VA 21-4138 2011 free printable template

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...

How to fill out VA 21-4138

How to fill out VA 21-4138

1. Begin by downloading the VA Form 21-4138 from the official VA website.
2. Enter the claimant's VA file number in the specified field.
3. Fill in the name of the claimant and their contact information.
4. Provide a detailed explanation of the issue or claim you are addressing.
5. Include any relevant dates, names, and additional details necessary for the claim.
6. Sign and date the form at the bottom.
7. Submit the completed form to the appropriate VA regional office, either by mail or electronically.

Who needs VA 21-4138?

1. Veterans seeking to provide additional statements or information in support of their claims.
2. Claimants who need to explain changes in their condition or circumstances.
3. Individuals who are appealing a decision made by the VA regarding their benefits.

• 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.

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

What is VA form 21 10210 or 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.

Who signs VA form 21-4138 buddy letter?

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.

What is VA form 21 4192 used for?

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.

How do I make my VA disability permanent and total?

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.

What is the VA form 21-4138 used for?

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.

What is the VA form for total and permanent disability?

Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

For pdfFiller’s FAQs

How can I send VA 21-4138 to be eSigned by others?

Once your VA 21-4138 is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.

How do I edit VA 21-4138 online?

With pdfFiller, the editing process is straightforward. Open your VA 21-4138 in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.

How do I fill out VA 21-4138 using my mobile device?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign VA 21-4138 and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.

What is VA 21-4138?

VA Form 21-4138, also known as the Statement in Support of Claim, is a form used by veterans to provide additional information regarding their claims for benefits to the Department of Veterans Affairs.

Who is required to file VA 21-4138?

Veterans, dependents, or other individuals who wish to support a claim for VA benefits may be required to file VA Form 21-4138 to provide necessary information or evidence in support of the claim.

How to fill out VA 21-4138?

To fill out VA Form 21-4138, you should enter your personal information at the top, indicate the specific claim for which you are providing a statement, and include detailed information regarding your claim, including relevant facts and any supporting details or evidence.

What is the purpose of VA 21-4138?

The purpose of VA Form 21-4138 is to gather additional statements and evidence from claimants that support their claims for VA benefits, allowing the VA to better assess and evaluate the claims made.

What information must be reported on VA 21-4138?

On VA Form 21-4138, claimants must report personal details such as name, social security number, and claim number, along with a clear statement of the information being provided in support of their claim, which may include specifics about the disability or service-related issues.