VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire

VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire

What Is VA Form 21-0960J-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 21-0960J-4?
A: It is a form for evaluating disability benefits related to urinary tract conditions (excluding male reproductive system).

Q: What does the form evaluate?
A: Urinary tract conditions (excluding male reproductive system) for disability benefits.

Q: Who can use VA Form 21-0960J-4?
A: Patients who have urinary tract conditions and want to apply for disability benefits.

Q: What is the purpose of the questionnaire?
A: To gather information about the patient's urinary tract condition to determine eligibility for disability benefits.

Q: Are male reproductive system conditions included in the form?
A: No, this form only covers urinary tract conditions excluding the male reproductive system.

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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;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 21-0960J-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire

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  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire

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  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire, Page 2

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  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire, Page 1
  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire, Page 2
  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire, Page 3
  • VA Form 21-0960J-4 Urinary Tract (Including Bladder and Urethra) Conditions (Excluding Male Reproductive System) Disability Benefits Questionnaire, Page 4
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