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VA Form 21-0960G-4 Intestinal Surgery (Bowel Resection, Colostomy, Ileostomy) Disability Benefits Questionnaire
What Is VA Form 21-0960G-4?
This is a legal form that was released by the U.S. Department of Veterans Affairs on September 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is VA Form 21-0960G-4?A: VA Form 21-0960G-4 is a disability benefits questionnaire specifically for intestinal surgery related disabilities such as bowel resection, colostomy, and ileostomy.
Q: Who is this form for?A: This form is for individuals who have undergone intestinal surgery (such as bowel resection, colostomy, or ileostomy) and are seeking disability benefits from the VA.
Q: What is the purpose of this form?A: The purpose of this form is to provide the VA with detailed information about the individual's intestinal surgery-related disabilities, their impact on daily life and functioning, and the need for disability benefits.
Q: What information does this form require?A: This form requires information about the individual's medical history, current symptoms, treatment received, and the functional impact of their intestinal surgery-related disabilities.
Form Details:
- Released on September 1, 2016;
- The latest available edition released by the U.S. Department of Veterans Affairs;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of VA Form 21-0960G-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.
Download VA Form 21-0960G-4 Intestinal Surgery (Bowel Resection, Colostomy, Ileostomy) Disability Benefits Questionnaire
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