Va Form 21-0966 Printable
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Claimant's social security number omb control no. Web this form is used to notify va of your intent to file for the general benefit(s). Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: Quickly access top tasks for frequently downloaded va forms. Over the phone or in person.
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Va forms are available at www.va.gov/vaforms. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. Veteran's date of birth (mm,dd,yyyy) male 2. Over the phone or in person. Web (this form is used to notify va of your intent to file for the general benefit(s) checked below).
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Veteran's date of birth (mm,dd,yyyy) male 2. For more information, contact us online through ask va: Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive.
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