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VA OFFICE IDENTIFICATION NOS* C XC SS XSS V K etc* ROStationNumbe ClaimPayee r LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN Type or print DATE OF CONTACT FullName CurrentDate ADDRESS OF VETERAN TELEPHONE NO. OF VETERAN Include Area Code MailingAddress Home HomePhone Work WorkPhone PERSON CONTACTED TYPE OF CONTACT Check ADDRESS OF PERSON CONTACTED Area Code PERSONAL BRIEF STATEMENT OF INFORMATION REQUESTED AND GIVEN DIVISION OR SECTION VR C DIVISION VA FORM 119 EXECUTED BY Signature and titl ...

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a report of contact?

A contact report is a record of a meeting, conversation, and/or correspondence between development staff and a prospect.

What is VA form H623A?

Veterans who have received a Health Eligibility Center Form H623A that states they have been placed in VA health care priority group 8E may bring this form paired with an acceptable credential like a REAL ID-compliant driver's license or a U.S. passport for installation and privilege access.

Where do I send my 21-2680?

21-2680, Examination for Housebound or Permanent Need for Regular Aid and Attendance, to the Pension Management Center (PMC) having jurisdiction over your claim. If you do not know which PMC has jurisdiction over your claim, you may submit your request to the VA Regional Office closest to your current residence.

What is the purpose of VA Form 21 686c?

Use VA Form 21-686c to submit a claim for additional benefits for a dependent, or to request to remove a dependent from your benefits.

What is a VA Form 21?

VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.

report of contact va form

va form 21 0820, report of contact what is va form 119 used for va form 0888 va forms online va form 10-5345 va form 119 change of provider va form 10079 cost comparison worksheet

What is the purpose of the VA Form 119?

Purpose of VA Form 119. have future use to justify or disprove allegations that information given by the VA employee was incorrect, incomplete, or otherwise not in accordance with law, regulations, or procedures.

Why did the VA send me a CD?

A VA claims file often called a C-file, is a collection of records kept by VA in connection to a veteran's disability claim(s). When a veteran first files a claim for benefits, VA will request the veteran's service records and any medical records relevant to the claim.

How do you write a VA Contact Report?

The VA report of contact includes the following fields: VA Office. Provide the number of the VA regional office; Identification Nos. ... Last Name - First Name - Middle Name of Veteran. ... Date of Contact. ... Address of Veteran. ... Telephone No. ... Person Contacted. ... Type of Contact.

What is a VA form 10 7131?

Historically, VA medical facilities and ROs have used VA Form 10-7131 to exchange information or request administrative and adjudicative action relating to a Veteran's status when he/she is applying for or receiving VA medical care.

Who fills out VA aid and attendance form?

VA Form 21-2680 is a form, filled out by a medical doctor, to support a claim for aid and attendance and/or housebound benefits filed with the Department of Veterans Affairs.