Get 10 U.s. Code1413a - Combat-related Special Compensation U.s....

Filling out the 10 U.S. Code 1413a form online is a straightforward process that helps you apply for combat-related special compensation. This guide provides a step-by-step approach to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Designate the applicable Physical Evaluation Board (PEB) and provide the corresponding address in the designated field.
3. Enter the name of the Medical Treatment Facility (MTF) along with the address from where the referral is being sent.
4. Input the date the document is being completed to maintain a clear record of submission.
5. Fill in your full name (last, first, middle) as it appears in official documents.
6. State your rank to ensure proper classification.
7. Provide your Social Security Number (SSN) as required for identification purposes.
8. Include your unit's address to facilitate communication and match records.
9. List your duty phone number with Autovon for quick access.
10. Enter your home address to ensure accurate delivery of correspondence.
11. Provide your residential phone number for contact regarding your application.
12. List any enclosures that accompany the referral by labeling them clearly from (a) to (l).
13. Type the name of the Physical Evaluation Board Liaison Officer (PEBLO) in the appropriate field.
14. Finally, ensure you provide your signature to validate the document.
15. Once all fields are accurately filled, you can save changes, download, print, or share the form as necessary.

Complete your application for combat-related special compensation online today.