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95 Selected / 530 In Database Search Again
Number (type) Title Issue Date Revision Date # Pages
10-493b
(PDF)
CHAMPVA Benefits Election Affirmation 6/1/2016 01/2016 1
21-0760
(PDF)
VA Benefits in Brief (No Fill-in) 3/24/2016 08/2009 2
SF2810

Notice of Change in Health Benefits Enrollment 10/17/2014 06/1995 7
10-10EZ (pdf)
(PDF)
Instructions For Completing Enrollment Application For Health Benefits 7/10/2016 03/2015 4
21-0960A-1
(PDF)
Ischemic Heart Disease (IHD) Disability Benefits Questionnaire (Fillable) 5/5/2014 01/2014 2
21-0960B-1
(PDF)
Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire (Fillable) 1/23/2015 01/2014 2
21-0960C-1
(PDF)
Parkinson's Disease Disability Benefits Questionnaire (Fillable) 1/9/2015 01/2014 2
21-0960A-4
(PDF)
Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire (Fillable) 7/18/2016 12/2014 7
21-0960G-8
(PDF)
Infectious Intestinal Disorders, Including Bacterial and Parasitic Infections Disability Benefits Questionnaire (Fillable) 9/2/2015 10/2012 3
21-0960J-2
(PDF)
Male Reproductive Organ Conditions Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 6
21-0960J-3
(PDF)
Prostate Cancer Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 3
21-0960M-9
(PDF)
Knee and Lower Leg Conditions Disability Benefits Questionnaire (Fillable) 5/7/2014 05/2013 10
21-0960N-2
(PDF)
Eye Conditions Disability Benefits Questionnaire (Fillable) 7/19/2016 12/2014 10
21-0960P-2
(PDF)
Mental Disorders (Other Than PTSD and Eating Disorders) Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 5
21-0960A-3
(PDF)
Hypertension Disability Benefits Questionnaire (Fillable) 7/12/2016 12/2014 2
21-0960B-2
(PDF)
Hematologic and Lymphatic Conditions, Including Leukemia Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 4
21-0960C-9
(PDF)
Multiple Sclerosis (MS) Disability Benefits Questionnaire (Fillable) 9/2/2015 10/2012 9
21-0960E-1
(PDF)
Diabetes Mellitus Disability Benefits Questionnaire (Fillable) 7/13/2016 12/2014 3
21-0960G-1
(PDF)
Esophageal Conditions (Including gastroesophageal reflux disease (GERD), hiatal hernia and other esophageal disorders) Disability Benefits Questionnaire (Fillable) 5/2/2013 10/2012 4
21-0960G-2
(PDF)
Gallbladder and Pancreas Conditions Disability Benefits Questionnaire (Fillable) 8/7/2015 10/2012 4
21-0960K-2
(PDF)
Gynecological Conditions Disability Benefits Questionnaire (Fillable) 8/7/2015 10/2012 6
21-0960C-4
(PDF)
Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire (Fillable) 7/14/2016 12/2014 5
21-0960C-10
(PDF)
Peripheral Nerves Conditions (Not Including Diabetic Sensory - Motor Peripheral Neuropathy) Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 8
21-0960J-1
(PDF)
Kidney Conditions (Nephrology) Disability Benefits Questionnaire (Fillable) 8/24/2016 02/2015 5
21-0960C-8
(PDF)
Headaches (Including Migraine Headaches) Disability Benefits Questionnaire (Fillable) 8/5/2015 10/2012 3
 
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