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VA Form 21-4142 - Veterans Benefits Administration
INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to provide the name of the provider or facility
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VA Form 25-8832 - Veterans Benefits Administration
(Complete this section ONLY IF the claimant is NOT the veteran). Before completing this form, read the Privacy Act and Respondent Burden information on page 3.
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Paperwork Reduction Act (PRA) Guide
Apr 27, 2011 If you request a respondents SSN, this Privacy Act note (Section 7(a)(1)(b)) applies,. Any Federal, State or local government agency which
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