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OMB Approved No. 29000695 Respondent Burden: 15 Minutes Expiration Date: 3/31/2018APPLICATION FOR REIMBURSEMENT OF LICENSING OR CERTIFICATION TEST FEES IMPORTANT: Complete this application to apply
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To fill out VA 22-0803 form versions, follow these steps:
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Start by entering your personal information such as your name, address, and contact details.
03
Provide your social security number and date of birth.
04
Indicate whether you are applying for original or amended benefits.
05
Specify the type of benefit you are seeking, such as Pension or Dependency and Indemnity Compensation.
06
Fill out the section regarding your military service, including branch, rank, and dates of service.
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Provide information about your spouse and any children you may have.
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If applicable, include details about any previous VA claims or appeals you have made.
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Attach any supporting documents required for your benefit claim.
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Review the completed form for accuracy and sign and date it.
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Submit the form to the appropriate VA office or online portal.

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The VA 22-0803 form is a release of medical records request form used by the Department of Veterans Affairs.
Veterans or their authorized representatives are typically required to file VA 22-0803 form versions in order to request their medical records.
To fill out the VA 22-0803 form, you will need to provide your personal information, specify the dates of the medical records you are requesting, and sign the form.
The purpose of the VA 22-0803 form is to allow veterans to request copies of their medical records from the Department of Veterans Affairs.
Information such as the veteran's name, date of birth, social security number, contact information, and specific dates of the medical records being requested must be reported on the VA 22-0803 form.
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