Eligibility Form 1004-M shall be submitted to the Department of Veterans' Affairs accompanied by:

1. (1) Certified copy of evidence of separation.
2. (2) Proof of current Oregon residence.

3. (3) Proof of change in name:

   1. (a) Where veteran's name has been legally changed since discharge, a certified copy of the Court Order, marriage certificate, or divorce decree will be furnished to the Department of Veterans' Affairs;
   2. (b) Where veteran's name has been changed, but not legally, an affidavit from the veteran and affidavits from at least two disinterested persons will be required to show such change.

Statutory/Other Authority

ORS 408

Statutes/Other Implemented

ORS 408.010 - 408.040

History

DVA 1-2006, f. & cert. ef. 1-27-06
DVA 9-1993, f. 9-13-93, cert. ef. 11-4-93
DVA 22, f. 11-15-57, ef. 11-14-57