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  1. This form is used to apply for a U.S. passport book and/or card in person at an acceptance facility, a passport agency (by a ppointment only), or a U.S. embassy, consulate, or consular agency (if abroad).

  2. 30 sie 2024 · Download VA Form 21-4138 (PDF) Related forms and instructions. VA Form 21-10210. Form name: Lay/Witness Statement. Use VA Form 21-10210 to submit a formal statement to support your VA claim—or the claim of another Veteran or eligible family member. People also sometimes call this statement a “buddy statement.” Download VA Form 21-10210 (PDF)

  3. SUPERSEDES VA FORM 21-4138, JUN 2021. Page 1. Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to submit a statement to support a claim. For more information you can contact us through Ask VA: https://ask.va.gov/, or call us . toll-free at 1-800-827-1000 (TTY:711). VA forms are available at www.va ...

  4. This form is used to apply for a U.S. passport book and/or card.

  5. SUPERSEDES VA FORM 21-4138, DEC 2017. Page 1 INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to submit a statement to support a claim. For more information you can contact us through Ask VA: https://ask.va.gov/, or call us toll-free . at 800-827-1000 (TTY:711). VA forms are available at

  6. eforms.state.gov › PassportFormsPassport Forms

    If you are applying for a U.S. passport, use the Passport Form Filler to fill out our primary forms (DS-11, DS-82, DS-5504, and DS-64) online and print them. The Form Filler will save you time and reduce the chance of errors on your form.

  7. The following statement is made in connection with a claim for benefits in the case of the above-named veteran: VA FORM 21-4138, JAN 2015.

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