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A va determination that an illness or injury was incurred or aggravated in the line of duty, in the active. Quickly access top tasks for frequently downloaded va forms. For veterans to apply for enrollment in the va health care system. A va determination that an illness or injury was incurred or aggravated in the line of duty, in the.

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Review the table in step 1 to find out what sections you should complete. Complete only the sections that apply to you and sign and date the form. The va uses the information provided on the form to determine the. A va determination that an illness or injury was incurred or aggravated in the line of duty, in the active..

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The information provided on this form will be used by. For veterans to apply for enrollment in the va health care system, or dental benefits. A va determination that an illness or injury was incurred or aggravated in the line of duty, in the active. Web search for va forms by keyword, form name, or form number. For veterans to.

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