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 21-0960N-4?
A: VA Form 21-0960N-4 is the Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire.
Q: What does this form address?
A: This form addresses disabilities related to sinusitis, rhinitis, and other conditions of the nose, throat, larynx, and pharynx.
Q: Who is this form for?
A: This form is for individuals who are applying for disability benefits related to sinusitis, rhinitis, and other related conditions.
Q: What information does this form require?
A: This form requires information about the symptoms, severity, and treatment of the sinusitis, rhinitis, and other related conditions.
Form Details:
Download a fillable version of VA Form 21-0960N-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.