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Get VA 21-22a 2015

T'S REPRESENTATIVE 7B. INDIVIDUAL IS (check appropriate box) ATTORNEY AGENT INDIVIDUAL PROVIDING REPRESENTATION UNDER SECTION 14.630 (*See required statement below. Signatures are required in Items 7C and 7D) SERVICE ORGANIZATION REPRESENTATIVE (Specify organization below) *INDIVIDUALS PROVIDING REPRESENTATION UNDER SECTION 14.630 (Skip to Item 8, if the box for "Individual Providing Representation Under Section 14.630" was not checked in Item 7B) The appointment of the individual named i.

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