Get VA 21-8049 2007
O be false. I CERTIFY THAT the foregoing statement(s) are true and correct to the best of my knowledge and belief. 13. SIGNATURE OF CLAIMANT (Do not print, sign in ink) 15. TELEPHONE NUMBER(S) (Include Area Code) 14. DATE A. DAYTIME B. EVENING Privacy Act Information: The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., civil or crimina.
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