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R 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 questionnaire as part of their evaluation in processing the veteran's claim. NOTE: If the following ar.

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Generally, you must have 90 days or 24 months of active service (depending on when you served) to qualify. *You are also eligible if you previously completed 24 continuous months of active service prior to the date above, or received an early discharge under Section 1171 of Title 10.

To restart your previous compensation benefits, submit a request in writing to VA stating your release date from active duty. VA Form 21-4138, Statement in Support of Claim, can be used for this purpose.

However, federal law prohibits members from receiving military compensation and VA disability compensation for the same day of service. So, while you won't have to waive your actual VA disability rating, you would need to suspend your VA disability compensation payments until after your active-duty service ends.

If you are currently receiving VA benefits, submit a request to VA in writing to stop benefits for the period you will be on military orders. You are not eligible to receive compensation benefits and military pay simultaneously. An overpayment could result if benefits are not stopped in a timely manner.

Effect of Return to Active Duty on VA Benefits. Reentry into active duty generally does not affect a Veteran's potential entitlement to Department of Veterans Affairs (VA) benefits. However, a Veteran who is on active duty cannot receive both active service pay and VA compensation for the same period.

However, a Veteran may, on his/her own initiative, notify VA of his/her receipt (or anticipated receipt) of drill pay, and whether he/she chooses to waive VA benefits or drill pay, by completing and submitting VA Form 21-8951-2, Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances.

A request to withdraw a claim is valid only if VA receives it before issuing a decision notice regarding the same claim. If VA receives a request for withdrawal of a claim after issuing a decision notice, the claimant must either accept or renounce the benefits payable to him/her as a result of VA's decision.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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