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Get VA 10-8678 2015-2024

example: If you are applying for the 2014 benefit, this application should be received on or before August 1, 2014. 1. LAST NAME, FIRST NAME, MIDDLE NAME OF VETERAN 2. VETERAN'S SSN 3. MAILING ADDRESS OF VETERAN (No. and Street or Rural Route, City or P.O., State and Zip Code) If new address check box. 4. VETERAN'S DAYTIME TELEPHONE NUMBER (include area code) 4a. EVENING TELEPHONE NUMBER (include area code) 4b. VETERAN'S EMAIL ADDRESS 5. CALENDAR YEAR FOR APPLICATION CERTIFICATION: I her.

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