VA Form 2345 "Veteran's Request for Prosthetic Socks"

What Is VA Form 2345?

This is a legal form that was released by the U.S. Department of Veterans Affairs on November 1, 2012 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2012;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of VA Form 2345 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

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Download VA Form 2345 "Veteran's Request for Prosthetic Socks"

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PRINT FORM AND MAIL TO:
DEPARTMENT OF VETERANS AFFAIRS
Denver Acquisition & Logistics Center (003A4D)
P.O. Box 25166
Denver CO 80225-0166
For additional information, visit: https://www.va.gov/opal/nac/dlc/socks.asp.
PRINT LAST NAME - FIRST NAME - MIDDLE INITIAL
SOCIAL SECURITY NO.
(Last four digits)
MAILING ADDRESS (Street, City, State and ZIP Code)
THIS ADDRESS IS:
DATE OF REQUEST
NEW
PERMANENT
TEMPORARY
LEG
ARM
REMARKS
ITEM REQUESTED
RIGHT
LEFT
RIGHT
LEFT
1. SOCK SIZE NO.
MEASUREMENT
WIDTH AT TOP
MEASUREMENT
WIDTH AT TOE
MEASUREMENT
LENGTH
MATERIAL AND PLY
2. SHEATH SIZE
3. T-SHIRT, COTTON (for shoulder disarticulation), SIZE:
VA FORM
2345
VETERAN'S REQUEST FOR PROSTHETIC SOCKS
NOV 2012
PRINT FORM AND MAIL TO:
DEPARTMENT OF VETERANS AFFAIRS
Denver Acquisition & Logistics Center (003A4D)
P.O. Box 25166
Denver CO 80225-0166
For additional information, visit: https://www.va.gov/opal/nac/dlc/socks.asp.
PRINT LAST NAME - FIRST NAME - MIDDLE INITIAL
SOCIAL SECURITY NO.
(Last four digits)
MAILING ADDRESS (Street, City, State and ZIP Code)
THIS ADDRESS IS:
DATE OF REQUEST
NEW
PERMANENT
TEMPORARY
LEG
ARM
REMARKS
ITEM REQUESTED
RIGHT
LEFT
RIGHT
LEFT
1. SOCK SIZE NO.
MEASUREMENT
WIDTH AT TOP
MEASUREMENT
WIDTH AT TOE
MEASUREMENT
LENGTH
MATERIAL AND PLY
2. SHEATH SIZE
3. T-SHIRT, COTTON (for shoulder disarticulation), SIZE:
VA FORM
2345
VETERAN'S REQUEST FOR PROSTHETIC SOCKS
NOV 2012