Non-Veteran Total and Permanent Disability Physicians / Optometrist Certification/Statement of Gross Income - Forms Download
Physician’s Certification of Total and Permanent Disability -
DR 416 Form
Optometrist’s Certification of Total and Permanent Disability -
DR 416B Form
Statement of Gross Income -
DR 501A Form
All non-veteran applicants (except paraplegics) must file Form DR 501A with their Physician/Optometrist Certification in order to qualify.
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