U.S. Deopartment Of Veterans Affairs 2346 VA2346
User Manual: 2346
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REQUEST FOR HEARING AID BATTERIES & ACCESSORIES NOTE: If mailing this form, place in an envelope and mail to: Department of Veterans Affairs Denver Distribution Center (905A) P.O. Box 25166 Denver CO 80225-0166 NOTE: If attaching this form to an e-mail, send to: ddc.css@va.gov 1. LAST NAME - FIRST NAME - MIDDLE INITIAL 2. LAST FOUR DIGITS OF YOUR SOCIAL SECURITY NUMBER 4. HOME ADDRESS (Street No., City, State, and ZIP Code) 5. THIS ADDRESS IS: 3. DATE COMPLETED (MM/DD/YYYY) PERMANENT NEW TEMPORARY NOTE: The Denver Distribution Center will send a six months supply of batteries for the following hearing aids: 6. HEARING AID INFORMATION a. TRADE NAME b. MODEL c. SERIAL NUMBER(S) d. NUMBER OF HOURS PER DAY HEARING AID(S) USED e. BATTERY SIZE f. ACCESSORIES 7. REMARKS VA FORM DEC 2001 (R) 2346 (Electronic version) Adobe Forms Designer 6.0 U.S. Deopartment of Veterans Affairs Document: VA2346: Free Downloads Download any U.S. FedForm (free, fillable, savable in Adobe Reader)! Start with the "Flash Demo" at the top of the following page: www.usa-federal-forms.com Convert any fillable PDF form to savable (locally, in Adobe Reader): www.savePDF.com Convert any document (in any format) to PDF fillable and savable: www.FillinDocs.com All (10's of 1,000's) U.S. Federal Forms already fillable, savable: www.usa-federal-forms.com -----------------------------------------------About the ITAOP/savePDF Method The traditional Field-by-Field creation process is extremely ineffective and slow. The only realistic option to create high-quality forms is the Insert-TextAnywhere-on-Page (ITAOP) method. The field creation process is about 10,000 times faster than the traditional method; the list of ITAOP features is not even available for the traditional method. ITAOP savePDF method proved to be very simple and completely reliable for millions of users all over the world (incl. individuals, companies, organizations, government employees).
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