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United States Department of Labor Employees Compensation Appeals Board ___) )) and) ) U.S. POSTAL SERVICE, POST OFFICE,) Fort Pierce, FL, Employer) ___) HARRIET RICHARDSON, AppellantAppearances: Harriet
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How to fill out 21-0335 cy and us

How to fill out 21-0335 cy and us
01
To fill out form 21-0335 CY and US, follow these steps:
02
Download the form from the official VA website.
03
Provide your personal information such as name, address, and contact details.
04
Fill in the details of the patient for whom you are submitting the claim.
05
Indicate the type of claim being made.
06
Provide the necessary medical information and supporting documents.
07
Sign and date the form.
08
Submit the completed form to the designated VA office or mailing address.
Who needs 21-0335 cy and us?
01
Form 21-0335 CY and US is needed by individuals who are claiming reimbursement for medical expenses incurred for themselves or their eligible dependents under the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) or Under Six Program (US). This form is specifically used by beneficiaries of CHAMPVA or US to request reimbursement for covered medical services.
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