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Get Va Employment Forms 2011-2024

F my knowledge and belief. I UNDERSTAND THAT my continued entitlement to VA unemployability compensation benefits will be based on information that I have furnished on this form or that I hereafter may be required to furnish VA. 5D. TELEPHONE NUMBER(S) (Include Area Code) 5A. DATE SIGNED 5B. SIGNATURE OF VETERAN 5C. ADDRESS (If different than above) A. DAYTIME B. EVENING SECTION II - UNEMPLOYMENT CERTIFICATION (Complete this section if you did NOT work during the past 12 months) I CERTIFY THAT.

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