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United States Department of Labor Employees Compensation Appeals Board R.E., Appellant and U.S. POSTAL SERVICE, POST OFFICE, Casper, WY, Employer))))))))Appearances: David G. Miller, for the appellant1
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How to fill out 21-0172 re and us

01
Download form 21-0172 from the official VA website.
02
Read the instructions carefully to understand the requirements and eligibility criteria.
03
Fill out the personal information section accurately, providing your name, contact information, and social security number.
04
Provide details about your military service, including dates of service, branch of service, and rank or grade.
05
Describe the disability or condition for which you are seeking benefits, providing specific information about when and how it occurred.
06
Complete the medical history section, providing details about any past or current medical treatments, diagnoses, prescriptions, or hospitalizations.
07
Attach any relevant medical records or supporting documents that can help substantiate your claim.
08
Sign and date the form to certify the accuracy of the information provided.
09
Review the completed form to ensure all sections are filled out correctly and legibly.
10
Submit the form by mail or online, following the instructions provided on the VA website.

Who needs 21-0172 re and us?

01
Veterans who are seeking disability benefits from the Department of Veterans Affairs (VA) need to fill out form 21-0172 RE and US. This form is specifically for veterans who want to claim disability compensation or pension benefits. It is required to provide detailed information about your military service, disability or condition, and medical history to support your claim. Anyone who meets the eligibility criteria and believes they have a service-connected disability can use this form to apply for benefits.
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Form 21-0172 is a document used by the U.S. Department of Veterans Affairs for specific reporting and informational purposes related to veterans' benefits and claims.
Veterans, their dependents, and certain institutions or organizations involved in handling veterans' benefits may be required to file Form 21-0172.
To fill out Form 21-0172, individuals must provide accurate personal information, details about the benefits or claims being reported, and any required documentation or supporting evidence.
The purpose of Form 21-0172 is to gather necessary information regarding veterans' benefits claims to ensure proper processing and eligibility determinations.
The form requires reporting personal identification details, information about the benefit or claim in question, and any relevant circumstances affecting eligibility or benefits.
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