This is a legal form that was released by the U.S. Department of Veterans Affairs on June 1, 2017 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 21-0960a-1?
A: VA Form 21-0960a-1 is the Ischemic Heart DiseaseDisability Benefits Questionnaire.
Q: What is Ischemic Heart Disease?
A: Ischemic Heart Disease is a condition that occurs when the heart does not receive enough blood and oxygen due to narrowed or blocked coronary arteries.
Q: Who is eligible for Disability Benefits for Ischemic Heart Disease?
A: Veterans who have been diagnosed with Ischemic Heart Disease and can provide evidence of a service connection may be eligible for Disability Benefits.
Q: What does the VA Form 21-0960a-1 questionnaire assess?
A: The VA Form 21-0960a-1 questionnaire assesses the impact of Ischemic Heart Disease on a veteran's daily life, symptoms, and functional limitations.
Form Details:
Download a fillable version of VA Form 21-0960a-1 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.