Fillable va form 21 8764

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VA FORM FEB 2004 21-8764 EXISTING STOCKS OF VA FORM 21-8764 OCT 2002 WILL BE USED. See Reverse HOW DO YOU REPORT A CHANGE OF ADDRESS Please notify this office immediately of any change of address. DISABILITY COMPENSATION AWARD ATTACHMENT IMPORTANT INFORMATION WHEN IS YOUR VA CHECK DELIVERED A check covering the initial amount due under this award will be mailed within 15 days.
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va form 21 8764
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