Get the va form 21 8678

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TYPE OF APPLIANCE OR NAME OF MEDICATION Artificial leg metal brace wheelchair etc. 7. LOCATION OF VA MEDICAL CENTER WHICH ISSUED THE APPLIANCE OR MEDICATION CERTIFICATION I hereby apply for annual clothing allowance under 38 U.S.C. 1162. I certify that I wear or use a prosthetic or orthopedic appliance described above because of my service-connected disability or that I use a medication for my service-connected...
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va form 21 8678
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VA Form 10-8678 - US Department of Veterans Affairs
VA Form 10-8678 ... If you are unable to find your form here, you may want to visit : Request ... Please send your comments or questions to VA Forms Managers.
Clothing Allowance - Compensation - Veterans Benefits Administration
Oct 22, 2013 ... Submit VA Form 10-8678, Application for Annual Clothing Allowance to the prosthetic representative at your local VA medical center. You can ...
Benefits.gov - Clothing Allowance
Clothing Allowance is an annual sum of money paid to any Veteran who, because of a ... use VA Form 10-8678, "Application for Annual Clothing Allowance."
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NOT VALID FOR ACCESS TO CLAIM FILE INFORMATION Send the completed & signed form to: print reset Employer's Direction OR fax to: Attention: Firm File
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