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Va sworn declaration PDF Form: What You Should Know

Follow these steps: (1) Fill out and sign page 3 and the rest of the form. (2) Download and print the PDF. (3) Read the Privacy Act and Respondent Burden page and fill out and sign page 1 and 2. (4) Download and print the printable document. (5) Once you complete page 2, your sworn statement can be printed and submitted as a sworn copy of your testimony.  What Does the VA Sworn Declaration Include? The sworn statement should include information relating to the reason for the Veteran's trip to the appointment of the VA's Special Masters in order to verify the veracity of the Veteran's testimony as to the matter under consideration and the matters involved in the process. Any information presented on this form should be consistent with the facts as given in your testimony, including: a. Your position on how certain allegations that were used to support your claims were verified by the VA. b. Your knowledge of the allegations at the time of your treatment. c. Your reaction to the allegations. d. Your decision to seek professional treatment. e. Whether you received support as well as help (expert testimony) for your problem from professional persons. f. Whether it was your request for help or your request for treatment that led to the issue in question. g. Whether your treatment or your treatment results were the result of a VA claim. h. The reason for filing a disability claim. (For additional information please refer to VAC's website at:.) i. The outcome of the treatment and any problems that you experienced. Please Note: In the event that you are unable to access the VA website when the form is submitted, you may refer to the website for the specific VA appointment number, date, time and place of your appointment and to access the sworn declaration. Who Should Submit This Form For Verification of VA Sworn Declaration? If you feel that you have suffered an injustice as a result of the VA, you should contact the VA, and not the VA employee. If you feel that you have been denied a claim or benefit, you should contact the relevant Service Department/Regional Office for the Department where the claim or benefit was denied.

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