Transcription of INTENT TO FILE A CLAIM FOR COMPENSATION …
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Example: bankruptcy
INTENT TO FILE A CLAIM FOR COMPENSATION …
IMPORTANT: VA may not be able to use this form to establish an effective date for benefits if you do not select one or more of the general benefits listed below. No. & Street SECTION III: DECLARATION OF INTENT NOTE: You can either complete the form online or by hand. If completed by hand, print the information requested in ink, neatly and legibly to expedite processing of the TO FILE A CLAIM FOR COMPENSATION AND/OR pension , OR survivors pension AND/OR DIC (This Form Is Used to Notify VA of Your INTENT to File for the General Benefit(s) Checked Below) SECTION I: CLAIMANT/VETERAN IDENTIFICATIONVA FORM AUG 2018 21-09667.
Title: 21-0966 Author: N. Kessinger Subject: INTENT TO FILE A CLAIM FOR COMPENSATION AND/OR PENSION, OR SURVIVORS PENSION AND/OR DIC (This Form Is Used to Notify VA of Your Intent to File for the General Benefit(s) Checked Below)
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