VA 21-0958 2015 free printable template

Reginfo. gov/public/do/PRAMain. If desired you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form. VA FORM 21-0958 JAN 2015 OMB Approved No. 2900-0791 Expiration Date 9/30/2017 NOTICE OF DISAGREEMENT A CLAIMANT OR HIS OR HER DULY APPOINTED REPRESENTATIVE MAY FILE NOTICE EXPRESSING THEIR DISSATISFACTION OR DISAGREEMENT WITH AN ADJUDICATIVE DETERMINATION BY THE AGENCY OF ORIGINAL JURISDICTION. A DESIRE TO CONTEST THE RESULT WILL CONSTITUTE A...

How to fill out VA 21-0958

How to fill out VA 21-0958

1. Obtain the VA Form 21-0958 from the VA's website or your local VA office.
2. Fill out your personal information in the designated sections, including your name, Social Security number, and contact information.
3. Clearly state the reason for your intent to appeal the VA's decision.
4. Provide any necessary details or evidence that supports your appeal.
5. Sign and date the form at the designated line.
6. Submit the completed form to the appropriate VA office, either by mail or electronically, as specified in the instructions.

Who needs VA 21-0958?

1. Veterans who disagree with a decision made by the Department of Veterans Affairs regarding their benefits or claims.
2. Survivors of veterans who are filing an appeal on behalf of the deceased veteran.
3. Any individual who wishes to formally initiate an appeal process concerning VA decisions.

• Who needs VA Form 21-0958?
• What is VA Form 21-0958 Used For?
• Is VA Form 21-0958 Accompanied by Other Forms?
• • What Information should be Provided in VA Form 21-0958?
  • Where do I Send VA Form 21-0958?

Who needs VA Form 21-0958?

Every veteran who has a need to appeal from a decision concerning his claim for disability compensation should use this form as far as it is the only way express your disagreement.

What is VA Form 21-0958 Used For?

VA Form 21-0958 is a Notice of Disagreement. Whenever you disagree with some statement or decision regarding your claim for disability compensation made by your Regional Office, you should use this form to indicate your disagreement. In fact this form is the only way to initiate an appeal from a decision described above.

Is VA Form 21-0958 Accompanied by Other Forms?

This form doesn’t require any other forms to accompany it. However, you may add some extra sheets if you lack space while filling in the last field. You also should attach any materials that support and explain your Note of Disagreement.

What Information should be Provided in VA Form 21-0958?

While filling out VA Form 21-0958 you should mention the following information:

• Veteran’s name

• Veteran’s social security number

• Claimant’s name

• Mailing address

• Telephone contacts

For each issue:

• Specific issues of disagreement

• Area of disagreement 

• Percentage Evaluation Sought (if known)

After filling out the form you should provide a signature on the bottom of it. Otherwise, you will get it back to be signed. This will make the processing of your form much longer.

Where do I Send VA Form 21-0958?

You should send or take VA Form 21-095 to the Regional Office that issued the decision, statement or notification you disagree with.  

Instructions and Help about VA 21-0958

Hello my name is Nancy foodie, and I'm an attorney with the law firm of Goodman and Mike Donnelly I'm going to be talking to you today I've got a notice of disagreement what it is in why you should file it a notice of disagreement is basically a written communication when after you have received a rating decision it is a written communication that the veteran or claimant will send to the VA to tell them that why they have disagreed with the decision there are many reasons why person may disagree with a decision from the VA one of them is maybe the VA denied service connection another way maybe they didn't get the disability rating that they wanted or the correct effective date of when they file their claim generally when the VA issues a written decision VA will include VA form 21:09 5 8 in the package which is labeled notice the disagreement, and they're going to be included that in the packet with along with the rating decision that they're going to send the veteran or claimant this is what the form looks like in cases where a form is provided to the veteran has to use that form to tell the VA that they're disagreeing with the decision if so is the VA has into the form you must use it otherwise the VA is not going to accept any other disagreement on any other document including any other VA forms there are very few specific instances where a form is not provided by the VA and in that case if perform is not provided any written documentation from the veteran or his representative can't be considered disagreement however in general we recommend that no matter what you use this VA form 21:09 5:8 there are several parts to the form the first part is the veterans identifying information that includes your name address phone number part two is ask you if there's a telephone contact if you want the VA to call you to discuss maybe there may be some ambiguous ease with the notice that is agreement or maybe there's some clarification that needs to be provided and if the VA is you opt to have the VA call you're generally only going to try twice part three is going to ask you to select whether you want to have the appeal reviewed by a decision review officer and we generally recommend that you check yes because that's going to have another person a higher level personnel review your appeal part four includes the specific issues that you're disagreeing with and there you can list all whether you have our disagreement with the effective date the disability rating etc and this is and it's going to have a place where you can insert the date of the rate of decision and this is very important that you fill out that date because you only have one year to appeal a rating decision otherwise the rate of decision will become final you need to sign in indicating that everything in the document is correct and truthful if you have received a rating decision you're not sure whether you want to appeal or not or if you need help filling out the notices' agreement we'll be...

People Also Ask about

Who signs the VA Form 21 10210?

This form is used by the veteran/claimant or someone writing on your behalf to gather lay or witness statements that support an existing claim for benefits or service.

Who fills out VA aid and attendance form?

VA Form 21-2680 is a form, filled out by a medical doctor, to support a claim for aid and attendance and/or housebound benefits filed with the Department of Veterans Affairs.

What is VA Form 21-0958 used for?

In order for us to begin processing your NOD, you must complete, sign, and return VA Form 21-0958, Notice of Disagreement, within one year of the date of the decision notice we sent you on the decision(s) you are intending to appeal, or within 60 days from the date of this notice, whichever is later.

What is the VA surviving spouse pension form?

Use VA Form 21P-534 if you prefer to provide evidence at a later time to support your claim. You can use this form if you're a surviving spouse or child of a Veteran who has died and want to begin the process of applying for VA benefits or money that we owe the Veteran but did not pay prior to his or her death.

Who signs VA Form 21 0845?

The veteran must sign the form before submitting it. Create a Va Form 21 0845 in minutes with our professional document builder.

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What is VA 21-0958?

VA Form 21-0958 is a form used by veterans and service members to appeal claims decisions made by the Department of Veterans Affairs (VA).

Who is required to file VA 21-0958?

Veterans, service members, and their authorized representatives are required to file VA Form 21-0958 to appeal a VA decision regarding benefits.

How to fill out VA 21-0958?

To fill out VA Form 21-0958, provide your personal information, details of the decision you are appealing, the specific issues you are appealing, and any additional evidence or statements you wish to submit to support your appeal.

What is the purpose of VA 21-0958?

The purpose of VA Form 21-0958 is to formally notify the VA of a veteran's intent to appeal a decision regarding their benefits, allowing them to initiate the appeals process.

What information must be reported on VA 21-0958?

The form requires information such as the veteran's name, claim number, the date of the decision being appealed, the specific issues being contested, and any supporting evidence or reasons for the appeal.