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Form 5495 Birmingham Alabama: What You Should Know

Phone: / Fax: VA Form 22-5496 — This form is used for any active duty veteran who, at the time of death, has a disability that is considered to be a disabling event and is causing a medical condition that might prevent that veteran's discharge from military service from active duty. This form must be filed within 90 days after the veteran's death if the veteran, before the veteran's death, is unable to qualify for a VA claim for disability retirement to a higher payment level. This can be filed anytime after discharge. The disability must be the same as, or more severe than, and continuing for the longest of: the last month of service or 120 days immediately preceding the month of discharge, whichever occurs last; or VA Disability Rating. This form must be filed within 90 days after the veteran's death if the veteran is unable to qualify for a VA claim for disability retirement for either the same injury as the one that was considered a terminal event, or a disability rating equal to or lower than the VA Disability Rating. This can be filed anytime after discharge. The Veteran must provide evidence of the date the disability first took effect. This form must be filed by mail or in person at a VA office. The application must be on letterhead from an Approved Veteran. The application need to list, as applicable, a veteran's: If applicable, a brief statement about the length of service and date of discharge; Whether the Veteran is an active duty Military Service Personnel, Veteran, or dependents of a Veteran; Where the Veteran was serving on active duty before the Veteran died; Reason for the Veteran's discharge; Date of Veterans' death; Dates on all prior Veterans' Service records; A statement that any dependent was present at the Veteran's death; The veteran's name, address, and telephone number; The total amount of Social Security benefits (after adjustments made for all deductions from the monthly benefits and credits for amounts received for other than disability) received and the number of months for which benefits are being paid; and, If the Veteran is in need of a reasonable increase in the monthly benefit, an explanation (if applicable) as to why the Veteran is seeking a reasonable increase in the monthly benefit. Note: This form is only available by personal appointment only. An appointment must be made with the Registrar's Office in order to complete the application with the completed forms.

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