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NOS., (C, XC, SS, XSS, V, K, etc.) ROStationNumbe ClaimPayee r LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN (Type or print) DATE OF CONTACT FullName CurrentDate ADDRESS OF VETERAN TELEPHONE NO. OF VETERAN (Include Area Code) MailingAddress Home: HomePhone Work: WorkPhone TYPE OF CONTACT (Check) PERSON CONTACTED BRIEF STATEMENT OF INFORMATION REQUESTED AND GIVEN DIVISION OR SECTION VR&C DIVISION VA FORM 119 PERSONAL TELEPHONE TELEPHONE NO. OF P.

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As used in regulations on representation of VA claimants: ... (i) Claimant means a person who has filed or has expressed to a representative, agent, or attorney an intention to file a written application for determination of entitlement to benefits provided under title 38, United States Code, and implementing directives.

Full name (last, first, middle) Application for: general practice or specialty. Present address. Phone number. Whether location is a residence or business. Date of birth. Place of birth. Social security number.

Associated Health Education (AHE) includes all health professions with the exception of Medicine, Dentistry, and Nursing.

VA Form 119, Report of Contact is an official document issued by the Department of Veterans Affairs (VA). ... Besides, this document is used to record important facts or information obtained by a VA employee. This information is used to supplement the veteran's record.

A VA Form 21-4138 is commonly used by a veteran to let the VA know important information when they have filed a claim for disability benefits or disability compensation. Some veterans write about all claims that they have pending before the VA on one form.

VA FORM 2237, REQUEST, TURN-IN AND RECEIPT FOR PROPERTY OR SERVICES. Page 1. REQUEST, TURN-IN AND RECEIPT FOR PROPERTY OR SERVICES. TO: Supply Officer. REQUESTING OFFICE.

complete a VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. In order to support a claim for a temporary total disability rating due to surgical or other treatment performed by a VA or other approved.

FEDERAL BENEFITS The VA does not automatically reinstate a veteran's benefits when he or she is released from prison; the veteran must apply to have his or her benefits reinstated. The application must include official documentation of the veteran's release from incarceration.

VA FORM 2237, REQUEST, TURN-IN AND RECEIPT FOR PROPERTY OR SERVICES. Page 1. REQUEST, TURN-IN AND RECEIPT FOR PROPERTY OR SERVICES. TO: Supply Officer. REQUESTING OFFICE.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232