VA Loan Case Management Inquiry Form

Note: VA Loan case management does not include foreclosure prevention. Foreclosure prevention counseling is available as a separate service. Click here if you need Foreclosure Prevention to start intake.

First Name *

Last Name *

Phone *

Email *

Preferred contact method (phone / email / text) *

Best time to contact *

If "other" selected, please specify.

Urgency Level *

Not urgent

Time-sensitive (under 30 days)

Urgent (closing soon)

Crisis level

Short Description (Briefly describe what's going on). *

Acknowledgement *

I understand the free assessment is a screening session and may lead to optional paid counseling services.

I understand VA home loan benefits are free and earned, and counseling services are optional.

I consent to be contacted regarding my request.

I understand this intake form is not foreclosure prevention counseling. If I am facing foreclosure, I may be redirected to HUD housing counseling services.

I understand submission does not create a counselor-client relationship until enrollment is completed.

I understand this program provides counseling and navigation support, not legal or financial advisory services.