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OMB Approved No. 29000881 Respondent Burden: 10 Minutes Expiration Date: 06/30/2024VA DATE STAMP(DO NOT WRITE IN THIS SPACE)LAY/WITNESS STATEMENT INSTRUCTIONS: Before completing this form, read the

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How to fill out va form 21 10210

01

Ensure you have all necessary information and documentation ready before starting to fill out the form.

02

Acquire a copy of VA form 21-10210 from a VA office or download it from the VA website.

03

Carefully read through the instructions provided on the form to understand the information required in each section.

04

Fill in your personal information accurately, including your name, address, social security number, and contact details.

05

Provide details about your military service, such as branch, dates of service, and rank.

06

Include information about any disabilities or illnesses you are seeking compensation for, along with relevant medical records or supporting documents.

07

Review the filled out form to ensure all sections are completed correctly and legibly.

08

Sign and date the form before submitting it to the VA for processing.

Who needs va form 21 10210?

01

Veterans seeking compensation for service-related disabilities or illnesses.

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What is va form 21 10210?

VA form 21-10210 is a form used by veterans to apply for Dependency and Indemnity Compensation (DIC) benefits.

Who is required to file va form 21 10210?

Veterans who are seeking Dependency and Indemnity Compensation (DIC) benefits are required to file VA form 21-10210.

How to fill out va form 21 10210?

VA form 21-10210 can be filled out online through the VA's website or by contacting the VA directly for a paper form.

What is the purpose of va form 21 10210?

The purpose of VA form 21-10210 is to gather information from veterans seeking Dependency and Indemnity Compensation (DIC) benefits.

What information must be reported on va form 21 10210?

Information such as the veteran's personal details, relationship to the deceased service member, and details of the deceased service member's death must be reported on VA form 21-10210.

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