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Va form 21 4138 PDF results

Statement in support of claim

Statement in support of claim file no. c/css - name - middle name - last name of veteran(type or print) the following statement is made in connection with a claim for benefits in the case of the above-named veteran: i certify that the statements on... va form aug 2011 21-4138 omb approved no. 2900-0075 respondent burden: 15 minutes existing stocks of va form 21-4138, aug 2004, will be used...

Statement in support of claim (filipino veterans equity ...

I am applying for a one-time payment from the filpino veterans equity compensation fund as a honorably discharged veteran who served before july 1, 1946, in the organized military forces of the government of the commonwealth of the philippines, including certain service in the philippine scouts or in organized guerrilla forces recognized by the... va form feb 2009 21-4138(cf) social security no. if mailing completed form from the united states: u.s. department of veterans affairs manila...

Naus

Statement in support of claim va file no. c/css first name - middle name - last name of veteran (type or print) the following statement is made in connection with a claim for benefits in the case of the above-named veteran: i certify that the... va form jun 2000 21-4138 omb approved no. 2900-0075 respondent burden: 15 minutes existing stocks of va form 21-4138, apr 1994, will be used...

Statement in support of claim (fillable)

U.s. department of veterans affairs form 21-4138 statement in support of claim (fillable) statement in support of claim (fillable)

Statement in support of claim

... law authorizes us to request the information we are asking you to provide on this form (38 u.s.c. 501(a) and (b)). the responses you submit are considered confidential (38 u.s.c. 5701). they maybe disclosed outside the department of veterans... va form apr 1994 21-4138 omb approved no. 2900-0075 respondent burden: 15 minutes existing stocks of va form 21-4138(jf), oct 1993, will be...

Instructions for filing a claim

Instructions for filing a claim va compensation - initial claim 1. va form 21*4142 (authorization to release medical docs) (see #7 below) one release for each place of treatment. 2. va form 21*4138 (statement in support of claim) 3. va form 21*526 (veterans application for comp and/or pension) 4. certified discharge documents (dd214, 1gb 22, va form 21*4138 (statement in support of claim) 2. va form 21*534 (application for pension, dic, accrued benefits) 3. va form 21*8416 (medical expenses...

Statement in support of claim

... any source other than what has been authorized under the privacy act of 1974 or title 38, code of federal regulations 1.576 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or research... 21-4138 statement in support of claim signed telephone numbers (include area code) privacy act information: the va will not disclose...

Veterans on line applications (vonapp)

Veterans on line applications (vonapp) general description the vonapp (veterans on line application) website is an official u.s. department of veterans affairs (va) website that enables service members, veterans and their beneficiaries, and other designated individuals to apply for benefits using the internet. u.s. military veterans and some... A statement in support of claim, va form 21-4138, can be used to provide information requested by the va to support a claim. va form 21-4138 can also...

Statement in support of claim

21-4138 statement in support of claim date signed daytime evening telephone numbers(include area code) privacy act information: the va will not disclose information collected on this form to any source other than what has been authorized under the privacy act of 1974ortitle 38, code of federal regulations 1.576 for routine uses (i.e., civil or... Signature address existing stocks ofva form 21-4138, jun 2000, will be used (continue on... to review the instructions, find the information, and complete this form. va...

va 21-4138 - re-eval

Department of veterans affairs statement in support of claim privacy act information: the law authorizes us to request the information we are asking you to provide on this form (38 u.s.c. 501(a) and (b)). the responses you submit are considered confident ial (38 u.s.c. 5701). they may be disclosed outside the department of veterans affairs (va)... ... which include fine or imprisonment, or both, for the willful su bmission of any statement or evidence of a material fact knowing it to be false. va form 21-4138...

Statement in support of claim

Statement in support of claim va file no. c/css - first name - middle name - last name of veteran(type or print) the following statement is made in connection with a claim for benefits in the case of the above-named veteran: i certify that the... va form aug 2004 21-4138 omb approved no. 2900-0075 respondent burden: 15 minutes existing stocks of va form 21-4138, jun 2000, will be used...

Statement in support of claim

... forms social security no. statement in support of claim va file no. c/css - first name - middle name - last name of veteran(type or print) the following statement is made in connection with a claim for benefits in the case of the above-named... va form aug 2004 21-4138 omb approved no. 2900-0075 respondent burden: 15 minutes temporary form - revised by wis. dept. of veterans affairs 06/10 - use until va...

Statement in support of claim privacy act information:

... the privacy act of 1974 or title 38, code of federal regulations 1.576 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money owed to the united... Statement in support of claim privacy act information: the va will not disclose information collected on this form to any source other than what has...

Vba authorization to disclose personal beneficiary information

Information and instructions to help you complete the authorization to disclose personal information to a third party vba authorization to disclose personal beneficiary information general information information and instructions to help you complete the authorization to disclose personal information to a third party question 10 va will give... First, middle, last name of veteran (print clearly) signature (do not print) 4. va file number va form may 2010 supersedes va form 21-0845, dec 2009, which will not be used. 21...

Getting a fair, thorough and accurate va disability evaluation

getting a fair, thorough and accurate va disability evaluation guidelines for veterans inside: page dedication 2 statement of purpose 2 introduction 3 1. how to file a claim 3 2. roadblocks to filing a claim 4 3. how to document your military experiences 5 4. how your family, friends, fellow service personnel, and care providers can help 6 va form 21-4138 (statement in support of claim) on which a stressor letter may be written, or to which a stressor letter can be attached. 4.

Statement in support of claim (filipino veterans equity ...

I am applying fora one-time payment from the filpino veterans equity compensation fund as a honorably discharged veteran who served, before july 1,1946, in the organized military forces of the government of the commonwealth of the philippines, including certain service in the philippine scouts or in organized guerrilla forces recognized by the... va form feb 2009 21-4138(cf) social security no. statement in support of claim (filipino veterans equity compensation fund) va file no....

Statement in support of claim (filipino veterans equity ...

I am applying for a one-time payment from the filipino veterans equity compensation fund as a honorably discharged veteran who served before july 1, 1946, in the organized military forces of the government of the commonwealth of the philippines, including certain service in the philippine scouts or in organized guerrilla forces recognized by the... va form feb 2009 21-4138(cf) social security no. if mailing completed form from the united states: u.s. department of veterans affairs manila...

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