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98 Selected / 554 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) 11/3/2017 11/2017 2
21P-10199
(PDF)
Legal Summary - Survivors Pension, Dependency and Indemnity Compensation, and Accrued Benefits 5/31/2019 03/2019 3
21P-10196
(PDF)
Legal Summary - Burial Benefits, Plot and Internment Allowances, and Transportation Benefits 5/31/2019 03/2019 1
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 08/2017 4
10-0998
(PDF)
Your Rights To Seek Further Review Of Our HealthCare Benefits Decision 3/13/2019 2
21-0960A-1
(PDF)
Ischemic Heart Disease (IHD) Disability Benefits Questionnaire (Fillable) 8/9/2017 06/2017 2
21-0960B-1
(PDF)
Hairy Cell and Other B-Cell Leukemias Disability Benefits Questionnaire (Fillable) 8/9/2017 06/2017 2
21-0960C-1
(PDF)
Parkinson's Disease Disability Benefits Questionnaire (Fillable) 8/9/2017 06/2017 2
21-0960A-4
(PDF)
Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire (Fillable) 3/29/2018 3/2018 7
21-0960G-8
(PDF)
Infectious Intestinal Disorders, Including Bacterial and Parasitic Infections Disability Benefits Questionnaire (Fillable) 11/22/2016 11/2016 3
21-0960J-2
(PDF)
Male Reproductive Organ Conditions Disability Benefits Questionnaire (Fillable) 5/16/2018 05/2018 6
21-0960J-3
(PDF)
Prostate Cancer Disability Benefits Questionnaire (Fillable) 5/16/2018 05/2018 3
21-0960M-9
(PDF)
Knee and Lower Leg Conditions Disability Benefits Questionnaire (Fillable) 6/28/2017 06/2017 10
21-0960N-2
(PDF)
Eye Conditions Disability Benefits Questionnaire (Fillable) 4/3/2018 03/2018 10
21-0960P-2
(PDF)
Mental Disorders (Other Than PTSD and Eating Disorders) Disability Benefits Questionnaire (Fillable) 5/16/2018 05/2018 5
21-0960A-3
(PDF)
Hypertension Disability Benefits Questionnaire (Fillable) 3/29/2018 3/2018 2
21-0960B-2
(PDF)
Hematologic and Lymphatic Conditions, Including Leukemia Disability Benefits Questionnaire (Fillable) 5/16/2018 05/2018 4
21-0960C-9
(PDF)
Multiple Sclerosis (MS) Disability Benefits Questionnaire (Fillable) 11/22/2016 11/2016 9
21-0960E-1
(PDF)
Diabetes Mellitus Disability Benefits Questionnaire (Fillable) 4/3/2018 03/2018 3
21-0960G-1
(PDF)
Esophageal Conditions (Including gastroesophageal reflux disease (GERD), hiatal hernia and other esophageal disorders) Disability Benefits Questionnaire (Fillable) 11/22/2016 11/2016 4
21-0960G-2
(PDF)
Gallbladder and Pancreas Conditions Disability Benefits Questionnaire (Fillable) 11/22/2016 11/2016 4
21-0960K-2
(PDF)
Gynecological Conditions Disability Benefits Questionnaire (Fillable) 11/22/2016 11/2016 6
21P-10195
(PDF)
Legal Summary - Accrued Benefits 5/31/2019 03/2019 1
 
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