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Click ‘Get Form’ to open VA Form 20-0996 in the editor.
In Section I, provide your identification information. Ensure all fields are filled accurately, including your name, social security number, and current mailing address.
If applicable, complete Section II for the claimant's identification information. This is crucial if the claimant differs from the veteran.
In Section III, select only one benefit type related to your review request. Remember, a separate form is needed for multiple benefit types.
Section IV allows you to request an optional informal conference. Mark the checkbox if you wish to proceed with this option.
Identify issues for review in Section V by listing each issue decided by VA and the corresponding decision dates.
Finally, sign and date your application in Section VI. Ensure that all required signatures are included before submission.
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This form is used to notify VA of your intent to file for the general benefit(s). For more information, contact us online through ASK VA: . Ask us a question online or call us toll-free at 1-800-827-1000 (TTY:711).
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May 23, 2025 Use this form to request a Higher-Level review of the decision you received by the Department of Veterans Affairs based on the evidence of record.
Filing for higher level review via VA form 20-0996; Appealing to the Board of Veteran Appeals via VA Form 10182. If a party decides to appeal to the BVA
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