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OMB Approved No. 29000846 Respondent Burden: 15 Minutes Expiration Date: 07312019VAFSC VENDOR FILE REQUEST FORM NEWDATEUPDATEVA FACILITY INFORMATIONPAYEE/VENDOR INFORMATIONSTATION NUMBERCOMMERCIAL
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How to fill out va form 10091
How to fill out va form 10091
01
To fill out VA Form 10091, follow these steps:
02
Begin by entering the date in the specified field.
03
Provide your full name, including your last name, first name, and middle initial.
04
Provide your Social Security Number.
05
Enter your date of birth in the specified format.
06
Specify your Home Address, including street, city, state, and ZIP code.
07
Provide your telephone number and email address.
08
Indicate your branch of service and service component.
09
Specify your military status and rank.
10
Enter the date you entered active duty or duty status.
11
Provide information regarding your duty location and separation type.
12
Specify your preferred contact method.
13
Sign and date the form at the bottom.
14
Make sure to review all the information you have provided for accuracy and completeness before submitting the form.
Who needs va form 10091?
01
VA Form 10091 is needed by veterans or their authorized representatives who are applying for or requesting a VA identification card.
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