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

Applicants who are Hemiplegic, Paraplegic, or require wheelchair use for mobility (except Quadriplegic) must file Form DR 501A along with their Physician/Optometrist Certification.

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