VA 21-4138 2017 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 21-4138 DEC 2017 Page 2. VA FORM DEC 2017 21-4138 EXISTING STOCKS OF VA FORM 21-4138 JAN 2015 WILL BE USED. Page 1 SECTION III DECLARATION OF INTENT I CERTIFY THAT the statements on this form are true and correct to the best of my knowledge and belief. 10. OMB Control No. 2900-0075 Respondent Burden 15 minutes Expiration Date 12/31/2020 VA...

How to fill out va form 21 4138

How to fill out VA Form 21-4138:

1. Start by providing your personal information, including your name, Social Security number, VA file number, and contact information.
2. Next, indicate the purpose of the form and the specific issue you want to address. Clearly explain the details and circumstances surrounding your claim or request.
3. Include any relevant dates, such as the date of the incident or the date you received a decision from the VA.
4. Attach any supporting documentation or evidence that may help your case. This could include medical records, letters from doctors or employers, or any other relevant paperwork.
5. Sign and date the form to certify the accuracy of the information provided.
6. Keep a copy of the completed form for your records.

Who needs VA Form 21-4138:

1. Veterans who wish to submit additional information or evidence in support of their disability claim.
2. Veterans who want to request a change or review of a previous VA decision.
3. Veterans who need to update their personal information or contact details with the VA.
4. Survivors of deceased veterans who are pursuing benefits or requesting a change in their survivor benefits.

Note: VA Form 21-4138 can also be used by other claimants or individuals with pending issues related to VA benefits. It is advisable to consult with a Veterans Service Officer or the VA itself to determine if this form is suitable for your specific situation.

• What is the Statement in Support of Claim?
• In one sentence, what is the purpose of submitting this form?
• What information do you need in order to complete this form?
• • Who is the intended recipient of this form?

What is the Statement in Support of Claim?

The Statement in Support of Claim (also known as form VA 21-4138) is used to support a claim for benefits from the Veterans Affairs department. It provides necessary personal claim to the department while they are evaluated your claim. This personal claim statement supports the veteran’s story, and gives the department an idea of any special case situations.

In one sentence, what is the purpose of submitting this form?

Veterans submit form VA 21-4138 to support their claim for veteran’s benefits.

What information do you need in order to complete this form?

Form VA 21-4138 is very straightforward -- it almost looks like a blank piece of paper. All you need to fill out the form is…

• The first, middle, and last name of the veteran applying for benefits
• The veteran’s social security number
• The veteran’s VA file number
• A handwritten statement in support of the particular claim the veteran is making
• The veteran’s signature, and the date the document was signed
• The veteran’s full address and daytime/evening phone numbers

The statement section is the most important part of your VA Form 21-4138. It must include a well written and thought out statement that supports ALL your claims. It’s a good idea to write a draft of your statement, and then go back to ensure that it includes a very detailed explanation, that it addresses all the required additional information the Department of Veteran's Affairs requires, and that it covers all of your claims. Once you’ve completed a first draft on scratch paper, you can either handwrite your explanation in the box or fill it out online.

Who is the intended recipient of this form?

This form is intended to be received by the Department of Veteran’s Affairs.

Video instructions and help with filling out and completing va form 21 4138

Instructions and Help about va form 21 4138 pdf fillable

When the va receives a claim for monthly tax-free disability benefits they need to evaluate this claim and give the applicant a disability rating that will define the amount of monthly compensation in order to collect more evidence the department of veterans affairs may request that you complete va form 21-4138 pdf filler provides you with an up-to-date fillable template that you can easily complete sign and submit online the 21-4138-va form includes just two pages a significant portion is allocated for your remarks so you won't spend much time filling it out start preparing the va form 21-4138 statement in support of claim by entering your name and date of birth indicating your veteran's social security number is optional according to the privacy act information at the bottom of the second page providing a social security number helps to ensure that this form is properly associated with your claim and refusal to provide it or any other person who knows about the veteran's disability to prove that the current conditions are connected with the military service once every field has been completed and checked off date and sign the va form 21-4138 statement in support of claim directly in the pdf filler editor then click done to save the changes you've made choose what you would like to do with your 21-4138 va form next print out the resulting document share it with anybody via email fax sms usps or shareable link send it out for signature save it to your device convert it into a template or continue editing your document online give pdf filler a try and start saving your time and resources today.

What is va form 21 4138?

Formally known as VA Form 21-4138, this document will collect personal information from the veteran, such as his or her name, social security number and a statement that would support this claim for benefits. ... This information aids the Department assessing the legitimacy of the veteran's claim.

People Also Ask about va form 21 4138

How do I write a VA disability support letter?

Here are some tips to help you write the letter: Be clear about your relationship with the veteran. In the first section of the buddy letter, state your name and how you know the veteran. Include as many details as possible. Include only the information you know. Remember to sign and date the letter.

How do I submit a claim to PTSD?

To get disability compensation, veterans should submit a PTSD claim with VA. First, veterans can download and fill out VA Form 21-526EZ. This can be submitted via mail to the Claims Intake Center, in person at the closest VA Regional Office, or electronically through VA's website.

What are the easiest VA claims to win?

The Top 5 Easiest Things to Claim for VA Disability Mental Health Conditions. Mental health conditions like PTSD, anxiety, depression, and somatic disorder are considered high-value claims. Scars. Musculoskeletal Conditions. Presumptive Disorders. Tinnitus.

How do you write a good lay statement for the VA?

Those writing lay statements should explain what they have personally observed or witnessed about the veteran's condition, daily life, or the in-service event that occurred. They should always sign and date the document and indicate how and why they have personal knowledge about the veteran's situation.

Who signs VA 21-4138?

What purpose does the VA Form 21-4138 serve? In summary, this form is used to provide information to corroborate a veteran's claim for benefits. This form is filled out by a veteran's friends, families, or former service members.

How do you write a winning VA statement in support of claim?

How to write your claim: List the Name of the VA Disability You're Claiming in the First Section of the VA Form 21-4138. Explain the Approximate Timeframe Your VA Disability Began Along with Why It Should Be Service Connected (or Why Your VA Rating Should Be Increased for Conditions Already Service Connected)

How do I write a personal statement for a VA claim?

How to write your claim: List the Name of the VA Disability You're Claiming in the First Section of the VA Form 21-4138. Explain the Approximate Timeframe Your VA Disability Began Along with Why It Should Be Service Connected (or Why Your VA Rating Should Be Increased for Conditions Already Service Connected)

How do I submit a buddy statement?

Use VA Form 21-4138 when you want to submit a VA “buddy statement” or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.

Does the VA still use Form 21-4138?

Use VA Form 21-4138 when you want to submit a VA “buddy statement” or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.

For pdfFiller’s FAQs

Who is required to file va form 21 4138?

The Veteran or the Veteran's representative is responsible for filing VA Form 21-4138.

When is the deadline to file va form 21 4138 in 2023?

The deadline to file VA Form 21-4138 in 2023 is December 31, 2023.

How do I modify my va form 21 4138 in Gmail?

va form 21 4138 and other documents can be changed, filled out, and signed right in your Gmail inbox. You can use pdfFiller's add-on to do this, as well as other things. When you go to Google Workspace, you can find pdfFiller for Gmail. You should use the time you spend dealing with your documents and eSignatures for more important things, like going to the gym or going to the dentist.

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