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  • Va Form 21-0960d-1 (3-11) - Veterans Benefits Administration - Us ... - Vba Va

Get Va Form 21-0960d-1 (3-11) - Veterans Benefits Administration - Us ... - Vba Va

IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE ANY EXPENSES OR COST INCURRED IN THE PROCESS OF COMPLETING AND/OR SUBMITTING THIS FORM. PLEASE READ THE PRIVACY ACT AND RESPONDENT BURDEN INFORMATION BEFORE COMPLETING FORM. NAME OF PATIENT/VETERAN PATIENT/VETERAN'S SOCIAL SECURITY NUMBER NOTE TO PHYSICIAN - Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionn.

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VA Form 21-0960D-1 (3-11) - Reginfo.gov
NOTE TO PHYSICIAN - Your patient is applying to the U.S. Department of Veterans Affairs...
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Resources and support. Call us. 800-698-2411. Visit a medical center or regional office. Find a VA location.

How does the DBQ compare to a NEXUS letter? As stated above the DBQ is really only a detailed physical exam is does not ask the physician to opine whether the condition is linked to service or not. The nexus letter is specifically focused on any potential linkage to service or secondary to service conditions.

You could fill out and complete a DBQ regardless of the fact that the VA no longer offers the forms. Those who need to submit supporting medical documentation may still technically submit a DBQ, since some veteran-focused legal websites provide archives of these forms.

VA forms are available at .va.gov/vaforms. A separate expedited claims processing program available for current active duty Servicemembers is explained on page 5 under Compensation Claims Submitted Prior to Discharge.

Authorization to Disclose Personal Information to a Third Party. Related to: Burials and memorials, Careers and employment, Disability, Education and training, Health care, Housing assistance, Life insurance, Pension, Records. Form last updated: January 2023.

When to use this form. Use VA Form 21-0966 if you're still gathering information to support your claim, and want to start the filing process. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive.

You can either have a VA clinician fill out your DBQ if you are using a VA doctor – or, if you are being seen by a private provider, then you will have them fill out the DQB and either fax it to your regional office or send it in the mail to the VA.

Per VA's requirements, only a qualified medical professional can assist veterans with completing VA DBQs. Veterans can choose to be seen by either a VA doctor or a private physician to evaluate their disabilities.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232