Add Disabilities & Select Disability Rating(s)
Select Disabilities and Percentages
Mental
Head
Cervical / Neck
Right Arm
Left Arm
Spine / Back
GERD/IBS
Right Leg
Left Leg
Other
Your Selections
Combined Disability Percentage
SMC-K
Special monthly compensation
Do you have any dependents?
How many children under 18?
How many children over 18?
What is your marital status?
Add Dependent Spouse
Does your spouse need aid and attendance?
Add Dependent Parent(s)
How many dependent parents?