Template va form 21 4138 2011-2016

VA FORM AUG 2011 21-4138 EXISTING STOCKS OF VA FORM 21-4138 AUG 2004 WILL BE USED CONTINUE ON REVERSE The following statement is made in connection with a claim for benefits in the case of the above-named veteran VA FORM 21-4138 AUG 2011. OMB Approved No. 2900-0075 Respondent Burden 15 minutes STATEMENT IN SUPPORT OF CLAIM PRIVACY ACT INFORMATION The VA will not disclose information collected on this form to any ...
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va form 21 4138 fillable