Va Form 21-4192 Request For Employment Information - Concessions (if any) made to. Request for employment information in. A request for employment information in connection with claim for disability benefits (va form 21. Number of hours worked daily weekly 12. Type of work performed 11. Request for employment information in connection with claim for disability benefits.
Type of work performed 11. Request for employment information in connection with claim for disability benefits. A request for employment information in connection with claim for disability benefits (va form 21. Request for employment information in. Concessions (if any) made to. Number of hours worked daily weekly 12.