Get the free va form 21 0960l 2

VA FORM. OCT 2012. 21-0960I-2. HIV RELATED ILLNESSES DISABILITY .... pulmonary hypertension (If checked, ALSO complete VA Form 21-0960L-1, .... at www.benefits.va.gov/disabilityexams or obtained by

How to fill out va form 21 0960l

How to fill out VA Form 21-0960L:

1. Start by accessing the form from the official Department of Veterans Affairs website or by requesting a physical copy from your nearest VA facility.
2. Ensure you have all the necessary information and documentation before beginning the form, including your personal and contact details, military service history, and any relevant medical records or supporting documents.
3. Read through the instructions and the form itself carefully. Familiarize yourself with the sections and requirements.
4. Begin by providing your personal information, including your full name, Social Security number, date of birth, and contact details.
5. Proceed to section I, where you will provide information about the specific condition you are claiming benefits for. Describe the condition and its symptoms in detail, and provide any relevant medical evidence or reports.
6. In section II, provide a complete medical history related to the condition you are claiming benefits for. Include information about any treatments, medications, surgeries, hospitalizations, or other relevant medical interventions.
7. Section III is for documenting any changes in your daily activities, such as work, hobbies, or household tasks, due to the condition you are claiming benefits for. Be thorough and honest in your responses. You may attach additional sheets if needed.
8. If you have any related secondary conditions, list them in section IV. Include a description, symptoms, and any supporting medical evidence.
9. In section V, you will disclose any relevant financial information, such as your employment status, income, and expenses. This information helps determine your eligibility for certain benefits.
10. If applicable, provide the names and contact information of any healthcare providers who have treated you for the claimed condition in section VI.
11. Finally, carefully review your completed form for accuracy and completeness. Make sure to sign and date it before submitting it to the appropriate VA office as instructed in the instructions.

Who needs VA Form 21-0960L:

1. Veterans who have a medical condition that they believe is connected to their military service and want to claim disability benefits from the Department of Veterans Affairs may need to fill out VA Form 21-0960L.
2. This form is particularly relevant for veterans seeking disability compensation for a specific condition under the VA's Schedule of Ratings Disabilities.
3. Additionally, veterans who are already receiving disability compensation for a condition and want to file for an increase in their benefits may also need to complete VA Form 21-0960L.

Note: It is always advisable to consult with a VA representative or a veterans service organization to ensure accurate and complete completion of the VA Form 21-0960L.

For pdfFiller’s FAQs

What is va form 21 0960l?

VA Form 21-0960L is the Disability Benefits Questionnaire for Less Common Applications form.

Who is required to file va form 21 0960l?

Veterans who are applying for disability benefits and have a less common medical condition are required to file VA Form 21-0960L.

How to fill out va form 21 0960l?

VA Form 21-0960L should be filled out accurately and completely, providing detailed information about the less common medical condition and how it affects the veteran.

What is the purpose of va form 21 0960l?

The purpose of VA Form 21-0960L is to gather medical information about less common medical conditions in order to assess the veteran's eligibility for disability benefits.

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

VA Form 21-0960L requires information about the less common medical condition, symptoms, treatments, and how it impacts the veteran's daily life.

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