VA Form VA2345: Veteran's Request for Prosthetic Socks

VA Form VA2345 is the U.S. Department of Veterans Affairs Veteran's Request for Prosthetic Socks. It is a one page order form that asks for the Veteran's name, the last four digits of the Social Security number, a mailing address and the sizes and measurements of the items requested for a right or left leg or arm. VA's form page lists it under health care, and the form names the Denver Acquisition & Logistics Center as the place to mail it.

The form covers sock size and measurements, material and ply, sheath size and a cotton T-shirt for shoulder disarticulation, with a remarks column. It says to print the form and mail it, and points to https://www.va.gov/opal/nac/dlc/socks.asp for additional information.

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Top of page 1 of VA Form VA2345: Veteran's Request for Prosthetic Socks, as printed by VA

What's on VA Form VA2345

Name and Social Security number

Last name, first name and middle initial, printed, and the last four digits of the Social Security number.

Mailing address and date

The mailing address with street, city, state and ZIP Code, whether the address is new, permanent or temporary, and the date of request.

Item 1: sock size and measurements

Sock size number, width at top, width at toe and length measurements, plus material and ply, for each right or left leg or arm.

Item 2: sheath size

A row for the sheath size in the same right and left, leg and arm columns.

Item 3 and remarks

The size of a cotton T-shirt for shoulder disarticulation, and a remarks column beside the item table.

How to complete VA Form VA2345

1
Print your name and SSN digits
Enter last name, first name and middle initial, and only the last four digits of the Social Security number.
2
Enter the mailing address
Give the street, city, state and ZIP Code, mark whether the address is new, permanent or temporary, and add the date of request.
3
Fill in sizes and measurements
Use the right or left leg or arm columns that apply for sock size, measurements, material and ply.
4
Add other items or remarks
Enter a sheath size in Item 2, a T-shirt size in Item 3 or a note in the remarks column if needed.
5
Print and mail it
The form says to print it and mail it to the Denver Acquisition & Logistics Center.

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Where to send it

Mailing address

Department of Veterans Affairs, Denver Acquisition & Logistics Center (003A4D), P.O. Box 25166, Denver CO 80225-0166.

Print and mail

The top of the form says PRINT FORM AND MAIL TO the Denver address. VA's form page lists no online version.

More information

The form says: "For additional information, visit: https://www.va.gov/opal/nac/dlc/socks.asp."

Edition

The form is dated NOV 2012, and VA's form page gives a revision date of November 2012.

Who uses VA Form VA2345?

Veterans requesting prosthetic socks
The form is titled Veteran's Request for Prosthetic Socks and asks for the Veteran's name and the last four digits of the Social Security number.
Leg prosthesis users
The item table has right and left columns under Leg for sock size, measurements, material and ply.
Arm prosthesis users
The same table has right and left columns under Arm.
Shoulder disarticulation
Item 3 asks for the size of a cotton T-shirt for shoulder disarticulation.
Denver Acquisition & Logistics Center
The form says to print it and mail it to the Department of Veterans Affairs, Denver Acquisition & Logistics Center (003A4D).

The form is a Veteran's request, mailed to VA's Denver Acquisition & Logistics Center.

Official sources and the blank

Official VA form page
The agency’s own page for Form VA2345.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form VA2345

What is VA Form VA2345 used for?

It is the Veteran's Request for Prosthetic Socks, a one page form that lists the sizes and measurements of the socks, sheaths or T-shirt requested.

Where do I mail VA Form VA2345?

The form lists Department of Veterans Affairs, Denver Acquisition & Logistics Center (003A4D), P.O. Box 25166, Denver CO 80225-0166.

Does the form ask for my full Social Security number?

No. The Social Security number field asks for the last four digits only.

Can the form be used for an arm prosthesis?

The item table has right and left columns for both leg and arm, and Item 3 covers a cotton T-shirt for shoulder disarticulation.

Where can I find more information?

The form points to https://www.va.gov/opal/nac/dlc/socks.asp for additional information.

VA Form VA2345: Veteran's Request for Prosthetic Socks