DECLARATION OF STATUS OF DEPENDENTS
PRIVACY ACT INFORMATION: The responses you submit are considered confidential (38 U.S.C. 5701) and may be disclosed outside VA, only if the disclosure is
authorized under the Privacy Act, including the routine uses identified in the VA system of records, 58VA21/22/28 Compensation, Pension, Education, and Rehabilitation
Records - VA, published in the Federal Register. The requested information is considered relevant and necessary to determine maximum benefits provided under law.
Information submitted is subject to verification through computer matching programs with other agencies.
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