Veterans' Programs - Disability Claim (VA)

  • VA 21 - 0966 - Intent to File a Claim:
    • This Form Is Used to Notify VA of Your Intent to File for the General Benefit(s.)
  • VA 21 - 22A - Claimant's Representative:
    • If you prefer to have a veterans service organization assist you with your claim instead of an individual.
  • VA 21 - 526EZ - Evidence Necessary to Substantiate a Claim
    • Used to submit a claim for veterans' disability compensation and related compensation benefits.
  • VA 21 - 4138 Statement in Support of a Claim:
    • The information requested will help process your claim for benefits.
  • VA 21 - 4142 Authorization Release:
    • Authorization to disclose information to the VA.
  • VA 21 - 686C - Declaration of Status of Dependents:
    • Use form to submit a claim for additional benefits for a dependent/request removal of a dependent from your award.