This section must be completed by any qualifying Service Member or Veteran applying for compensation 2025

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This section must be completed by any qualifying Service Member or Veteran applying for compensation Preview on Page 1

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section 1: Veteran or Service Member Data. Fill in your current name, including last name, first name, and SSN. Indicate your gender and any suffixes like Sr/Jr/III.
  3. In Section 1(B), provide the name under which you served if different from your current name. If not, write 'same'.
  4. For Section 1(C), select your branch of military service from the options provided.
  5. Proceed to Section 2: Address & Contact Information. Enter your complete mailing address and contact details, ensuring all fields marked with an asterisk (*) are filled out.
  6. In Section 3: Affirmations, answer the questions regarding your service conditions honestly by selecting 'Yes' or 'No' as applicable.
  7. Complete Section 4: Dates of Service by providing start and end dates for any periods of service mentioned.
  8. Finally, sign and certify your application in Section 5 in front of a notary public or authorized official.

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Are There Any VA Claims That Dont Require Evidence? An illness caused by contact with hazardous materials. Certain chronic conditions diagnosed within a year of discharge. An illness caused by time spent as a prisoner of war.
Veterans who have suffered an injury, illness, or condition that developed during military service, or worsened (beyond natural progression), may be entitled to receive a monthly tax-free payment benefit from the Department of Veterans Affairs known as disability compensation.
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