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FEDERAL CONTRACTOR
SUPPORT

IC&C provides guidance, education, and peer-to-peer support to injured US citizens and foreign nationals working on US Military Bases or public works projects funded by the US government outside the United States. We help members understand resources and navigate challenges in these settings.

Your Trusted Partner

Keeping You Connected

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This form is designed to help us better understand your needs and connect you with appropriate resources and qualified professionals.

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All information shared on this form will remain confidential and used solely for referral, educational, or coordination purposes. Your personal data will never be shared without your written consent.

Were you injured while working as a federal contractor OUTSIDE of the United States?
Yes
No
Are you a Veteran or an Active Duty Member?
Yes
No
Did you receive any injury during your time in service?
Yes
No
I'm not sure.
N/A
Are you currently working with Veterans Service Organizations?
Yes
No
I'm not sure.
N/A
Are you looking to get your Disability Rating Increased?
Yes
No
N/A
Do you understand that we offer an Online Support Resource Hub providing connections to medical & resource providers? We do not Process VA Claims.
Yes
No
What is your current military status?

 I have read and agree with Interconnecting Circles & Communities' terms of service.

Select one.
Yes
No

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Disclaimer: Interconnecting Circles and Communities does not prepare, present, or prosecute VA claims.

LET'S CONNECT

info@connectingcirclesllc.com

1.800.793.6838​

TERMS & PRIVACY POLICY

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