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Get Va 21-0819 2018-2025
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How to fill out the VA 21-0819 online
The VA 21-0819 form is essential for service members being referred to the Integrated Disability Evaluation System. This guide will provide clear, step-by-step instructions to help you fill out this form online with ease and confidence.
Follow the steps to accurately complete the VA 21-0819 online.
- Click ‘Get Form’ button to obtain the form and access it in the online editor.
- In Section I, provide the service member's information, including their name, Social Security number, date of birth, and other personal details. Be sure to fill out all fields accurately.
- Continue in Section I by specifying the service member's gender, telephone number, email address (if applicable), current mailing address, military component, duty status, grade, and unit address.
- Move to Section II, and enter the assigned Physical Evaluation Board Liaison Officer's name and contact number. Indicate the date of referral to the Medical Evaluation Board, and the referring military treatment facility.
- List any medical conditions being referred by the physician in Section II. Ensure that you provide the complete and correct information, continuing on a new page if you have additional conditions.
- In Section III, confirm that all available military Service Treatment Records for the identified service member have been forwarded to the VA Military Services Coordinator. Either check the box for 'WITHOUT known exception' or 'WITH exception,' and if applicable, provide descriptions of any missing records and actions taken to obtain them.
- Complete Section IV by adding any necessary remarks. Finally, ensure the PEBLO signature and the date are included.
- Once all sections are completed and reviewed for accuracy, save your changes, download a copy for your records, print the form, or share it via the online means provided.
Complete your VA 21-0819 form online today to ensure a thorough and timely submission.
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Currently, the most approved disabilities for VA benefits include hearing loss, tinnitus, and PTSD. These conditions frequently meet the eligibility criteria set by the VA. By submitting a detailed application through the VA 21-0819, you can enhance your claim's chances of approval. Remember to provide as much supporting documentation as possible to facilitate a smoother process.
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