Get the free 23-0984: G.W. and DEPARTMENT OF VETERANS ...
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United States Department of Labor
Employees Compensation Appeals Board
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))
and)
)
DEPARTMENT OF VETERANS AFFAIRS,)
FAYETTEVILLE VA MEDICAL CENTER,)
Fayetteville, NC, Employer)
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G.W., AppellantAppearances:
Appellant,
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How to fill out 23-0984 gw and department
How to fill out 23-0984 gw and department
01
Fill in the applicant's name, address, and Social Security number in Section A.
02
Indicate the type of benefit requested in Section B.
03
Provide information on the applicant's previous employment history in Section C.
04
Complete Section D with details about the current medical condition and treatment.
05
Sign and date the form in Section E, and have a representative of the department review and sign in Section F.
Who needs 23-0984 gw and department?
01
Veterans or their dependents who are applying for benefits from the department.
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