VA Form 21-0960N-1 - vba va 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's name and Social Security number at the top of the form. This information is crucial for identification purposes.
  3. In Section I, indicate whether the veteran has been diagnosed with an ear or peripheral vestibular condition by selecting 'Yes' or 'No'. If 'Yes', complete Item 1B by checking all applicable conditions and providing ICD codes and dates of diagnosis.
  4. Proceed to Section II to summarize the medical history related to the veteran's ear conditions. Include details about any continuous medications in Item 2B.
  5. Continue through Sections III to VIII, checking relevant symptoms, findings, and treatments. Ensure all fields are filled accurately for a comprehensive evaluation.
  6. Finally, review your entries for accuracy before signing in Section XII. Use our platform’s features to save and share your completed form securely.

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VA Form 21-10210, Lay Witness Statement, could be used to: Describe and detail the service-related event that caused a Veterans injuries or disability. Support an initial claim for benefits. Reinforce an appeal for an adverse determination.
To succeed, you should submit medical evidence as well as statements from family members, friends, or fellow veterans (buddy letters) who can attest to how your disability affects your daily life. These letters can help strengthen your claim by providing personal insights into your conditions impact.
The Veterans Benefits Administration (VBA) is responsible for initial Veteran registration, eligibility determination, and administration of VAs five key lines of non-medical benefits. Major benefits to Servicemembers, Veterans, and their families include: Home Loan Guarantee.
Hearing Loss Often associated with tinnitus. Traumatic Brain Injury (TBI) TBIs can cause or worsen tinnitus. Mental Health Conditions Anxiety, depression, and PTSD are frequently associated with tinnitus. Menieres Disease A disorder of the inner ear that can cause vertigo and tinnitus.
Tinnitus The Most Common Veterans Disability Claim Tinnitus is the most commonly claimed disability for VA compensation, but it is rarely given a rating of more than 10 percent. The current consensus is that a lot can be done to relieve tinnitus in terms of the symptoms, despite the damage that may have been done.
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Tinnitus is rated by VA at 10% rating, regardless of whether one or both ears are affected, under Diagnostic Code 6260. 10% is the maximum rating a veteran can receive for tinnitus on its own. This is why we recommend service connecting additional conditions.

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