Brigette's Technology Consulting and Research Firm
105 Wilson Circle, Newnan, GA 30263 USA
www.brigettes.com

Statement of Claim of Veterans Service Contract

Brigette’s Technology Consulting and Research Firm (hereinafter referred to as the "Firm" or "Contractor"), owned and operated by Dr. Brenda L. Nelson-Porter, agrees to contract the Firm's Statement of PTSD Other: Claim Preparation service to (hereinafter referred to as the "Contractee").  This Service Contract aims to enhance statements of claims (SOCs) with supporting research evidence to submit to the Veterans Administration (VA) or present that the VA possibly erred in a prior decision.

Case Information:

Case Number:
Claimant Full Name: 
Submission Process Type: Initial Submission   Appeal Submission

Main Issues To Be Defended:

How Condition Impacted Everyday Professional and Personal Lifesyle:

Contractor agrees to perform the following services:

• Read Documents Submitted

• Research Scholarly Sources To Support Claims

• Edit and Enhance Statements with Research-Based Evidence
    3-5 pages requested
    6-10 pages requested
    11-15 pages requested

• Maintain a Professional Relationship with Contractee

• Maintain Confidentiality (The Firm reserves the rights to allow partners of the Firm to assist with composing and editing the )

• Return Document by Email or Mail

  • Return Document within Twelve (12) Business Days After Receipt of this Service Contract, Payment, and Document Sent by Email

  • Return Document within Seventeen (17) Business Days After Receipt of this Service Contract, Payment, and Document Sent by U.S. Mail

    • Estimated Requested Delivery Date to Contractee (mm/dd/yy):

Contractee agrees to the terms and to perform the following services:

• Submit Other Supporting Information Pertinent to Case for Comprehension (if available or required)

  • Via Email: Title Email Subject Line: Statement of Claim Service Contract: [State Name], OR

  • Via Mail: Provide Self-Address Returned Envelope for U.S. Mailed Document(s) and Material(s)

• Will Not Hold the Contractor of Any Liabilities to Include but Not Limited to Missing and Lost Materials, Misprints, Prior and Disputed Litigations, Plagiarism, and so forth

• Submit Full Payment with this Signed Service Contract
                3-5 pages requested for $325.00
                6-10 pages requested for $525.00
                11-15 pages requested for $725.00

Additional Terms and Conditions:

• This is a legal binding Service Contract and not a contract for the sale of goods or products.

• This Service Contract has been prepared in English, and the English version thereof shall prevail and be binding even if internationally contracted.

• This Service Contract does not include completing VA Forms: 21-0966 or 21-526EZ

• This Service Contract does not guarantee any types of responses and payments from the VA.

• For the purpose of this Service Contract,

  • Neither Party will publicly release information concerning this agreement or its terms without the advance written consent of the other Party and any news release, public announcement [e.g., media (interviews, background discussions); social media (e.g., Facebook, Twitter, LinkedIn, and so forth), white papers, and so forth], or advertisement to be released in connection with this agreement and the subject matter hereunder shall have the written concurrence of the Parties prior to release, including as to form or content of such release, announcement or advertisement

• The prices stated in this Service Contract are stated in U.S. Dollars and are not subject to exchange rate adjustments.

• Make All Remittance (No Personal Checks) by U.S. Mail Payable to or Electronic Banking Transferable (BOA/WellsFargo) to Brenda Nelson-Porter

• The Contractor will charge a $30.00 fee for "each" final review document that has to be resent to the client. Resending documents take time away from the Contractor's time that can be spent on working with the current clients, whose contract has not expired. If the Contractor does not receive a return email error, then the sent (dispatched) document is deemed received by the Company Contractee as in accordance with the contract mailbox law.

• The Contractee may only terminate this Service Contract in whole or in part, by written notice of default to the Contractor if the Contractor fails to perform the Services within the time specified; otherwise, no refunds will be provided.

• Only changes by an agreed Amendment will be accepted to amend/adjust this Service Contract.

• Irrespective of the place of performance, this Service Contract and any dispute arising under or in connection with the execution of terms and conditions shall be governed by and interpreted in accordance with the applicable laws and regulations of the United States. Any legal disputes associated with this Service Contract will be mitigated in the State of Georgia (Newnan) United States of America.

Contractee Identification Information:

Address/City, State, Zip:
Country:
Telephone Number:    Fax Number:
Email:


Signature: _____________________________________________________     Date:
 

Contractor Identification Information:

Brenda L. Nelson-Porter, ND, DM, Founder, Brigette’s Technology Consulting and Research Firm
Researcher, Statement Reviser, Neutral, Qualitative Data Analyst
Phone: 770-251-6765    Email: brigettebrenda@aol.com


Signature: _____________________________________________________     Date: