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 21-0960J-4?
A: It is a form for evaluating disability benefits related to urinary tract conditions (excluding male reproductive system).
Q: What does the form evaluate?
A: Urinary tract conditions (excluding male reproductive system) for disability benefits.
Q: Who can use VA Form 21-0960J-4?
A: Patients who have urinary tract conditions and want to apply for disability benefits.
Q: What is the purpose of the questionnaire?
A: To gather information about the patient's urinary tract condition to determine eligibility for disability benefits.
Q: Are male reproductive system conditions included in the form?
A: No, this form only covers urinary tract conditions excluding the male reproductive system.
Form Details:
Download a fillable version of VA Form 21-0960J-4 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.