Document

VA Form 21P-0847

ICR 202407-2900-005 · OMB 2900-0740 · Object 145149900.

Document Viewer [pdf]

Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.

Queue: Repair is queued and waiting for the next worker pass. (priority 80 · attempts 4 · next 2026-07-18 21:54:34)

Missing: pdf

No local or Spaces-backed artifact is available yet for this document.

Primary: pdfSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
VA Form 21P-0847
REQUEST FOR SUBSTITUTION OF CLAIMANT UPON DEATH OF CLAIMANT
M. Domzalski
2024-08-07
2023-07-11
failed_conversion