VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire

VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire

What Is VA Form 21-0960N-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 21-0960N-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.

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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 21-0960N-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 2

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 3

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 4

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 5

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  • VA Form 21-0960N-4 Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 6

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  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 1
  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 2
  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 3
  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 4
  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 5
  • VA Form 21-0960N-4 Sinusitis / Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx Disability Benefits Questionnaire, Page 6
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