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U.S. DOD Form dod-va-5636 STATION NO. (2-4) APPROPRIATION OF FUND (5-9) GENERAL LEDGER CODE SHEET DEBT ACCOUNT NO. (10-13) SIGNATURE, CHIEF, ACCOUNTING ACTIVITY VA FORM DEC 1992(R) 5636 SUB (14) CREDIT
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How to fill out US DOD form DOD-VA-5636:

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Veterans or active duty service members seeking disability benefits or compensation from the United States Department of Defense (DOD) and the Department of Veterans Affairs (VA).
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