Transcription of APPEAL TO BOARD OF VETERANS’ APPEALS
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APPEAL TO BOARD OF VETERANS’ APPEALS
APPEAL TO BOARD OF veterans APPEALSForm Approved: OMB No. 2900-0085 Respondent Burden: 1 in filling out this (LastName,FirstName,MiddleInitial) (Includeprefix)3. INSURANCE FILE NO., OR LOAN I AM THE:VETERANOTHER(Specify)VETERAN S WIDOW/ERVETERAN S CHILDVETERAN S PARENT6. MY ADDRESS IS:(Number&StreetorPostOfficeBox,City,St ate&ZIPCode) (IncludeAreaCode) (IncludeAreaCode)7. IF I AM NOT THE VETERAN, MY NAME IS:(LastName,FirstName,MiddleInitial)8. APPEALS hearing. DO NOT USE THIS FORM TO REQUEST A HEARING BEFORE A VA REGIONAL OFFICE HEARING one (and only one) of the following boxes:I DO NOT WANT A BVA WANT A BVA HEARING IN WASHINGTON, WANT A BVA HEARING AT A LOCAL VA OFFICE BEFORE A MEMBER, OR MEMBERS, OF THE BVA.
Check the second check box in block 9 if you only want to continue your appeal on some of the issues listed on the SOC and any SSOC you received.
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