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Get And Sign Va Form 21 0960j 2

Hospitalization 1 or 2 per year Drainage Continuous intensive management Intermittent intensive management SECTION V - ERECTILE DYSFUNCTION 5B. OMB Control No* 2900-0779 Respondent Burden 15 Minutes Expiration Date 05/31/2021 MALE REPRODUCTIVE ORGAN CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS VA WILL NOT PAY OR REIMBURSE ANY EXPENSES OR COST INCURRED IN THE PROCESS OF COMPLETING AND/OR SUBMITTING THIS FORM. PLEASE READ THE PRIVACY ACT AND...

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