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Va 21p-0969 instructions Form: What You Should Know

Asset Statement for all claimants and those living in the same household as the claimant. VA Form 21P-976, Claims of Disability — The form is required from members and former members who have suffered from a service-connected disability since April 8, 2001. ▷ 21P-974, Claims of Service-Connected Disability — The form is required from members and former members who have endured a mental condition related to service of more than a year since  March 11, 2001.  ▷ 21P-982, Claims of Discharge, Early Release, or Release of Conditions of Release — The form is required from those who have been placed in involuntary inactive duty for more than a year. VA Form 21P-526, Income Eligibility Verification — The form is required from members and former members who are unable to provide sufficient evidence on income and assets to establish their eligibility for a pension, including persons eligible for multiple pensions as specified in the  VA form 21P-529, Benefits. VA Form 21P-536, Statement of Benefits for Members of the Senior Executive Service — The form is required from members and former members who are receiving a pension based on a level of retirement beginning with the level specified in the senior executive service pension schedule or as stated in the pension adjustment schedule as defined in the regulations. ▷ 21P-539EZ, Statement of Benefits for Former Members Who Left the Service Before February 1, 1977, Who Retired on or After February 1, 1977. Please review all sections for information that applies to you. If you do not read sections “I” and “K,” then you should not complete this form, or at least do not complete it until you have read the sections “I” through “K.” I. INSTRUCTIONS FOR COMPLETING THIS FORM ‹ Fill out the appropriate section of form 21P-0969. See the instructions on the form for the section you are completing. Your response should read something like the following: Your Response to Question 26 I. INSTRUCTIONS FOR COMPLETING THIS FORM A. Income and Assets (21P-0969, Question 6) The income information listed on the form are based upon estimates of earned income. For a full description of the data, see the article on: National Compensation Survey: An Overview (PDF).

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