Get the free va form 21 0960c

OMB Approved No. 29000749 Respondent Burden: 15 minutes Expiration Date: 2/28/2017 PARKINSON IS DISEASE DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT

How to fill out va form 21 0960c

How to fill out VA Form 21-0960C:

1. Start by downloading VA Form 21-0960C, which is the Application for Increased Compensation Based on Unemployability. You can find it on the official website of the Department of Veterans Affairs or request a copy from your local VA office.
2. Once you have the form, carefully read the instructions provided. These instructions will guide you through the process and help you correctly fill out the form.
3. Begin by providing your personal information such as your name, contact information, social security number, and VA file number. It's important to ensure that all the information you provide is accurate and up to date.
4. The next section of the form will ask you to provide details about your service-connected disabilities. List each disability you have and provide relevant information such as the date of diagnosis, the severity of the disability, and any treatment or medication you are receiving.
5. If you are currently employed, you will need to provide details about your employment history. This includes your current job, job title, hours worked per week, and your employer's contact information. If you are not currently employed, you will need to provide a detailed explanation of your unemployment situation.
6. If you are self-employed or own a business, you will need to provide specific details about your business, including the nature of the business, your average monthly earnings, and any expenses incurred.
7. The form will also include a section for you to declare any income or benefits you receive from other sources such as Social Security or workers' compensation. Provide accurate information about these additional sources of income.
8. Finally, sign and date the form to certify that the information you provided is true and complete to the best of your knowledge. Keep a copy of the completed form for your records.

Who needs VA Form 21-0960C:

1. Veterans who have service-connected disabilities and are seeking increased compensation due to the inability to secure or maintain employment may need to fill out VA Form 21-0960C.
2. This form is specifically required for veterans who are applying for increased compensation based on unemployability, also known as Individual Unemployability (IU) benefits.
3. Veterans who believe their service-connected disabilities prevent them from working and want to be considered for IU benefits should use VA Form 21-0960C to apply.

Note: It is always recommended to consult with a Veterans Service Officer or an accredited representative to ensure the accuracy and completeness of your VA Form 21-0960C. They can provide guidance and assistance throughout the process.

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What is va form 21 0960c?

VA Form 21-0960C is a Disability Benefits Questionnaire (DBQ) for a Mental Disorders (Other Than PTSD and Eating Disorders) evaluation.

Who is required to file va form 21 0960c?

Veterans seeking disability benefits for mental disorders other than PTSD and eating disorders are required to file VA Form 21-0960C.

How to fill out va form 21 0960c?

VA Form 21-0960C should be completed by a qualified healthcare provider who is assessing a veteran's mental disorders other than PTSD and eating disorders.

What is the purpose of va form 21 0960c?

The purpose of VA Form 21-0960C is to provide information on a veteran's mental health status to determine eligibility for disability benefits.

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

VA Form 21-0960C requires information about the veteran's medical history, current symptoms, and any functional limitations caused by the mental disorder.