Get the free VA Form 21-0960C-11 - benefits va
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SEIZURE DISORDERS (EPILEPSY) DISABILITY BENEFITS QUESTIONNAIRE NAME OF PATIENT/VETERANPATIENT/VETERAN\'S SOCIAL SECURITY NUMBERIMPORTANT THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE
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How to fill out va form 21-0960c-11
How to fill out va form 21-0960c-11
01
Download VA Form 21-0960C-11 from the VA website or pick up a copy from a VA office.
02
Fill in personal information such as name, address, social security number, and contact information.
03
Provide detailed information about your medical condition or disability being claimed.
04
Attach any supporting documents such as medical records, test results, and statements from healthcare providers.
05
Review the completed form for accuracy and completeness before submitting it to the VA.
Who needs va form 21-0960c-11?
01
Veterans who are looking to claim disability benefits for a service-related medical condition or injury.
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