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Get and Sign VA Form 21 0960C 10 Peripheral Nerves Disability Benefits Questionnaire 2010
Common peroneal NERVE Page 5 8D. ANTERIOR TIBIAL deep peroneal NERVE 8E. INTERNAL POPLITEAL tibial NERVE 8F. POSTERIOR TIBIAL NERVE loss of toe flexion adduction weakened plantar flexion impaired 8G. ANTERIOR CRURAL femoral NERVE 8H. VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of low in effect prior to January 1 1975 and still in effect. INDICATE THE NERVES AFFECTED BY THE VETERAN S CONDITION...
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