Venous Condition(s) - (DRCA)
How can I access this form?
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Form file format
Form ID
D9494
Audience
Compensation (DRCA)
Compensation
For providers
This form collects information regarding level of function of various body systems to assess a veteran’s entitlement for compensation.
You can fill this form out electronically using the PDF version. For the best experience, please save a copy to your device first and open in Acrobat 7 or later. Forms completed in a web browser may not work as expected.