VA Form 21-0960M-14 Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire

VA Form 21-0960M-14 Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire

What Is VA Form 21-0960M-14?

This is a legal form that was released by the U.S. Department of Veterans Affairs on December 1, 2017 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 21-0960M-14?
A: VA Form 21-0960M-14 is the Disability Benefits Questionnaire specifically for Thoracolumbar Spine conditions.

Q: What is the purpose of VA Form 21-0960M-14?
A: The purpose of VA Form 21-0960M-14 is to gather information about a veteran's Thoracolumbar Spine condition in order to assess their eligibility for disability benefits.

Q: What is Thoracolumbar Spine?
A: The Thoracolumbar Spine refers to the area of the spine that includes the thoracic and lumbar vertebrae, which are located in the mid to lower back.

Q: Who should fill out VA Form 21-0960M-14?
A: VA Form 21-0960M-14 should be filled out by the veteran or their representative.

Q: What information is required on VA Form 21-0960M-14?
A: VA Form 21-0960M-14 requires information about the veteran's personal details, medical history, current symptoms, and any additional evidence supporting their claim.

Q: What should I do after filling out VA Form 21-0960M-14?
A: After filling out VA Form 21-0960M-14, you should submit it to the U.S. Department of Veterans Affairs (VA) along with any supporting documentation relevant to your claim.

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Form Details:

  • Released on December 1, 2017;
  • 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 21-0960M-14 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-0960M-14 Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire

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