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Section 1151 and FTCA Intake Form
Form SF 180 Request Pertaining to Military Records to obtain a copy of your DD 214. No. City State Zip Code Mailing address Telephone Home Work Date of birth / Month Day Year Social Security number Single Married - Separated Divorced 11 Are you currently employed yes no If yes what is your occupation If not employed are you able to work yes no Widowed 13 If you are not employed is it because of medical problems related to your military service or to VA medical treatment or VA vocational...
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