Get the free va form 21 0960j 2 - vba va

OMB Control No. 29000779 Respondent Burden: 15 Minutes Expiration Date: 01/31/2018 MALE REPRODUCTIVE ORGAN CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT THE DEPARTMENT OF VETERANS AFFAIRS

How to fill out va form 21 0960j

How to fill out VA Form 21-0960J?

1. Start by downloading a copy of VA Form 21-0960J from the official Department of Veterans Affairs (VA) website. You can also obtain a physical copy from your nearest VA regional office.
2. Begin the form by providing your personal information at the top. This includes your name, social security number, date of birth, and contact information.
3. Proceed to Section I of the form, which pertains to veteran identification. Fill in your branch of service, dates of active duty, and service numbers, as applicable.
4. In Section II, you will be required to provide details about the medical condition for which you are seeking disability benefits. Clearly describe the disability or disabilities you are experiencing, including symptoms, dates, and any relevant medical treatments you have received.
5. If you have any medical examinations or tests that support your claim, Section III is where you should list them. Include the name of the examiner, date of the examination, and the location where it took place. Attach any supporting documents, such as medical records or test results, when submitting the form.
6. In Section IV, you will be asked to provide a summary of your medical history related to the disability or disabilities being claimed. Include information regarding any surgeries, hospitalizations, or ongoing treatments you have undergone.
7. Next, Section V requires you to disclose any additional medical information that could be relevant to your claim. This may include therapy sessions, medications prescribed, or assistive devices used.
8. In Section VI, you have the option to acknowledge any related medical records that are already in the VA's possession. This could include VA treatment records, military medical records, or records from other healthcare providers. Indicate the name, address, and phone number of the relevant medical facility or provider.
9. Section VII pertains to the necessary medical support. This is where you can indicate if you have authorized the release of your medical records to the VA for the purpose of evaluating your disability claim.
10. Finally, review the completed form to ensure all information is accurate and complete. Sign and date the form in the designated areas.

Who needs VA Form 21-0960J?

VA Form 21-0960J is required for veterans who are seeking disability benefits from the Department of Veterans Affairs due to a specific medical condition. This form is specifically used for the evaluation of dental and oral conditions. Veterans who believe their dental or oral condition is connected to their military service can use this form to apply for compensation. It is important to consult with a VA representative or a qualified professional to determine if you need to fill out this form for your claim.

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What is va form 21 0960j?

VA Form 21-0960J is the Application for Increased Compensation Due to Unemployability.

Who is required to file va form 21 0960j?

Veterans seeking increased compensation due to unemployability are required to file VA Form 21-0960J.

How to fill out va form 21 0960j?

To fill out VA Form 21-0960J, veterans must provide personal information, details about their disabilities, and information about their employment history.

What is the purpose of va form 21 0960j?

The purpose of VA Form 21-0960J is for veterans to apply for increased compensation based on their unemployability.

What information must be reported on va form 21 0960j?

Veterans must report their personal information, details about their disabilities, and information about their employment history on VA Form 21-0960J.