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OMB Approved No. 29000776 Respondent Burden: 30 Minutes Expiration Date: 03/31/2021HEART CONDITIONS (INCLUDING ISCHEMIC AND ISCHEMIC HEART DISEASE, ARRHYTHMIAS, VALVULAR DISEASE AND CARDIAC SURGERY)

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How to fill out va form 21 0960a

01

To fill out VA Form 21-0960A, you can follow the steps below:

02

Start by downloading the form from the official website of the U.S. Department of Veterans Affairs.

03

Read the instructions provided on the form carefully to understand the required information.

04

Begin the form by entering your personal information, including your name, social security number, and contact details.

05

Provide details about the specific disability or medical condition for which you are seeking compensation or benefits.

06

Include any relevant medical history, diagnoses, and treatment you have received for the condition.

07

Describe any limitations or functional impairments caused by the disability or medical condition.

08

If applicable, provide information about any employment or educational limitations resulting from the disability.

09

If you have any supporting documents, such as medical records or doctor's statements, attach them to the form.

10

Double-check all the information you have entered to ensure accuracy and completeness.

11

Sign and date the form.

12

Submit the completed form to the appropriate VA office as instructed on their website or in the form's instructions.

13

It is important to note that these instructions are a general guide, and it is advisable to consult with a VA representative or seek professional assistance if you have any specific questions or concerns about filling out the form.

Who needs va form 21 0960a?

01

VA Form 21-0960A is needed by veterans or service members who are seeking compensation or benefits for a specific disability or medical condition. This form is used to provide detailed information about the condition and its impact on the individual's daily life. It helps the Department of Veterans Affairs in evaluating the claim and determining the appropriate compensation or benefits to be provided. If you are a veteran or service member with a disability or medical condition related to your military service, you may need to fill out VA Form 21-0960A.

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What is va form 21 0960a?

VA Form 21-0960A is the Application for Increased Compensation Based on Unemployability.

Who is required to file va form 21 0960a?

Veterans who are seeking increased compensation based on unemployability are required to file VA Form 21-0960A.

How to fill out va form 21 0960a?

To fill out VA Form 21-0960A, you need to provide your personal information, details about your current employment status, and information about any disabilities that prevent you from working.

What is the purpose of va form 21 0960a?

The purpose of VA Form 21-0960A is to apply for increased compensation based on unemployability for veterans who are unable to work due to service-connected disabilities.

What information must be reported on va form 21 0960a?

Information about the veteran's employment history, current job status, and details of their service-connected disabilities must be reported on VA Form 21-0960A.

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