Va Form 21 0966 Pdf

VA Intent to File a Claim for Compensation, Pension, or Survivors

Va Form 21 0966 Pdf. Veteran's date of birth (mm,dd,yyyy) male 2. Web intent to file a claim for compensation and/or pension, or survivors pension and/or dic instructions:

VA Intent to File a Claim for Compensation, Pension, or Survivors
VA Intent to File a Claim for Compensation, Pension, or Survivors

Claimant's social security number omb control no. Over the phone or in person. Department of veterans affairs claims intake center po box 4444 janesville,. For more information, contact us online through ask va:. Before completing this form, read the privacy act and respondent burden on page 2. Quickly access top tasks for frequently downloaded va forms. This form is used to notify va of your intent to file for the general benefit(s). Over the phone or in person: Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: Mail your completed form to this address:

Over the phone or in person: Choose the correct version of the editable pdf form from the list and get started filling it out. Over the phone or in person: Department of veterans affairs claims intake center po box 4444 janesville,. Web search for va forms by keyword, form name, or form number. This form is used to notify va of your intent to file for the general benefit(s). Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. Mail your completed form to this address: For more information, contact us online through ask va:. Quickly access top tasks for frequently downloaded va forms. Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: