Get the free VA Form 21-0960G-1. Esophageal Abnormalities - Disability Benefits Questionnaire

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OMB Control No. 2900-0778 Respondent Burden: 15 minutes ESOPHAGEAL CONDITIONS (Including gastroesophageal reflux disease (HERD), hiatal hernia and other esophageal disorders) Disability Benefits Questionnaire

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What is va form 21-0960g-1 esophageal?

VA Form 21-0960G-1 is a form used by the Department of Veterans Affairs (VA) to evaluate disability claims related to esophageal conditions.

Who is required to file va form 21-0960g-1 esophageal?

Veterans who have been diagnosed with esophageal conditions and are seeking disability benefits from the VA are required to file VA Form 21-0960G-1.

How to fill out va form 21-0960g-1 esophageal?

To fill out VA Form 21-0960G-1, veterans must provide personal information, medical history, and details about their esophageal condition. They may also need to attach supporting medical records or documentation.

What is the purpose of va form 21-0960g-1 esophageal?

The purpose of VA Form 21-0960G-1 is to provide the VA with necessary information to evaluate a veteran's claim for disability benefits related to esophageal conditions.

What information must be reported on va form 21-0960g-1 esophageal?

VA Form 21-0960G-1 requires veterans to report their personal information, medical history, symptoms, and limitations caused by their esophageal condition. They may also need to provide information about any medical treatments or surgeries they have undergone.

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