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United States Department of Labor Employees Compensation Appeals Board ___ ) J.A., Appellant ) ) and ) ) DEPARTMENT OF VETERANS AFFAIRS, ) JOHN. J. PERSHING VA MEDICAL CENTER, ) Poplar Bluff, MO,
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Gather necessary personal information, including your VA claim file number, if applicable.
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Send the completed form and attachments to the appropriate address specified by the VA.

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Veterans who have received unfavorable decisions regarding their benefits, claims, or services from the VA.
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The VA Board of Veterans Appeals (BVA) is a part of the U.S. Department of Veterans Affairs that conducts hearings and makes decisions on appeals made by veterans regarding their benefits claims.
Veterans who disagree with a decision made by a regional office of the Department of Veterans Affairs regarding their benefits are required to file an appeal with the VA Board of Veterans Appeals.
To fill out an appeal to the VA Board of Veterans Appeals, a veteran must complete the Notice of Disagreement (NOD) form and submit it along with any supporting documents, ensuring all required information is included.
The purpose of the VA Board of Veterans Appeals is to review and decide appeals made by veterans concerning benefits claims, ensuring that veterans receive fair assessments of their claims.
Information that must be reported includes the veteran's personal details, the specific decision being appealed, reasons for disagreement, and any evidence supporting the appeal.
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