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VA 21-4138 2011 free printable template

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VA FORM AUG 2011 21-4138 EXISTING STOCKS OF VA FORM 21-4138 AUG 2004 WILL BE USED CONTINUE ON REVERSE The following statement is made in connection with a claim for benefits in the case of the above-named veteran VA FORM 21-4138 AUG 2011. OMB Approved No. 2900-0075 Respondent Burden 15 minutes STATEMENT IN SUPPORT OF CLAIM PRIVACY ACT INFORMATION The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title...
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How to fill out va form 21 4138

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How to fill out VA Form 21-4138:

01
Start by downloading the VA Form 21-4138 from the official VA website or visit a local VA office to obtain a copy.
02
Fill out the personal information section, including your full name, Social Security number, and date of birth.
03
Provide your contact information, such as your address, phone number, and email address.
04
Indicate the date on which you are completing the form.
05
In the "Statement in Support of Claim" section, clearly state the purpose of your statement and the claim it supports. Use specific details and avoid vague or general statements.
06
Provide a detailed description of the events, circumstances, and facts relevant to your claim or situation. Use additional sheets if necessary.
07
Be sure to sign and date the form at the bottom. Unsigned forms may not be accepted as valid documentation.

Who needs VA Form 21-4138:

01
Veterans who are seeking to provide additional information or evidence in support of their claims with the Department of Veterans Affairs.
02
Spouses or family members of veterans who are acting as their authorized representative and need to submit a statement or evidence on their behalf.
03
Service members who are currently serving and require additional documentation related to their service or health conditions.

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.

Instructions and Help about va form 21 4138

Laws calm legal forms guide a VA form 21 – 41 38 is the Veteran Affairs statement in support of a claim form that is used to support a claim for benefits this form is used to provide requested information by Veterans Affairs while they are evaluating your claim the VA form 21 – 41:38 is available on the United States Department of Veteran Affairs website the first blank boxes require your basic identification information in the top box you must provide the name social security number and the claims file number of the veteran who is making the claim next the large box on the first page requires a statement made in connection with the applied for claims this is the most important section of your VA form 21 – 41 38 it is important that you write a well-thought-out statement that supports your claims write a draft of your statement ensure that your draft includes a very detailed explanation addressing all the required additional information the Department of Veterans Affairs requires also ensure that you cover all of your claims once you have a completed draft you can either handwrite your explanation in the box or print it from a computer and attach it you must also attach any supporting documents you may require finally you must certify your VA Form 21 – 41:38 sign and date the VA For2—

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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

VA Form 21-10210 is used to provide information about an in-service injury or to give an update on the current severity of their service-connected conditions. However, VA form 21-4138 is no longer in use and the VA Form 21-10210 has been updated to replace it.
As mentioned previously, the statement needs to be signed by the buddy on a VA 4138 form. If it is not on the VA 4138 form, the statement must be notarized. This is because the VA wants the statement in a format where the person writing the statement is swearing that what they write is the truth.
Use VA Form 21-4192 if you're a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.
To be eligible for permanent and total disability (P&T) compensation, a veteran must be affected by a service-connected disability that is both “total” and “permanent.” To warrant a permanent and total disability rating, the veteran must have a condition that is fully disabling and does not show signs of improvement.
When to use this form. 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.
Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

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VA Form 21-4138 is a form used by veterans to provide additional information or evidence to support their disability compensation or pension claim. It is officially titled "Statement in Support of Claim" and allows veterans to explain their condition, provide personal statements, submit testimonies, and attach any supporting documents relevant to their claim. This form can be used to update an existing claim or to initiate a new one.
VA Form 21-4138, also known as the Statement in Support of Claim, is typically filed by a veteran, servicemember, dependent, widow, or other individuals who are seeking benefits from the Department of Veterans Affairs (VA). This form is used to provide additional information or evidence to support a claim for benefits or to update an existing claim. So, the individuals mentioned above may be required to file VA Form 21-4138 depending on their specific circumstances and the nature of their claim.
To fill out VA Form 21-4138, you can follow these steps: 1. Obtain a copy of VA Form 21-4138 from the official VA website or your nearest VA office. 2. Read the instructions at the top of the form carefully to understand the purpose and requirements of the form. 3. Provide your personal information in Section I, including your name, social security number, and contact information. 4. In Section II, provide details about the issue you are experiencing or raising concern about. It is important to be clear and concise in explaining your situation. 5. If you have supporting documents or evidence related to your issue, indicate that in Section III and attach the documents to the form. 6. In Section IV, provide additional information such as your representative's details, if applicable. 7. Review the completed form to ensure accuracy and completeness. 8. Sign and date the form in Section V. 9. Make a copy of the completed form for your records. 10. Submit the form by mailing it to the appropriate VA regional office or submitting it in person at your nearest VA office. Note: It is always recommended to consult with a VA representative or an accredited Veterans Service Officer to ensure that you accurately complete the form and provide all necessary information.
The purpose of VA Form 21-4138 is to provide a means for individuals to submit additional information, evidence, or statements in support of their claim for compensation, pension, or other benefits with the Department of Veterans Affairs (VA). This form allows veterans or their representatives to document any relevant facts, changes in circumstances, or statements that can help the VA in making a decision on their claim. It is often used to provide additional evidence that supports the veteran's case or to explain any discrepancies or inconsistencies in their claim.
VA Form 21-4138 is used for requesting assistance or providing additional information in support of claims for benefits with the Department of Veterans Affairs (VA). The information that should be reported on this form includes: 1. Veteran's personal information: Name, Social Security Number, VA file number, date of birth, and contact information. 2. Date and details of the claim: Specify the type of claim (e.g., compensation, pension, education, etc.) and provide a brief explanation of the claim being made. Include the date the claim was filed or intend to file. 3. Supporting information: Provide a narrative description of the facts and circumstances relevant to the claim. This should include details about the events, conditions, or injuries being claimed, as well as any medical evidence, witnesses, or other supporting documentation. 4. Supporting documents: If available, attach any relevant documents that support the claim, such as medical records, service records, or other evidence that can help establish eligibility for benefits. 5. Signature: The form must be signed and dated by the veteran or their authorized representative. If someone else is submitting the form on behalf of the veteran, their contact information and relationship to the veteran should be included. It is important to note that this form should only be used to provide additional information or as a general communication tool with the VA. It is not considered an official claim form and does not initiate the claims process.
The deadline to file VA Form 21-4138 in 2023 is generally determined by the specific situation or claim being made. It is best to contact the Department of Veterans Affairs or consult with a VA representative to get accurate and up-to-date information regarding deadlines for filing this form.
There is no specific penalty mentioned for the late filing of VA Form 21-4138. However, it is generally recommended to submit all required forms and documentation to the VA in a timely manner to avoid delays in processing your claim or any potential negative impact on your benefits.
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