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Get Cardholder Setup Department Of Veterans Affairs Form

FORMATION (To be completed by applicant) Applicant Name: (max. 21 char.) Social Security Number: (9-digits no spaces or dashes) Date of Birth: (mm / dd / yyyy) Dept./Office/Agency Name: (max. 21 char.) Step 2: CHOOSE CARD DELIVERY ADDRESS (To be completed by applicant) Home -OR- Alternate Address Complete ONLY if Alternate Address was chosen Alternate.

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