VA Intent to File a Claim for Compensation, Pension, or Survivors
Va Form 21 0966 Pdf. Claimant's social security number omb control no. This form is used to notify va of your intent to file for the general benefit(s).
VA Intent to File a Claim for Compensation, Pension, or Survivors
Claimant's social security number omb control no. For more information, contact us online through ask va:. Web search for va forms by keyword, form name, or form number. Veteran's date of birth (mm,dd,yyyy) male 2. This form is used to notify va of your intent to file for the general benefit(s). Choose the correct version of the editable pdf form from the list and get started filling it out. Web find and fill out the correct va form 21 0966 instructions. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: Department of veterans affairs claims intake center po box 4444 janesville,.
Claimant's social security number omb control no. For more information, contact us online through ask va:. Quickly access top tasks for frequently downloaded va forms. Before completing this form, read the privacy act and respondent burden on page 2. Mail your completed form to this address: Web find and fill out the correct va form 21 0966 instructions. Over the phone or in person: Choose the correct version of the editable pdf form from the list and get started filling it out. Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: This form is used to notify va of your intent to file for the general benefit(s). Veteran's date of birth (mm,dd,yyyy) male 2.