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AUTHORIZATION FOR DISCLOSURE OF HEALTH INFORMATION VH Chippewa Falls 2175 E. Park Ave. Chippewa Falls, WI 54729 (715) 720-6775 Fax (715) 720-6672 VH King N2665 County Rd. HQ King, WI 54946-0600 Medical
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What is wdva form 4002?
WDVA form 4002 is a form used by the Wisconsin Department of Veterans Affairs to gather information about veterans' benefits eligibility.
Who is required to file wdva form 4002?
Veterans in Wisconsin who are seeking benefits from the Department of Veterans Affairs are required to file WDVA form 4002.
How to fill out wdva form 4002?
WDVA form 4002 can be filled out online on the Wisconsin Department of Veterans Affairs website or by mail. It requires information about the veteran's military service, medical history, and income.
What is the purpose of wdva form 4002?
The purpose of WDVA form 4002 is to determine a veteran's eligibility for benefits from the Wisconsin Department of Veterans Affairs.
What information must be reported on wdva form 4002?
Information such as the veteran's military service, medical history, income, and any dependents must be reported on WDVA form 4002.
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