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21-0960M-6 - Veterans Benefits Administration - Veterans Affairs

21-0960M-6 - Veterans Benefits Administration - Veterans Affairs 2026

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The document is a Disability Benefits Questionnaire (DBQ) for foot conditions, specifically focusing on flatfoot (pes planus) and related disorders. It outlines the process for veterans to apply for disability benefits through the U.S. Department of Veterans Affairs (VA), detailing required medical evaluations, history, diagnoses, and symptoms associated with various foot conditions. The form includes sections for physicians to provide detailed information about the veteran's condition, treatment history, functional impact, and any assistive devices used. It emphasizes that the VA will not reimburse costs incurred in completing the form.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient/veteran's name and social security number at the top of the form. This information is crucial for identification purposes.
In Section I, list the claimed conditions related to foot issues. Be thorough in detailing any diagnoses associated with these conditions.
Proceed to Section II, where you will describe the medical history of the veteran's foot condition. Include details about pain, flare-ups, and any functional loss experienced.
Continue through Sections III to IX, checking applicable symptoms and providing comments as necessary. Each section focuses on specific conditions like flatfoot or Morton's neuroma.
Once all sections are completed, review your entries for accuracy before saving or exporting the document for submission.

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What foot conditions are covered by VA disability?

Some of the most common foot conditions veterans experience following service include pes planus (flat feet), plantar fasciitis, bunion deformity, and arthritis. Veterans may be eligible to receive VA disability compensation if they are able to demonstrate that their foot conditions are due to their time in service.

Who is eligible for VA benefits?

You may be eligible for VA disability benefits or compensation if you meet both of these requirements. Both of these must be true: You have a current illness or injury (known as a condition) that affects your mind or body, and. You served on active duty, active duty for training, or inactive duty training.

What is veterans Benefit Administration?

The Veterans Benefits Administration (VBA) helps veterans receive benefits, such as educational and financial resources.

Who fills out DBQ for VA disability?

In 1988, President Ronald Reagan elevated the Veterans Administration to a U.S. Cabinet-level department. The change took effect in 1989, and the VA was renamed the U.S. Department of Veterans Affairs. 1 As such, the U.S. Department of Veterans Affairs performs all of these functions.