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Va's form 21 0960a 4 non-ischemic heart disease including Va Form 21 0960a 4 Non-Ischemic Heart Disease Including Page 1va form 21 0960a 4 non-ischemic heart disease including form 21 0960a PDF NOTE:
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VA Form 21-0960A is the Application for Accrued Amounts Due a Deceased Beneficiary form.
Beneficiaries or authorized representatives are required to file VA Form 21-0960A if there are accrued amounts due to a deceased beneficiary.
To fill out VA Form 21-0960A, you must provide personal information, details of the deceased beneficiary, information about the accrued amounts, and any additional documents required by the VA.
The purpose of VA Form 21-0960A is to request payment of any accrued amounts due to a deceased VA beneficiary.
Information such as the deceased beneficiary's name, Social Security number, date of death, information about any dependents, and details of any unpaid benefits must be reported on VA Form 21-0960A.
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