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Office.) 999-99-9999 The Physical Disability Board of Review SAF/MRBR 550 C Street West, Suite 41 Randolph AFB, TX 78150-4743 The PDBR 1. All VA medical records between (date of your first VA exam) and (the date exactly 1 year from your date of separation) that provide evidence of the (list conditions the PDBR will be reviewing). 2. My original VA Rating Decision dated (include the exact date of your first ever VA Rating Decision) 3. (Here, list all other later VA Rating Decisions that are.

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