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EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT …

(Number and street or rural route, P. O. Box, City, State, ZIP Code and Country) 6. SEX 7. TELEPHONE NUMBER (Include Area Code) SECTION II: CLAIM INFORMATION. 10. CLAIMANT'S NAME (First, Middle Initial, Last) (Complete only if you are not the veteran) 11. CLAIMANT'S SOCIAL SECURITY NUMBER 12. RELATIONSHIP OF CLAIMANT TO …

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Transcription of EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT …