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Va 26-0503 Form: What You Should Know

Use of this form is not mandatory, and you are not required to file this information. If there is an error at the time of mailing information, fill in the required information in the box provided so that our information system can return it to us. Otherwise, leave the box blank. The original of the form must be returned to the service member. For more information on filing these forms click below (VA Form 26-0503). Form 2501 (Requesting a Review of a Veteran's Service Separation Based on Physical or Mental Impairment) Federal Collection Policy Notice Date : June 14, 2018, If you have received any other VA notice that has added up to this notice: The information on this form applies only for persons who were removed from federal service due to disability. For additional information see VA Form 15-1104, Separation of Service Members With Disabilities Due to Physical or Mental Impairment (VA Form 15-610). You may have received the following notices: Notice of a decision on VA medical benefits for a service-separation. Notice of a decision on entitlement to benefits based on service-separation. Notice of a determination of your VA disability ratings or claims resulting from the service-separation.  Notice of a denial of a claim based on a VA rating or claim resulting from the service-separation. Notice of a proposed change in policy. Notice of a proposed reduction of benefits based on a rating or claim resulting from the service-separation. VA Form 2501 (Requesting a Review of a Veteran's Service Separation Based on Physical or Mental Impairment) (Effective Date March 28th, 2009) This form can be used to request a review of a service-separation based on a service-connection, service-connection based application, or a claim based on service-connection. (This is the same form used for a request for a review of a service-separation based on a physical or mental impairment.) It is to be used only by service members who had a service-connection or service-connection based application denied, or a claim for a rating or claim resulting from the separation based on a disability and who believe that they are entitled to a rating or claim resulting from a service separation for physical or mental impairment, and who otherwise have not received an official notice of denial.

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