Va Form 21 0966 Pdf. Department of veterans affairs claims intake center po box 4444 janesville,. Web search for va forms by keyword, form name, or form number.
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Claimant's social security number omb control no. Web (this form is used to notify va of your intent to file for the general benefit(s) checked below) section i: Over the phone or in person: Claimant's social security number omb control no. Over the phone or in person. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. Veteran's date of birth (mm,dd,yyyy) male 2. Web search for va forms by keyword, form name, or form number. Quickly access top tasks for frequently downloaded va forms. Choose the correct version of the editable pdf form from the list and get started filling it out. Department of veterans affairs claims intake center po box 4444 janesville,.