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militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

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Page 1: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Page 2: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Page 3: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Page 4: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Page 5: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Page 6: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

x

x

[email protected]

Schmoe, Joe J. 1313 Mockingbird Lane

999-99-9999 E-5

19740314 999-999-9999New York

NY

x

21002

x

x

x

x

SAM

PLE21002

Page 7: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

(can be found on your VA paperwork)

Schmoe, Joe J. 999-99-9999

degenerative disc disease spine

5242 20% 40%20100325

x

Bagram Airfield, Afghanistan

My unit and I were transferring patients from a field hospital when an IEDexploded near our transport. I was thrown and damaged my discs upon impact.

x

SA

MPLE

spine

20%

Bagram Airfield, Afghanistan

My unit and I were transferring patients from a field hospital when an IEDexploded near our transport. I was thrown and damaged my discs upon impact.

Page 8: militarydisabilitymadeeasy.com · NAME (Last, First, Middle Initial) NOTE: To ensure the review of all of your requested disabilities, limit ONE disability for each page. You are

Schmoe, Joe J. 999-99-9999

Joe J. Schmoe 20170819

SAM

PLE

Students with Disabilities by Disability .… · with low incidence disabilities (intellectual, multiple, and ‘severe’ disabilities).”* * Maryland Coalition for Inclusive Education

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