This poster will cover the clinical surveillance by the Veterans Exposure Team – Health Outcomes Military Exposures (VET-HOME) program for Veterans exposed to hexavalent chromium at Qarmat Ali (QA). This cohort includes Veterans who guarded a water treatment facility in the Basrah oil fields at Qarmat Ali, Iraq in the spring and summer of 2003. At that time, the facility was contaminated with sodium dichromate dust, a compound containing hexavalent chromium, which is a known carcinogen associated with serious health effects, including lung cancer, respiratory tract infection, and skin damage. This poster will provide preliminary findings from the successful completion of follow-up evaluations for the cohort of Veterans deployed to Qarmat Ali. In the fall of 2024, the Army Public Health Center provided VET-HOME with a list of 1,219 separated service members who were thought to be present at QA. Another 364 individuals were added based on responses to questions about QA service during prior Gulf War Registry exams. This initial cohort consisted of 1,583 individuals. After excluding those who were deceased, dishonorably discharged, lacked contact information, were active duty, or were not registered in the VA, there were 1,365 individuals who were eligible for VET-HOME outreach. Of these, 703 could not be reached, 452 had exams completed, 143 declined the exam, and 67 were no shows. Of the 78deceased Veterans, 22 had various medical issues, 16 died by traumatic injury or drug overdose, 15 had cancer, and 25 did not have documentation regarding their cause of death. Preliminary reviews of the 452 individuals seen by VET-HOME (33% of the eligible population) did not reveal evidence for an increased risk of adverse health outcomes specifically associated with hexavalent chromium exposure. This poster reflects VA’s ongoing commitment to Veterans with military environmental exposures.