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DECLARATION OF STATUS OF DEPENDENTS 21- 686c
INSTRUCTIONS: Print all answers clearly. Make sure you sign and date this form (Items 17 and 18). Note: Unless the claimant is the veterans surviving.
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USERS GUIDE
☞ To specify settings for additional Print Option functions, instead of continuing with step 7, press u or d until CONTINUE is displayed in the Print Option.
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VA Form 21P-0510 - Veterans Benefits Administration
Print all answers clearly. If you must write an answer do so very clearly and plainly. If an answer is none or 0, write that or line through the space
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