Va 21-0960m-6 Form 2017-2024

Va 21-0960m-6 Form: What You Should Know

Office Number — (Address: P.O. Box 98, St. Louis, MO 63105. Telephone:.) 6 days ago — Veterans Affairs Disability Compensation Benefits Questionnaire (17A PHYSICIAN'S SIGNATURE) (17A PHYSICIAN'S SIGNATURE) (17A PHYSICIAN'S SIGNATURE) I have a VD or SSI disability for a condition, which is described in this form. I am filing a disability claim because the condition, or some component thereof, prevents me from performing one or more of the activities of daily living. I am not requesting medical or surgical treatment for this condition. Furthermore, I understand that any submission by me of false or fraudulent information or an effort to obstruct the investigation or administration of the benefits program is cause for denial of benefits. (I understand that I am not required to request verification of my statement of condition that is required by law for a Veterans' disability claim, but I do so if I wish. I understood that the statement of my condition can be changed at any time prior to any claim, but any change must be submitted with any application for assistance from the VA if the change is intended to qualify me for benefits.) (I have submitted an application for assistance and am in receipt of a completed disability claim form. I understand that I am not required to provide additional information for this application, and that if I choose not to provide additional information, my application cannot be approved. If I provide false or fraudulent information, my application for assistance may also be denied.) (I have signed the disability claim form.) (I have submitted an application for assistance and is in receipt of a completed disability claim form. I understand that the VA can review the application and determine whether there are any deficiencies. I understand that if I do not meet the requirements, my application may also be denied.) (I have a copy of the official VA claim for compensation from the court of disability. I understand that if I do not meet the requirements, my application could also be denied.) (I have a copy of the official Veterans' disability claim form. I understand that if I do not meet the requirements, my application for assistance could also be denied.) (Include foot condition(s) in the comment section of this application.) (Yes, this application was filled in on Friday, October 6, 2013. However, this claim has a very short processing time.

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