Get VA 10-9009a 1995
Uty. 17. ENTER THE DATES OF THE LAST TWO PERIODS OF SERVICE (If deferent from above) A. LAST PERIOD VA Form JUL 1995 F R O M MO(167-168) 10-9009a(RS) MO(171-172) YR (169-170) T O YR (173-174) B. NEXT TO LAST PERIOD F R O M MO(175-176) MO(179-180) YR (177-178) YR(181-182) T O JetForm NAME: SSN: 18. VETERANS EXPOSURE TO ENVIRONMENTAL FACTORS (ENTER APPROPRIATE CODES) 18A. ARE YOU CURRENTLY SMOKING CIGARETTES? ENTER ONE OF THE FOLLOWING CODES IN BLOCK 183. IF NO, GO TO ITEM 18D. (.
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