Va Form Fl 29-459 - Claim For Disability Insurance Benefits
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In Reply Refer To:
Ins. File No.:
Name:
Soc. Sec. No.
The above-named veteran has filed a claim for disability insurance benefits.
Before a claim can be processed, the employment information requested on the reverse of this
letter must be obtained. Your cooperation completing this form will permit us to expedite the
veteran's claim.
We have the veteran's permission to request this report.
Sincerely yours,
Enclosures:
(Over)
FL 29-459
AUG 2007(R)
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