Va 9 sample Form 2022-2024

Va 9 sample Form: What You Should Know

The BVA Appeals Board has authority to review only the case documents, or “exhaustive pleading,” that are submitted to it. The BVA is not liable for the content of the pleadings submitted. B. WORK ADDRESS (Provide the last 4 numbers of the phone number): A. HOME (Include Area Code)  The Substantive Appeal (VA Form 9) — Veterans disability Info See attached sample form. The purpose of the Form 9 is to transfer jurisdiction of the appeal to the BVA's. If a claimant fails to file a timely Form 9, the BVA will assign jurisdiction for that appeal to the BVA Appeals Board. The BVA Appeals Board has authority to review only the case documents, or “exhaustive pleading,” submissions that are made to it. The BVA is not liable for the content of the pleadings submitted. B.WORK ADDRESS (Provide the last 4 numbers of the phone number): B.WORK ADDRESS (Include Area Code): 9 1. Name of Employer 2. Name of Employer's Address 3. Employer's Telephone Number (in case of emergencies, please include a telephone number of the nearest emergency service station.) 4. Employer's Work Contact Information and Address (in case of emergencies, please include a telephone number of the nearest emergency service station.) 5. Work Location (where applicable): 6. Work-related Activities (as applicable): 7. Job Locations: 7.1. Job Title: 7.2. Job Location: 7.3. Work Type: 7.4. Job Requirement: 7.5. Additional Information — (Please describe your claim, and any supporting and conflicting information that you think should be considered. Your claim and supporting information will be submitted to the BVA Appeals Board. Please do not put any attachments on the form.) 8. Work Requirement:  9. Job Information — (Please describe your position, and describe any tasks that you perform on a daily basis.) 10. Work-related Information (Please describe any work-related work that you perform or activities that you perform, and why that work-related activity should be included in your eligibility.

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