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REQUEST FOR DETAILS OF EXPENSES

REQUEST FOR DETAILS OF EXPENSESINSTRUCTIONS - We need additional information to determine whether you are entitled to benefits. Please complete all items. If an answer is "none" or "0" write that. For additional space, use Item 20, "Remarks," or attach a separate sheet indicating the item number to which the answers apply. If you have any questions or need assistance, please call 1-800-827-1000 (Hearing Impaired TDD line 711).VA FORM JAN 202021P-8049 SUPERSEDES VA FORM 21-8049, SEP 2016, WHICH WILL NOT BE Approved No. 2900-0138 Respondent Burden: 15 minutes Expiration Date: 01/31/202311. PREFERRED E-MAIL ADDRESS (Optional)1. VETERAN'S NAME (Last, first, middle)2. VETERAN'S SOCIAL SECURITY NUMBER (SSN) 4.

section iv - hospital and medical expenses. 8. do you expect to make provisions for your children's educational needs, including advanced technical or college education?

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