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To find a form, enter the form number (example: 12-1234 or 1234) or a word from the form's title or subject.
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Number Title Issue Date Revision Date # Pages
20-572 Request for Change of Address/Cancellation of Direct Deposit (Fillable) 06/04/2010 03/1996 1
20-8206 VA Statement of Assurance of Compliance with Equal Opportunity Laws 05/24/2006 05/2006 1
20-8800 Request for VA Forms and Publications (Fillable) 06/04/2010 01/2001 1
21-0304 Bene for Certain Children with Disab Born of Viet & Certain Korea Serv Vets (F) 06/04/2010 09/2006 3
21-0307 Award Attachment for Certain Children with Disabilities Born of Vietnam Veterans 02/25/2002 03/2004 2
21-0506 Due Process Rights (No Fill-in) 01/11/2013 04/2012 1
21-0510 Eligibility Verification Report Instructions (No Fill-in) 06/11/2010 05/2010 6
21-0512s-1 Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) (Fillable) 05/23/2011 06/2004 2
21-0512V-1 Old Law and Section 306 Eligibility Verification Report (Veteran) (Fillable) 06/04/2010 06/2004 2
21-0513-1 Old Law and Section 306 Eligibility Verification Report (Children Only) (Fillable) 02/22/2012 06/2004 2
21-0514-1 DIC Parent's Eligibility Verification Report (Fillable) 03/12/2012 02/2012 2
21-0516-1 Improved Pension Eligibility Verification Report (Veteran With No Children)(Fillable) 03/12/2012 02/2012 2
21-0517-1 Improved Pension Eligibility Verification Report (Veteran With Children) (Fillable) 03/12/2012 02/2012 2
21-0518-1 Improved Pension Eligibility Verification Report (Surviving Spouse With No Children) (Fillable) 03/12/2012 02/2012 2
21-0519s-1 Improved Pension Eligibility Verification Report (Surviving Spouse With Children) (Fillable) 03/12/2012 02/2012 2
21-0571 Application For Exclusion Of Children's Income (Fillable) 11/17/2011 06/2011 2
21-0760 VA Benefits in Brief (No Fill-in) 06/01/2010 08/2009 2
21-0779 Req. for Nursing Home Info. in Connect. with Claim for Aid and Attendance (Fill) 06/04/2010 03/2010 1
21-0781 Statement in Support of Claim for Service Connection for PTSD (Fillable) 01/08/2014 1/2014 2
21-0781a Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault (Fillable) 01/08/2014 1/2014 3
21-0784 Supplemental Income Questionnaire (For Philippine Claims Only) 11/16/2005 06/2005 2
21-0788 Information Regarding Apportionment of Beneficiary's Award (Fillable) 06/20/2010 06/2014 2
21-0790 Your Rights to Representation and a Hearing (Possible Overpayment) (No Fill-in) 06/07/2010 02/2005 2
21-0819 VA/DOD Joint Disability Evaluation Board Claim (Fillable) 06/07/2010 10/2009 2
21-0845 Authorization To Disclose Personal Information To a Third Party (Fillable) 06/07/2010 05/2010 2
21-0847 Request for Substitution of Claimant upon Death of Claimant (Fillable) 06/07/2010 06/2009 2
21-0958 Notice of Disagreement (Fillable) 08/19/2013 02/2013 4
21-0960A-1 Ischemic Heart Disease (IHD) Disability Benefits Questionnaire (Fillable) 05/05/2014 01/2014 2
21-0960A-2 Artery and Vein Conditions (Vascular Diseases Including Varicose Veins) Disability Benefits Questionnaire (Fillable) 09/11/2013 10/2012 5
21-0960A-3 Hypertension Disability Benefits Questionnaire (Fillable) 09/11/2013 10/2012 2
21-0960A-4 Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 7
21-0960B-1 Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire (Fillable) 05/05/2014 01/2014 2
21-0960B-2 Hematologic and Lymphatic Conditions, Including Leukemia Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 4
21-0960C-1 Parkinson's Disease Disability Benefits Questionnaire (Fillable) 05/05/2014 01/2014 2
21-0960C-10 Peripheral Nerves Conditions (Not Including Diabetic Sensory-Motor Peripheral Neuropathy) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 8
21-0960C-11 Seizure Disorders (Epilepsy) Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 4
21-0960C-2 Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 7
21-0960C-3 Cranial Nerve Conditions Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 5
21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 5
21-0960C-5 Central Nervous System and Neuromuscular Diseases (Except Trau. Brain Injury, etc.) Disability Benefits Questionnaire (Fillable) 05/12/2013 10/2012 9
21-0960C-6 Narcolepsy Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 2
21-0960C-7 Fibromyalgia Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 3
21-0960C-8 Headaches (Including Migraine Headaches) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 3
21-0960C-9 Multiple Sclerosis (MS) Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 9
21-0960D-1 Oral and Dental Conditions Including Mouth, Lips and Tongue (Other Than Temporomandibular Joint Conditions) Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 5
21-0960E-1 Diabetes Mellitus Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 3
21-0960E-2 Endocrine Diseases (Other than Thyroid, Parathyroid or Diabetes Mellitus) Disability Benefits Questionnaire (Fillable) 12/23/2013 10/2012 4
21-0960E-3 Thyroid and Parathyroid Conditions Disability Benefits Questionnaire (Fillable) 05/07/2013 10/2012 6
21-0960F-1 Scars/Disfigurement Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 7
21-0960F-2 Skin Diseases Disability Benefits Questionnaire (Fillable) 05/02/2013 10/2012 5
 
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