Get the free va form 21 0960g 3

IF YES, ALSO COMPLETE VA FORM 21-0960G-4, INTESTINAL SURGERY ... NO. YES. SECTION II MEDICAL HISTORY. Page 1. 21-0960G-3. VA FORM .... at www.benefits.va.gov/disabilityexams or obtained by calling

How to fill out va form 21 0960g

How to fill out VA Form 21-0960G:

1. Start by downloading the form from the official Department of Veterans Affairs (VA) website or obtaining a physical copy from a VA facility.
2. Begin filling out the form by providing your personal information in Section I. This includes your name, social security number, contact information, and the date you are completing the form.
3. In Section II, you will need to provide specific details about your claim. This includes selecting the applicable medical conditions or disabilities you are seeking compensation for.
4. If you have any private medical treatment records related to the claimed conditions, you need to attach them as evidentiary support. This is mentioned in Section III.
5. If you are submitting the form on behalf of a veteran, such as a spouse or family member, you will need to provide your information as the representative in Section IV.
6. Furthermore, in Section V, you will need to disclose any medical providers or health facilities where you received treatment for the claimed conditions.
7. Section VI asks for additional information related to your current treatment. It includes questions about whether you are currently employed, receiving any other disability benefits, or if you have been treated for your claimed conditions within the past year.
8. If any additional remarks or explanations are necessary, Section VII provides space for that. You can use this section to elaborate on any details that may support your claim or require further explanation.
9. Once you have completed filling out the form, review all the information provided to ensure accuracy and completeness.
10. Finally, sign and date the form in Section VIII to certify your submission.

Who needs VA Form 21-0960G:

1. Veterans who are seeking disability compensation for a specific medical condition or disability recognized by the VA may need to fill out VA Form 21-0960G.
2. This form is typically used for claiming disability benefits related to general medical conditions, such as headaches, mental health disorders, hearing loss, or respiratory conditions.
3. The form is specifically designed for veterans who are applying for disability compensation and want to provide the necessary information to support their claim before the VA.

Note: It is crucial to consult with a VA representative, such as a Veterans Service Officer (VSO), or seek legal assistance when filling out any VA forms to ensure accuracy and proper submission.

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