Get the free 21-0966 INTENT TO FILE A CLAIM FOR COMPENSATION ANDOR PENSION OR SURVIVORS PENSION A...
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OMB Control No. 29000826 Respondent Burden: 15 minutes Expiration Date: 5×31/2015 VA DATE STAMP (DO NOT WRITE IN THIS SPACE) INTENT TO FILE A CLAIM FOR COMPENSATION AND×OR PENSION, OR SURVIVORS
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How to fill out 21-0966 intent to file
How to Fill Out 21-0966 Intent to File:
01
Obtain the form: The 21-0966 Intent to File form is available on the official website of the Department of Veterans Affairs (VA). You can download it as a PDF or request a printed copy from your nearest VA regional office.
02
Personal Information: Fill in your personal details accurately. This includes your full name, social security number, date of birth, current address, and contact information.
03
Benefits you are intending to claim: Specify the specific benefits you are interested in applying for. This could include disability compensation, pension, burial benefits, or other VA benefits. Make sure to check the appropriate boxes.
04
Effective Date: Indicate the date from when you want the benefits to begin. This could be the date of your application or a specific date in the future. Note that the effective date may impact the amount of retroactive payments you may receive.
05
Signature and Date: Sign and date the form to certify that the information provided is accurate to the best of your knowledge.
Who needs 21-0966 Intent to File:
01
Veterans: Any veteran who wishes to apply for VA benefits needs to submit the 21-0966 Intent to File form. This form serves as a formal notice to the VA that you have the intention to apply for specific benefits.
02
Dependents: Surviving spouses, children, or any dependents of deceased veterans who are eligible for VA benefits should also submit this form before applying for the benefits they are entitled to.
03
Active Duty Service Members: Servicemembers who are within 180 days of their separation or retirement from active duty can also utilize the 21-0966 form to establish their intent to file for VA benefits.
Note: The 21-0966 Intent to File form does not replace the actual application for benefits. It only serves as a preliminary step to preserve the effective date of your application. You will still need to complete the appropriate application form and submit it to the VA to receive the benefits you are seeking.
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What is 21-0966 intent to file?
21-0966 intent to file is a form used by veterans to express their intent to file a claim for VA benefits.
Who is required to file 21-0966 intent to file?
Any veteran who wishes to file a claim for VA benefits must file a 21-0966 intent to file.
How to fill out 21-0966 intent to file?
The 21-0966 intent to file form can be filled out online through the VA's website or by mail. It requires basic information about the veteran and the benefits they are seeking.
What is the purpose of 21-0966 intent to file?
The purpose of the 21-0966 intent to file is to notify the VA of a veteran's intent to file a claim for benefits, without requiring all the necessary supporting documentation at that time.
What information must be reported on 21-0966 intent to file?
The 21-0966 intent to file requires basic information about the veteran, such as their name, address, contact information, and the benefits they are seeking.
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