Checklist for Pennsylvania Amputee and Paralyzed Veterans Pension

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Checklist for Pennsylvania Amputee and Paralyzed Veterans Pension Philadelphia Veterans Advisory Commission is happy to provide you with this convenient checklist for your Amputee and Paralyzed Veterans Pension application. If you would like assistance gathering these documents, or have questions, please call one of our benefits advisors at (215) 686-3256. Where to Apply: Contact the County Veterans Affairs Director in the county you reside to apply for this program. See list included with this checklist. Veteran s eligibility criteria: Served in the military honorably. Resident of Pennsylvania upon entering the military. Suffered a service-connected injury or incurred a disease resulting in the loss or loss of use of two or more extremities (arms/hands or legs/feet). At least a 40% disability rating compensation rating or higher in each limb as determined and certified by the United States Department of Veterans Affairs. The Following Documents are Needed: Need a copy of last military service DD214 Proof of Pennsylvania residency upon entering the military United States Department of Veterans Affairs disability claim number CITY HALL, ROOM 127 PHILADELPHIA, PA 19107 (215) 686-3256

Directors of Veterans Affairs by County Adams Stan Clark 117 Baltimore St., Suite 201-A Gettysburg, PA 17325-2376 Phone: 717-337-9835 Fax: 717-334-2091 sclark@adamscounty.us Allegheny Michael Palarino,Acting Director 4141 5th Ave., 3rd Floor Pittsburgh, PA 15213-3347 Phone: 412-621-4357 Fax: 412-621-3522 michael.palarino@ alleghenycounty.us Armstrong Kathy Rashlich 450 E. Market St., Suite 107 Kittanning, PA 16201-1461 Phone: 724-548-3441 Fax: 724-548-3732 vetaffairs@co.armstrong.pa.us karashlich@co.armstrong.pa.us Beaver Kathy Nairn 810 Third St., Room A100 Beaver, PA 15009-2129 Phone: 724-770-4452 Fax: 724-728-3875 knairn@beavercountypa.gov Bedford Barbara Cheke 206 S. Juliana St. Bedford, PA 15522-1767 Phone: 814-623-4848 Fax: 814-623-7431 bcheke@bedfordcountypa. Berks Dale Derr 726 Cherry St. Reading PA 19602 Phone: 610-378-5601 Fax: 610-378-5627 dgderr@countyofberks.com Blair Patrick Young 423 Allegheny St., Suite 112 Hollidaysburg, PA 16648-2022 Phone: 814-693-3160 Fax: 814-693-3159 pyoung@blairco. Bradford Pete Miller 200 Main St., Suite 4 Towanda, PA 18848 Phone: 570-265-1704 Fax: 570-265-1758 bcvets@bradfordco. Bucks Daniel Fraley 1260 Almshouse Rd. Doylestown, PA 18901 Phone: 215-345-3307 Fax: 215-345-3278 dhfraley@buckscounty. Butler John P. Cyprian 124 W. Diamond St. Butler, PA 16003-1208 Phone: 724-284-5352 Fax: 724-284-1006 jcyprian@co.butler.pa.us Cambria Josh H. Hauser 200 S. Center St. Ebensburg, PA 15931-1947 Phone: 814-472-1590 Fax: 814-472-1423 jhauser@co.cambria.pa.us Cameron Joe Williams 20 E. 5th St. Emporium, PA 15834 Phone: 814-389-5972 Fax: 814-486-3176 dvawilliams@cameroncountypa. com Carbon Henry Desrosiers 2 Hazard Square Jim Thorpe, PA 18229 Phone: 570-325-3986 Fax: 570-325-5097 henrydesrosiers@carboncounty. net Centre Brian Querry 420 Holmes St., Suite 333 Bellefonte, PA 16823-1488 Phone: 814-355-6812 Fax: 814-548-1144 bquerry@centrecountypa.gov Chester Lawrence Davidson 601 Westtown Rd., Suite 170 West Chester, PA 19382-4545 Phone: 610-344-6375 Fax: 610-344-4552 Ldavidson@chesco. Clarion Judy Zerbe 330 Main St., Rm. 109 Clarion, PA 16214-1024 Phone: 814-226-4000 x2601 Fax: 814-226-4906 ccva2@co.clarion.pa.us Clearfield Betina Nicklas 212 East Locust St., Suite 104 Clearfield, PA 16830 Phone: 814-765-2642 ext. 3010 Fax: 814-765-8988 bnicklas@clearfieldco. Clinton William Bechdel 311 Frederick St., Suite B Flemington, PA 17745 Phone: 570-893-4339 Fax: 570-893-4283 bbechdel@clintoncountypa.com

Columbia Bridget Kingston 16 West Main Street, Suite 380 Bloomsburg, PA 17815 Phone: 570-387-6501 option #1 Fax: 570-387-6502 bklinger@columbiapa. Crawford Richard Krankota 900 Water St., Suite 2 Meadville, PA 16335 Phone: 814-333-7314 Fax: 814-337-5623 rkrankota@co.crawford.pa.us Cumberland Neal J Delisanti 18 N. Hanover St., Suite 103 Carlisle, PA 17013-3079 Phone: 717-240-6178 Fax: 717-240-6570 ndelisanti@ccpa.net Dauphin Tony DiFrancesco 2 South 2nd St. Harrisburg, PA 17108-1295 Phone: 717-780-6356 Fax: 717-780-6330 tdifrancesco@dauphinc. Delaware John Sheaffer Govt. Center Bldg, 201 W. Front St. Media, PA 19063-2708 Phone: 610-891-4646 Fax: 610-891-8749 sheafferj@co.delaware.pa.us Elk Leslie Neal 300 Center St., P.O. Box 448 Ridgway, PA 15853-1007 Phone: 814-776-5370 Fax: 814-776-5359 lneal@countyofelkpa.com Erie Thad Plasczynski 140 W. 6th St., Room 101 Erie, PA 16501-1029 Phone: 814-451-6265 Fax: 814-451-7477 tplasczynski@eriecountypa.gov Fayette Madonna Nicklow 22 E. Main St. Uniontown, PA 15401 Phone: 724-430-1241 Fax: 724-430-1427 mnicklow@fayettepa. Forest Eric Cepek 526 Elm St., Box 3 Tionesta, PA 16353 Phone: 814-755-3404 Fax: 814-755-8837 ecepek@co.forest.pa.us Franklin Justin Slep 425 Franklin Farm Ln. Chambersburg, PA 17202 Phone: 717-263-4326 Fax: 717-263-1905 jdslep@franklincountypa.gov Fulton Bruce Carriker 116 W. Market St. McConnellsburg, PA 17233 Phone: 717-485-6873 Fax: 717-485-9411 veterans@co.fulton.pa.us Greene Sarah Smith 22 West High St., Suite 100 Waynesburg, PA 15370 Phone: 724-852-5275 Fax: 724-852-5307 ssmith@co.greene.pa.us Huntingdon Lou Ann Shontz Court House 205 Penn St., Suite 2 Huntingdon, PA 16652-1457 Phone: 814-643-1360 Fax: 814-506-9039 lshontz@huntingdoncounty.net Indiana Brenda Stormer Court House, 825 Philadelphia St. Indiana, PA 15701-3934 Phone: 724-465-3815 Fax: 724-465-3991 bstormer@countyofindiana. Jefferson Richard Murray 155 Main St, 2d Fl. Brookville, PA 15825-1269 Phone: 814-849-3618 Fax: 814-849-4084 rmurray@jeffersoncountypa. com Juniata Dennis Hutchings P.O. Box 68 Mifflintown, PA 17059-0068 Phone: 717-436-7728 Fax: 717-436-7769 dhutchings@juniataco. Lackawanna David Eisele 507 Linden St, 3d Fl. Scranton, PA 18503-1602 Phone: 570-963-6778 Fax: 570-963-6418 EiseleD@lackawannacounty. Lancaster Daniel Tooth 150 N. Queen St., Suite 103 Lancaster, PA 17603-3562 Phone: 717-299-7920 Fax: 717-209-3077 dtooth@co.lancaster.pa.us

Lawrence Jesse Putnam 430 Court St. New Castle, PA 16101-3593 Phone: 724-656-2180 Fax: 724-656-2447 jputnam@co.lawrence.pa.us Lebanon Robert Kale 400 S. 8th St., Room 106 Lebanon, PA 17042-6794 Phone: 717-228-4422 Fax: 717-270-6479 rkale@lebcnty. Lehigh Thomas Applebach 17 S. 7th St. Allentown, PA 18101-2400 Phone: 610-782-3295 Fax: 610-820-2026 thomasapplebach@ lehighcounty. Luzerne Jim Spagnola Luzerne County West Side Annex 2009 Wyoming Ave. Forty Fort, PA 18704 Phone: 570-706-3960 Fax: 570-706-3969 james.spagnola@luzernecounty. Lycoming Gee W. Heiges 330 Pine St., 4th Floor Williamsport, PA 17701-6514 Phone: 570-327-2365 Fax: 570-320-8148 gheiges@lyco. McKean Zach Pearson 500 W. Main St. Smethport, PA 16749-1149 Phone: 814-887-3241 Fax: 814-887-3101 zjpearson@mckeancountypa. Mercer Larry Scheetz 14 Court House Mercer, PA 16137-0112 Phone: 724-662-7511 Phone: 724-662-7512 Fax: 724-662-7516 lscheetz@mcc.co.mercer.pa.us Mifflin Christine DeArment 20 N. Wayne St. Lewistown, PA 17044-1770 Phone: 717-248-6421 Fax: 717-248-2527 cdearment@co.mifflin.pa.us Monroe Lisa Kaye 1 Quaker Plaza, Rm. 101 Stroudsburg, PA 18360-1246 Phone: 570-517-3187 Fax: 570-517-3188 lkaye@monroecountypa.gov Montgomery Sean Halbom P.O. Box 311 Norristown, PA 19404-0311 Phone: 610-278-3285 Fax: 610-278-5935 shalbom@montcopa. Montour Doug Resseguie 114 Woodbine Lane, Suite 105 Danville, PA 17821-8120 Phone: 570-271-3061 Fax: 570-271-3033 vetaff@montourco. Northampton Freddie Ramirez 2801 Emrick Blvd. Bethlehem, PA 18020 Phone: 610-829-4877 Fax: 610-829-2418 framirez@northamptoncounty. Northhumberland Belinda Albright 217 N. Center St. Sunbury, PA 17801 Phone: 570-988-4213 Fax: 570-495-4683 belinda.albright@norrycopa.net Perry Jim Scott P.O. Box 37 New Bloomfield, PA 17068 Phone: 717-582-2131 (Main Courthouse Number) Fax: 717-582-5134 jscott@perryco. Philadelphia Carlo Aragoncillo City Hall Room 127 Philadelphia, PA 19101 Phone: 215-686-3256 Fax: 215-563-3162 carlo.aragoncillo@phila.gov Pike Pierce J. Bunce 514 Broad St. Milford, PA 18337-1596 Phone: 570-296-3563 Fax: 570-296-3410 vetaffairs@pikepa. Potter Bill Simpson One North Main St. Coudersport, PA 16915 Phone: 814-274-8290 x210 Fax: 814-274-8307 wsimpson@pottercountypa.net Schuylkill Brenda Zechman 401 N. 2nd St. Pottsville, PA 17901-1756 Phone: 570-628-1400 Fax: 570-628-1429 bzechman@co.schuylkill.pa.us

Snyder Anthony Korzenaski c/o Union-Snyder Community Action Agency 713 Bridge St., Suite 10 Selinsgrove, PA 17870 Phone: 570-374-0181 Fax: 570-374-2330 tkorzenaski@union-snydercaa. Somerset Daniel Kinsella 300 N. Center Ave., Suite 380 Somerset, PA 15501-1497 Phone: 814-445-1551 Fax: 814-445-1446 kinsellad@co.somerset.pa.us Sullivan Mark Roinick 245 Muncy St., P.O. Box 157 LaPorte, PA 18626-0157 Phone: 570-946-7677 Fax: 570-946-4421 mroinick@sullivancounty-pa.us Susquehanna Richard Ely 81 Public Ave., P.O. Box 218 Montrose, PA 18801-1219 Phone: 570-278-5955 Fax: 570-278-9268 rjely@susqco.com Tioga Tim Cleveland 1835 Shumway Hill Rd. Suite 1 Wellsboro, PA 16901 Phone: 570-723-8141 Fax: 570-723-8403 tcleveland@tiogacountypa.us Union J. D. Kerstetter 155 North 15th St. Lewisburg, PA 17837 Phone: 570-524-8676 Fax: 570-524-8635 jkerstetter@unionco. Venango Charles Tarr 1 Dale Ave. Franklin, PA 16323 Phone: 814-432-9780 Fax: 814-437-2338 ctarr@co.venango.pa.us Warren Edgar Burris 204 Fourth Ave. Warren, PA 16365-2399 Phone: 814-728-3478 Fax: 814-728-3480 eburris@warren-county.net Washington Susan Meighen 100 W. Beau St., Suite 703 Washington, PA 15301-4432 Phone: 724-228-6865 Fax: 724-228-6872 meighens@co.washington.pa.us Wayne Frank Muggeo 925 Court St. Honesdale, PA 18436 Phone: 570-253-5970 x3114 Fax: 570-253-7278 fmuggeo@waynecountypa.gov Westmoreland Matthew Zamosky 2 N. Main St., Suite 502 Greensburg, PA 15601-2405 Phone: 724-830-3530 Fax: 724-830-3010 mzamosky@co.westmoreland. pa.us Wyoming Jack Hubert 1 Courthouse Square Tunkhannock, PA 18657 Phone: 570-996-2258 Fax: 570-836-7244 jhubert@wycopa. York Terry Gendron 28 E. Market St. York, PA 17401 Phone: 717-771-9218 Fax: 717-771-4617 tgendron@yorkcountypa.gov