VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire

VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire

What Is VA Form 21-0960C-4?

This is a legal form that was released by the U.S. Department of Veterans Affairs on March 1, 2018 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 21-0960C-4?
A: VA Form 21-0960C-4 is a Disability Benefits Questionnaire specifically for Diabetic Sensory-Motor Peripheral Neuropathy.

Q: What is Diabetic Sensory-Motor Peripheral Neuropathy?
A: Diabetic Sensory-Motor Peripheral Neuropathy is a condition that affects the nerves in the limbs due to diabetes.

Q: What is the purpose of VA Form 21-0960C-4?
A: The purpose of VA Form 21-0960C-4 is to assess the level of disability related to Diabetic Sensory-Motor Peripheral Neuropathy.

Q: Who should fill out VA Form 21-0960C-4?
A: VA Form 21-0960C-4 should be filled out by veterans who have been diagnosed with Diabetic Sensory-Motor Peripheral Neuropathy and are seeking disability benefits.

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Form Details:

  • Released on March 1, 2018;
  • 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 21-0960C-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire

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  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire

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  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 2

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  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 1
  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 2
  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 3
  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 4
  • VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire, Page 5
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