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.
Q: What is VA Form 21-0960C-5?
A: VA Form 21-0960C-5 is a Disability Benefits Questionnaire for Central Nervous System and Neuromuscular Diseases.
Q: What conditions does the form cover?
A: The form covers Central Nervous System and Neuromuscular Diseases, except for Traumatic Brain Injury, Amyotrophic Lateral Sclerosis, Parkinson's Disease, Multiple Sclerosis, Headaches, TMJ Conditions, Epilepsy, Narcolepsy, Peripheral Neuropathy, Sleep Apnea, Cranial Nerve Disorders, Fibromyalgia, and Chronic Fatigue Syndrome.
Q: What is the purpose of VA Form 21-0960C-5?
A: The purpose of the form is to gather information about the veteran's disability for the evaluation of disability benefits.
Q: Who should fill out the form?
A: The form should be filled out by the veteran or their representative.
Form Details:
Download a fillable version of VA Form 21-0960C-5 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.