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Na form 13055 2026
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- Click ‘Get Form’ to open the na form 13055 in the editor.
- Begin by entering the 'Name of Patient Used at Time of Treatment'. This is crucial for identifying the correct medical records.
- In the 'Nature of Illness, Injury or Treatment' section, provide a brief description of the medical issue. Be as specific as possible to assist in locating records.
- Fill in your 'Service No.' and 'Social Security No.' accurately to ensure proper identification.
- Indicate the treatment dates by specifying both 'From' and 'To' dates in month/year format. If unsure about exact months, provide the season and year.
- Select whether the treatment was 'In-Patient' or 'Out-Patient' by checking the appropriate box.
- Complete details regarding your branch of service and organization assigned, including specific units.
- Provide information about the hospital or medical facility where treatment occurred.
- Ensure that you sign under 'Veteran Sign Here'. If signing on behalf of a deceased veteran, include proof of death and relationship documentation.
- Finally, enter your complete return address and contact information before submitting your request.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4.9 Satisfied (294 Votes) |
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va form 13055
The purpose of the information on this form is to assist the National Personnel Records Center in locating the correct military service record(s) or informationRead more
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