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Employment Information in Connection with Claim for
INSTRUCTIONS: The veteran named in Item 3 has filed a claim for veterans disability benefits and has stated that he/she was recently employed by you.
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Application for Accreditation as a Claims Agent or Attorney
HAVE YOU EVER FUNCTIONED AS A REPRESENTATIVE, AGENT, OR ATTORNEY BEFORE A STATE OR FEDERAL DEPARTMENT OR AGENCY? YES. NO. VA FORM 21a, APR 2020, PAGE 2.
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21a APPLICATION FOR ACCREDITATION AS A CLAIMS
It will enable VA to determine initial eligibility for accreditation as a claims agent or attorney to represent claimants before VA. Any information on this
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