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​Pennsylvania Veterans Registry

The PA VETERANS REGISTRY is an online application that allows veterans, family members and people who work with veterans to connect with DMVA to request information related to the valuable state benefits, programs and services offered. By connecting with DMVA, registrants can also opt-in to receive ongoing communications such as the weekly DMVA DIGEST (view our most recent edition here), breaking news and other updates. The PA VETERANS REGISTRY is DMVA’s first step in a long-term strategy to achieve a higher level of communication with our veterans as well as our partners who support them. Please take a moment to register below.

Download a PDF version of this form.



Your Name
About You
Address
Contact Information
Have you served in the Armed Forces of the United States?
Would you like to share your DD214 or discharge documents with us?
IF YES, PLEASE UPLOAD YOUR DD214'S


Would you like to know more about Benefits, Services or Programs pertaining to:
Would you like to receive:
Referred by:


By checking this box, you are granting permission for DMVA to share your information with the county director of veterans affairs for the county you indicated on this registry (if you live in Pennsylvania) and/or other Commonwealth of Pennsylvania agencies to ensure Pennsylvania provides you with all the programs and services you have earned.

By checking this box, you are NOT granting permission for DMVA to share your information with the county director of veterans affairs for the county you indicated on this registry (if you live in Pennsylvania) and/or other Commonwealth of Pennsylvania agencies to ensure Pennsylvania provides you with all the programs and services you have earned.


In an effort to prevent spam, please click the checkbox below to verify your submission.