VA Form 8 Certification of Appeal

VA Form 8 or the "Certification Of Appeal" is a form issued by the U.S. Department of Veterans Affairs.

Download a PDF version of the VA Form 8 down below or find it on the U.S. Department of Veterans Affairs Forms website.

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CERTIFICATION OF APPEAL
1. LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN
2. FILE NO.
3. NAME OF APPELLANT (If other than veteran)
4. INSURANCE FILE NO. OR
LOAN NO. (If pertinent)
DATES OF PROCEDURAL DOCUMENTS
5A. DATE OF NOTIFICATION
5B. DATE OF SOC
5C. DATE OF SUBSTANTIVE
5D. DATE OF SSOC
5E. DATE OF SSOC
5F. DATE OF SSOC
OF ACTION APPEALED
APPLEAL/FORM 9
(FIRST)
(SECOND)
(THIRD)
6. APPELLANT REPRESENTED IN THIS APPEAL BY (Name of organization, attorney or agent)
7. IF APPLICABLE, WHAT TYPE OF HEARING WAS REQUESTED?
A. DECLINED OPTIONAL BOARD HEARING
C. REQUESTED HEARING IN WASHINGTON, DC
E. NO HEARING REQUESTED
D. REQUESTED HEARING AT A LOCAL VA OFFICE
B. REQUESTING HEARING BY VIDEOCONFERENCE
(Travel Board)
8. REMARKS (Place additional remarks in Box 13, on following page)
CERTIFICATION: It is hereby certified that all material evidence is of record, that all contentions advanced by and on behalf of the appellant have been considered under
all pertinent laws, and the issues determined.
9. NAME AND LOCATION OF CERTIFYING OFFICE
10. ORGANIZATIONAL ELEMENT CERTIFYING APPEAL
11A. SIGNATURE OF CERTIFYING OFFICIAL
11B. TITLE
11C. DATE
12A. SIGNATURE OF MEDICAL MEMBER (Insurance use only)
12B. TITLE
12C. DATE
8
VA FORM
SUPERSEDES VA FORM 8, JUNE 2008,
SEP 2017
WHICH WILL NOT BE USED.
CERTIFICATION OF APPEAL
1. LAST NAME - FIRST NAME - MIDDLE NAME OF VETERAN
2. FILE NO.
3. NAME OF APPELLANT (If other than veteran)
4. INSURANCE FILE NO. OR
LOAN NO. (If pertinent)
DATES OF PROCEDURAL DOCUMENTS
5A. DATE OF NOTIFICATION
5B. DATE OF SOC
5C. DATE OF SUBSTANTIVE
5D. DATE OF SSOC
5E. DATE OF SSOC
5F. DATE OF SSOC
OF ACTION APPEALED
APPLEAL/FORM 9
(FIRST)
(SECOND)
(THIRD)
6. APPELLANT REPRESENTED IN THIS APPEAL BY (Name of organization, attorney or agent)
7. IF APPLICABLE, WHAT TYPE OF HEARING WAS REQUESTED?
A. DECLINED OPTIONAL BOARD HEARING
C. REQUESTED HEARING IN WASHINGTON, DC
E. NO HEARING REQUESTED
D. REQUESTED HEARING AT A LOCAL VA OFFICE
B. REQUESTING HEARING BY VIDEOCONFERENCE
(Travel Board)
8. REMARKS (Place additional remarks in Box 13, on following page)
CERTIFICATION: It is hereby certified that all material evidence is of record, that all contentions advanced by and on behalf of the appellant have been considered under
all pertinent laws, and the issues determined.
9. NAME AND LOCATION OF CERTIFYING OFFICE
10. ORGANIZATIONAL ELEMENT CERTIFYING APPEAL
11A. SIGNATURE OF CERTIFYING OFFICIAL
11B. TITLE
11C. DATE
12A. SIGNATURE OF MEDICAL MEMBER (Insurance use only)
12B. TITLE
12C. DATE
8
VA FORM
SUPERSEDES VA FORM 8, JUNE 2008,
SEP 2017
WHICH WILL NOT BE USED.
CERTIFICATION OF APPEAL
13. ADDITIONAL REMARKS
VA FORM 8, SEP 2017
PAGE 2 OF 2

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