Va Form 24 0296 PDF Details

Va form 24 0296 is a document that veterans can use to receive compensation for service-connected disabilities. This form is used to request an initial rating of the veteran's disability and to identify any related evidence. In order to complete va form 24 0296, the veteran will need to provide basic personal information, their military service history, and a description of their current condition. The veteran should also include any supporting documentation they have available. Completing va form 24 0296 can be tricky, so it's important to consult with a Veterans Affairs representative if you have any questions.

Here is the data relating to the file you were seeking to complete. It will show you the span of time you'll need to complete va form 24 0296, what fields you need to fill in and a few other specific details.

QuestionAnswer
Form NameVa Form 24 0296
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespayee, omb, pramain, bifida

Form Preview Example

OMB Approved No. 2900-0564

Respondent Burden: 15 Minutes

Expiration Date: 02/28/2019

VA DATE STAMP

(DO NOT WRITE IN THIS SPACE)

DIRECT DEPOSIT ENROLLMENT

IMPORTANT: You can use this form to enroll in Direct Deposit or to make a change to an existing direct deposit account.

Please read the Privacy Act and Respondent Burden information shown below.

 

ATTENTION VA BENEFICIARY!

Privacy Act Notice: VA will not disclose information collected on this form to any source

 

WE'VE MADE ENROLLING IN DIRECT DEPOSIT EASIER THAN EVER!

other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of

 

CALL TOLL FREE - 1-800-827-1000

Federal Regulations 1.576 for routine uses as identified in the VA system of records,

 

58VA21/22/28, Compensation, Pension, Education, Vocational Rehabilitation and

 

or TDD 1-800-829-4833 (Telephone Device for the Hearing Impaired)

Employment Records - VA, published in the Federal Register. Your obligation to respond

 

 

is voluntary. The information solicited under authority of Title 31 Code of Federal

 

Direct Deposit is the safest, fastest and most cost efficient method to receive your payment. In

Regulations, Section 210.4 will be used to process the payment data from VA to your

 

account at the designated financial institution. Giving us your Social Security Number

 

addition, you no longer have to worry about your check being late, lost, or stolen. NOTE: The

 

(SSN) is mandatory. Applicants are required to provide their SSN under Title 38, U.S.C.

 

"Debt Collection Improvement Act of 1996" which was signed into law on April 26, 1996 required

 

all Federal payments to be made by Electronic Fund Transfer (EFT or Direct Deposit) beginning

5101 (c) (1). VA will not deny an individual benefits for refusing to provide his or her

 

January 1, 1999. Waivers will be available where the conversion from paper checks imposes a

SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior

 

to January 1, 1975, and still in effect. The requested information is considered relevant

 

hardship. Write to the address shown below for more information concerning a waiver. To have

 

and necessary to determine maximum benefits provided by law. The responses you submit

 

your VA compensation, pension, education, or spina bifida payment deposited into your account

 

right away with Direct Deposit just call VA's toll-free number above or complete this form and

are considered confidential (38 U.S.C. 5701).

 

 

 

mail to:

Respondent Burden: We need this information to ensure proper transmission of your

 

Department of Veterans Affairs

funds via electronic transfer to your financial institution (31 CFR 208.3 and 210.4). Title

 

125 S. Main Street Suite B

38, United States Code, allows us to ask for this information. We estimate that you will

 

Muskogee OK 74401-7004

need an average of 15 minutes to review the instructions, find the information, and

 

 

complete this form. VA cannot conduct or sponsor a collection of information unless a

 

When you call, be sure to have a personal check or bank statement available as well as your VA Claim

 

valid OMB control number is displayed. You are not required to respond to a collection of

 

Number or Social Security Number. The VA representative will ask for information from these

 

information if this number is not displayed. Valid OMB control numbers can be located

 

documents to start your Direct Deposit. If you prefer to enroll by mail, just complete the information

 

on the OMB Internet Page at

 

below, and attach a voided personal check from your checking account or call your Financial Institution

 

www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get

 

and verify the information requested below for a savings account.

 

information on where to send comments or suggestions about this form.

 

 

SECTION I: VETERAN'S IDENTIFICATION INFORMATION

NOTE: You can either complete the form online or by hand. Please print the information requested in ink, neatly and legibly to help process the form.

1.VETERAN'S NAME (First, Middle Initial, Last)

2. SOCIAL SECURITY NUMBER

3. VA FILE NUMBER

4.DATE OF BIRTH (MM/DD/YYYY)

Month

 

 

Day

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION II: BENEFICIARY'S IDENTIFICATION INFORMATION

5.BENEFICIARY'S NAME (First, Middle Initial, Last - If other than veteran)

6. SOCIAL SECURITY NUMBER

7. VA FILE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.TYPE OF BENEFIT

9.ADDRESS OF PERSON RECEIVING PAYMENT (Check box if new )

SECTION III: FINANCIAL INSTITUTION INFORMATION

PLEASE ATTACH A VOIDED PERSONAL CHECK AND SKIP TO SECTION III OR CALL YOUR FINANCIAL INSTITUTION FOR THE FOLLOWING INFORMATION:

10. ROUTING TRANSIT NUMBER

11. ACCOUNT NUMBER (Please check the appropriate box)

 

CHECKING

 

SAVINGS

 

 

 

 

 

 

 

 

 

 

 

 

12.NAME OF FINANCIAL INSTITUTION

13.ADDRESS OF FINANCIAL INSTITUTION

14.TELEPHONE NUMBER OF FINANCIAL INSTITUTION (Include Area Code)

SECTION IV: PAYEE CERTIFICATION

I CERTIFY THAT I am entitled to the payment above, and that I have read and understand this form. In signing this form, I authorize my payment to be sent to the financial institution named above, to be deposited to the designated account.

15.SIGNATURE OF PAYEE (Do NOT print - Sign in ink)

16. DATE SIGNED

17.TELEPHONE NUMBER

(Include Area Code)

VA FORM

24-0296

SUPERSEDES VA FORM 24-0296, MAY 2016,

MAR 2018

WHICH WILL NOT BE USED.

Watch Va Form 24 0296 Video Instruction

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