Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304)

OMB 2900-0572

OMB 2900-0572

VA Form 21-0304 is used to gather information necessary to determine eligibility for a monetary allowance for a child born with spina bifida or certain birth defects who is a natural child of a Vietnam or certain Korea service veteran.

The latest form for Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) expires 2023-02-28 and can be found here.

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