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  • Expiration Date: 01/31/2026

Get Expiration Date: 01/31/2026

Is completed fully as required by law (38 C.F.R. 3.810). Responses you submit are considered confidential (38 U.S.C. 5701). They may be disclosed outside VA only if the disclosure is authorized under the Privacy Act, including the routine uses identified in the VA system of records, 24VA136 Patient Medical Record - VA , published in the Federal Register. Information submitted is subject to verification through computer matching programs with other agencies. RESPONDENT BURDEN: VA may not co.

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How to fill out the Expiration Date: 01/31/2026 online

Filling out the application for the annual clothing allowance online can be an efficient way to ensure you receive the benefits for which you are eligible. This guide provides clear, step-by-step instructions to help you complete the necessary form accurately and efficiently.

Follow the steps to fill out the form correctly.

  1. Click the ‘Get Form’ button to access the application and open it in your online editor.
  2. Begin filling out the form by entering your last name, first name, and middle name in the designated fields to identify yourself as the veteran.
  3. Provide your Social Security Number (SSN) in the appropriate field; this is crucial for verifying your identity.
  4. Fill in your complete mailing address, including number and street or rural route, city or P.O. box, state, and zip code. If you have recently changed your address, ensure you check the box indicating your address has changed.
  5. Enter your daytime telephone number, including the area code, to facilitate communication regarding your application.
  6. If applicable, include your evening telephone number in the specified field for further contact information.
  7. Provide your email address to ensure a fast and reliable communication channel.
  8. Indicate the calendar year for which you are applying for the annual clothing allowance in the designated section.
  9. Read and understand the certification statement. Confirm that you regularly wear or use the prosthetic or orthopedic appliance(s) or skin medication(s) due to your service-connected disability by checking the certification box.
  10. Sign the form in ink in the space provided to authenticate your application.
  11. In section 7, specify the type of appliance or name of skin medication you are using, providing accurate descriptions.
  12. List the service-connected disability or disabilities that require the use of the appliance(s) or skin medication(s) in section 8.
  13. Fill in the month and year when the appliance or skin medication was issued in section 9.
  14. Provide the name and location of the VA facility that issued the appliance or skin medication in section 10.
  15. Identify the impacted location(s) on your body due to the use of the appliance(s) or skin medication(s) in section 11.
  16. Once you have completed all sections, review your information for accuracy. You can save your changes, download, print, or share the form as necessary.

Complete your application for the annual clothing allowance online today to ensure you receive the benefits you're entitled to.

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