Get VA 21-4502 2018
DER 38 U.S.C. 3901-3904) IMPORTANT: Read the "Information and Instructions" on Page 3 before completing this form. Also, read the Privacy Act and Respondent Burden information below before completing the form. SECTION I - VETERAN/SERVICEMEMBER IDENTIFICATION INFORMATION NOTE: You can either complete the form online or by hand. If completed by hand, print the information requested in ink, neatly, and legibly to help expedite processing of the form. 1. VETERAN/SERVICEMEMBER'S NAME (First, Middle I.
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