VA Form 21-0960N-3 Loss of Sense of Smell and / or Taste Disability Benefits Questionnaire

VA Form 21-0960N-3 Loss of Sense of Smell and / or Taste Disability Benefits Questionnaire

What Is VA Form 21-0960N-3?

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 21-0960N-3?
A: VA Form 21-0960N-3 is a Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire.

Q: What does this form assess?
A: This form assesses the disability related to the loss of sense of smell and/or taste.

Q: Who should fill out this form?
A: This form should be filled out by veterans who have experienced a loss of sense of smell and/or taste.

Q: What is the purpose of this form?
A: The purpose of this form is to help veterans apply for disability benefits related to loss of sense of smell and/or taste.

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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;

Download a fillable version of VA Form 21-0960N-3 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-0960N-3 Loss of Sense of Smell and / or Taste Disability Benefits Questionnaire

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  • VA Form 21-0960N-3 Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire

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  • VA Form 21-0960N-3 Loss of Sense of Smell and/or Taste Disability Benefits Questionnaire, Page 2

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