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3. DESCRIBE THE HISTORY (including onset and course) OF THE ... VA FORM. OCT 2012. 21-0960I-3. 1A. DOES THE VETERAN NOW HAVE OR HAS HE .... at www.benefits.va.gov/disabilityexams or obtained by calling
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How to fill out VA Form 21-0960I-3?

01
Start by downloading the VA Form 21-0960I-3 from the official Department of Veterans Affairs (VA) website or obtain a copy from your designated VA representative.
02
Review the instructions provided on the form and make sure you understand what information is required.
03
Enter your personal details accurately in the designated fields, such as your full name, social security number, and contact information.
04
Identify the claimant's name, if different from your own, and provide their contact information if applicable.
05
Indicate the claimed condition for which you are seeking disability benefits. This could include physical or mental health conditions.
06
Provide detailed information about the claimed condition, including the dates of diagnosis, treatment, and any relevant medical documentation.
07
If you are seeking benefits for more than one condition, ensure that each condition is clearly identified and described accurately.
08
Fill in any additional sections or questions that pertain specifically to your claimed condition. This may involve descriptions of symptoms, limitations, or other relevant details.
09
If you have received any previous VA or military service-related examinations or opinions, make sure to include them as requested on the form.
10
Double-check your completed form for any errors or missing information. It's essential to be as thorough and accurate as possible to prevent unnecessary delays in processing your claim.
11
Sign and date the form, certifying that the information provided is accurate and complete to the best of your knowledge.

Who needs VA Form 21-0960I-3?

01
Veterans who are seeking disability benefits for a claimed condition.
02
Service members who are transitioning out of the military and wish to file a disability claim.
03
Individuals who have previously filed a VA disability claim but need to provide updated information or request a reevaluation of their condition.
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VA Form 21-0960I-3 is a form used for reporting the employment of disabled veterans by Federal contractors.
Federal contractors who employ disabled veterans are required to file VA Form 21-0960I-3.
VA Form 21-0960I-3 can be filled out online or manually, following the instructions provided on the form.
The purpose of VA Form 21-0960I-3 is to collect information on the employment of disabled veterans by Federal contractors to ensure compliance with regulations.
VA Form 21-0960I-3 requires information such as the name of the disabled veteran employee, their disability rating, job title, and employment dates.
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