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Begin with Part I, where you will enter the deceased veteran's full name, VA file number, and your relationship to the veteran. Ensure all fields are filled accurately.
Provide your contact information including daytime and evening telephone numbers. This is crucial for any follow-up communication.
In the section regarding the veteran's information, input their date of birth, social security number, and details about their marriage history if applicable.
Complete Parts II and III by having disinterested persons provide their statements. They should detail their relationship with both you and the veteran.
Review all entries for accuracy before signing. Attach any necessary documents that support your claims as indicated in the instructions.
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VA Form 21-10210Statement in Support of Claim VA exampleVA personal statement examplesVA Form 21-10210 PDFVA Form 21-4138 examplesVA Witness statement exampleVA statement in support of claim example PDFVA Form 21-10210 example
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Too many men and women who bravely fought for our freedom are losing their lives, not at the hands of terrorists or enemy combatants, but from friendly fire inRead more
Agency Information Collection Activity: Statement of Person
Jul 28, 2023 Title: Statement of Person Claiming to Have Stood in Relation of Parent (VA Form 21P-524). OMB Control Number: 2900-0059. Type of Review:Read more
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