Sample Nod Notice Of Disagreement Template

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NOD Notice of Disagreement SAMPLE
[ Date ]
Department of Veterans Affairs
[ Address of Regional Office ]
Attention: [ Your Claim Number ] – [ In Reply to: (right hand corner of rating decision) ]
Dear Sir,
I received a rating decision dated [ Date ]. Consider this letter to be an official “Notice of
Disagreement” (NOD) regarding the following disability:
1) ……
I am requesting a “De Novo Review” by a new Decision Review Officer.
I will be awaiting your reply.
Sincerely,
[ Full Name ]

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