form no 21 rto
DISABILITY COMPENSATION AWARD ATTACHMENT
To apply for this benefit, you should contact the nearest VA office and complete VA Form 21-8940, Veterans Application for Increased Compensation Based on
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VA Form 21
PENALTY: The law provides that whoever makes any statement of a material fact, knowing it to be false, shall be punished by a fine or imprisonment or both (18
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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 spouse,
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