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2020 4.8 Satisfied (26 Votes)
2017 4.3 Satisfied (154 Votes)
2010 4.4 Satisfied (93 Votes)
2008 4 Satisfied (56 Votes)
2006 4.3 Satisfied (30 Votes)
2002 4.2 Satisfied (36 Votes)
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Use VA Form 21-4142 to give us permission to obtain your personal information from a non-VA source like a private doctor or hospital. Examples of personal information may include your medical treatment, hospitalizations, psychotherapy, or outpatient care.
VA VERIFICATION FOR TAX ASSESSMENT PURPOSES Effective this tax year, the Federal VA will no longer automatically mail to you VA Form 20-5455, \u201cStatement of Benefit Payment Records,\u201d for submission to your local Tax Assessor for tax abatement credit.
If you're the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, use VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs).
Veterans and Spouses would require assistance in performing their daily activities of living (ADLs), must have their primary care physician complete this form indicating the need for either Aid and Attendance (A&A) or Housebound status.
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