Veteran Services Request Form

Polk County’s Veteran Services is here to help current, former and future service members wade through the intricate and sometimes complicated process of obtaining military benefits. A service officer is available to meet with veterans who walk in the office, call on the phone (863) 534-5220, or submit questions by e-mail. This service is available 8 a.m. to 5 p.m. Monday through Friday.

For your convenience, you may use the form below to ask a question or request an appointment.

I would like to:  
First name:  
Last name:  
Address:
City:
State:
Zip:
Phone:    
Date of Birth:
Branch of Service:
Email:  
Service Officer:
Details of Request:

Polk County Seal

The Polk County Board of County Commissioners is an equal opportunity and affirmative action employer.

Polk County Board of County Commissioners