How can we help you? If you would like to learn more about your legal rights and options, please contact us by completing the form below today or call 1.800.768.4026. Name Telephone Number Email Address What state do you live in Have you been diagnosed by the VA with disability-related hearing loss? Yes No Was the hearing loss a result of time served in Iraq or Afghanistan between 2003 and 2015 Yes No Tell us about your potential case (500 character limit) By submitting this form, I agree that Motley Rice LLC may collect my information and use it pursuant to its privacy policy. Yes No If you do not agree with our website privacy policy please call 1.800.768.4026 to discuss your potential case. Math question 2 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. Leave this field blank