Get the free VA Form 21-0960A-3 HYPERTENSION DISABILITY BENEFITS QUESTIONNAIRE
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OMB Approved No. 29000776 Respondent Burden: 15 Minutes Expiration Date: 03/31/2021HYPERTENSION DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR
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How to fill out va form 21-0960a-3 hypertension
How to fill out va form 21-0960a-3 hypertension
01
To fill out VA Form 21-0960A-3 Hypertension, follow these steps:
02
Provide your personal information, including your name, address, contact information, and Social Security number.
03
Indicate your VA file number, if applicable.
04
Provide details about your hypertension condition, including the date of onset, symptoms experienced, and any treatment received.
05
Include information about any related medical conditions or complications.
06
Answer the questions regarding your ability to work and perform daily activities.
07
Sign and date the form.
08
Submit the completed form to the appropriate VA office or online portal.
Who needs va form 21-0960a-3 hypertension?
01
VA Form 21-0960A-3 Hypertension is needed by veterans or service members who are seeking disability benefits for hypertension-related conditions.
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