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This form is known as an Employment Questionnaire. The VA Form 21-4140-1 is used by the Department of Veterans Affairs in the United States. It may be requested by the department for someone who is filing a claim. The form will require detailed information about the claimant’s current employment and previous employment history, including military service.
This form will be required in order for the Department of Veterans Affairs to verify the eligibility of the claimant. The claimant’s employment history for at least the past 12 months will be required. Information about self-employment or unemployment periods will also need to be included. This information will be used to determine whether or not the claimant is eligible to either receive new benefits or continue to receive existing benefits.
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