KB