benefits.va.gov
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Submitted URL: http://benefits.va.gov/
Effective URL: https://benefits.va.gov/benefits/
Submission: On December 02 via api from US — Scanned from DE
Effective URL: https://benefits.va.gov/benefits/
Submission: On December 02 via api from US — Scanned from DE
Form analysis 5 forms found in the DOM
<form class="vads-u-margin-bottom--0" accept-charset="UTF-8"><label for="query" class="usa-sr-only">Search:</label>
<div class="va-flex vads-u-padding--1"><input aria-label="search" autocomplete="off" class="usagov-search-autocomplete vads-u-margin-left--0p5 vads-u-margin-right--0p25" id="query" name="query" type="text" data-e2e-id="query"><button type="submit"
data-e2e-id="sitewide-search-submit-button" class="vads-u-margin-left--0p25 vads-u-margin-right--0p5 "><i class="fas fa-solid fa-sm fa-search vads-u-margin-top--0p5 "></i><span class="usa-sr-only">Search</span></button></div>
</form>GET https://www.index.va.gov/search/va/va_search.jsp
<form id="searchForm" method="GET" action="https://www.index.va.gov/search/va/va_search.jsp" style="margin:0px; padding:0px;">
<script src="/va_files/2012/scripts/Search.js" type="text/javascript"></script><input name="NQ" type="hidden" value="URL:https://benefits.va.gov/benefits/">
<!-- do not insert line breaks in the div tag below -->
<div id="mainSearchForm"><label for="searchtxt" style="position:absolute; left:-3000px;">Enter your search text</label><input name="QT" type="text" id="searchtxt" size="5" title="Enter your search text" value=""><label
style="position:absolute; left:-3000px;">Button to start search</label><input id="edit-submit" class="form-submit" type="image" src="/va_files/2012/images/main-search-button.png" alt="Click here to submit your search" value="Search"
name="submit"></div>
</form>Name: myform — ../components/uri
<form name="myform" action="../components/uri">
<label for="iama">I AM A...</label>
<div class="styled-select">
<select name="mydropdown" class="dropdown" onchange="location.href=(form.mydropdown.options[form.mydropdown.selectedIndex].value)" id="iama">
<option value="0">Select One</option>
<option value="https://www.va.gov/opa/persona/index.asp" title="Veteran persona page">Veteran</option>
<option value="https://www.va.gov/opa/persona/active_duty.asp" title="Active Duty Service Member persona page">Active Duty Service Member</option>
<option value="https://www.va.gov/opa/persona/caregiver_family.asp" title="Caregiver/Family Member persona page">Caregiver/Family Member</option>
<option value="https://www.va.gov/opa/persona/dependent_survivor.asp" title="Dependent/Survivor persona page">Dependent/Survivor</option>
<option value="https://www.benefits.va.gov/guardreserve" title="National Guard/Reserve persona page">National Guard/Reserve</option>
</select>
</div>
</form>POST https://public.govdelivery.com/accounts/USVAVBA/subscribers/qualify
<form id="GD-snippet-form" action="https://public.govdelivery.com/accounts/USVAVBA/subscribers/qualify" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
value="XVd/14hiEOWJsqsqewsHkyQU/cNC5jqV9SqrT0jA5gSWPVGHzw99i26CJ/OK3Yp2NCSxSOo8tvox6IPPV98QHw==">
<input type="hidden" name="topic_id" id="topic_id" value="USVAVBA_152">
<fieldset style="border: none; margin: 0;">
<legend></legend>
<!--<div>Enter your contact information to receive our monthly Benefits Bulletin newsletter or to access your subscriber preferences.</div>-->
<div style="margin: 10px 0px;">
<ol class="form">
<li style="list-style: none;">
<label for="subscription_type">Subscription Type</label>
<div class="input_group">
<select name="subscription_type" id="subscription_type">
<option selected="selected" value="email">Email</option>
<option value="phone">SMS/Text Message</option>
</select>
</div>
<br>
</li>
<li class="wireless_fields" style="display: none">
<label for="phone"><img class="required" src="https://content.govdelivery.com/images/required.gif" alt="Required">Wireless Number</label>
<div class="input_group">
<select name="country_code_display" id="country_code_display" disabled="disabled" aria-label="Country code">
<option value="1 (US)">1 (US)</option>
<option value="1">1</option>
</select>
<input type="hidden" name="country_code" id="country_code" value="1" title="Country code">
<input type="text" name="phone" id="phone" class="medium" title="Wireless Number">
</div>
</li>
<li class="email_fields" style="display: block">
<label for="email"><img class="required" src="https://content.govdelivery.com/images/required.gif" alt="Required">Email Address</label>
<input type="text" name="email" id="email" class="long">
</li>
</ol>
</div>
<div class="button_panel">
<input type="submit" name="commit" value="Submit" class="form_button">
</div>
</fieldset>
</form>https://public.govdelivery.com/accounts/USVA/subscribers/qualify
<form action="https://public.govdelivery.com/accounts/USVA/subscribers/qualify">
<input id="topic_id" name="topic_id" type="hidden" value="USVA">
<label for="email_footer" style="position: absolute; left: -9999px;"><img alt="Required" class="required" src="https://public.govdelivery.com/images/required.gif?1215719772">Email Address</label>
<input class="email_footer" id="email_footer" name="email" type="text" size="10" value="Email Address" onfocus="this.value=''" title="Enter here">
<div id="footer-email-Button">
<label for="form_button" style="position: absolute; left: -9999px;">Button to subscribe to email</label>
<input class="form_button" name="commit" type="image" src="/va_files/2012/images/button-footer-email.png" alt="Click here to submit your email" value="Submit" title="Click here to submit your email">
</div>
</form>Text Content
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Last updated August 21, 2023.
Last updated: August 21, 2023.
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