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VA Form 21-4192 Request for Employment Information in Connection With Claim for Disability Benefits
What Is VA Form 21-4192?
This is a legal form that was released by the U.S. Department of Veterans Affairs on July 1, 2021 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 21-4192?
A: VA Form 21-4192 is a request for employment information that is used in connection with a claim for disability benefits.
Q: Who uses VA Form 21-4192?
A: This form is used by individuals who are filing a disability benefits claim with the Department of Veterans Affairs (VA).
Q: What information does VA Form 21-4192 request?
A: This form requests employment information, such as current and past employers, job duties, and dates of employment.
Q: Why is VA Form 21-4192 important?
A: VA Form 21-4192 is important because it helps the VA gather employment information to evaluate a disability benefits claim.
Form Details:
- Released on July 1, 2021;
- 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 21-4192 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.
Download VA Form 21-4192 Request for Employment Information in Connection With Claim for Disability Benefits
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