VA New Claim Forms

Man filling out a VA claim form

Following are forms provided by the U.S. Department of Veterans Affairs to facilitate veterans’ claims for service-connected disability benefits.



VA Form 21-526EZ

VA Form 21-526EZ – Application for Disability Compensation and Related Compensation Benefits

The claim form is used to apply for VA disability compensation and related benefits. This form cannot be used to apply for any condition previously denied.

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VA Form 21-4142

VA Form 21-4142 – Authorization to Disclose Information to the Department of Veterans Affairs (VA)

The supplemental form used to list non-VA medical treatment sources and to grant permission to the VA to obtain records from these locations.

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VA Form 21-686c

VA Form 21-686c – Application Request to Add and/or Remove Dependents

The supplemental form used to submit a claim for additional benefits for a dependent.

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VA Form 21-8940

VA Form 21-8940 – Veteran’s Application for Increased Compensation Based on Unemployability

The supplemental form used to apply for Individual Unemployability disability benefits for a service-connected condition that prevents the individual from working.

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VA Form 21-0781

VA Form 21-0781 – Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD)

The supplemental form used to apply for benefits or services related to a diagnosis of PTSD.

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VA Form 21-4138

VA Form 21-4138 – Statement in Support of Claim

The supplemental form used to submit a statement from the veteran or from someone with firsthand knowledge of information they believe would help support the claim.

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