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Common VA Forms http://www4.va.gov/vaforms/ VA Form 21-526: Veterans Application for Compensation and/or Pension This form is used to file a claim for the Veterans Benefits that you earned. http://www.vba.va.gov/pubs/forms/VBA-21-526-ARE.pdf
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How to fill out va form 21-0781a

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How to fill out VA Form 21-0781a:

01
Begin by downloading or obtaining a copy of VA Form 21-0781a, which is the Declaration for Reconsideration of an Informal or Formal Claim for VA Disability Compensation.
02
Fill out the personal information section at the top of the form, including your name, social security number, date of birth, and contact information.
03
In Section I, provide information about the claim you are requesting reconsideration for, such as the date of the original claim, claim number, and the basis for reconsideration.
04
Section II requires you to describe the evidence that supports your request for reconsideration. Be detailed and specific in explaining why you believe the decision made on your original claim should be reconsidered.
05
If you have any additional evidence or supporting documents, attach them to the form and refer to them in Section II.
06
In Section III, certify that the information provided is true and accurate to the best of your knowledge.
07
Sign and date the form at the bottom and make a copy for your records.
08
Submit the completed VA Form 21-0781a to the appropriate VA regional office or VA medical center that handles your claim.

Who needs VA Form 21-0781a?

01
Veterans who want to request reconsideration of an informal or formal claim for VA disability compensation may need to fill out VA Form 21-0781a.
02
This form is particularly relevant for individuals who believe that the decision made on their original claim was incorrect or incomplete.
03
Veterans who have additional evidence or supporting documents to present in support of their claim for reconsideration may also need to use this form.
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VA Form 21-0781a is the Statement in Support of Claim for PTSD Secondary to Personal Assault.
Any veteran or service member who is filing a claim for PTSD secondary to personal assault is required to file VA Form 21-0781a.
VA Form 21-0781a must be completed with detailed information about the personal assault that resulted in the PTSD, as well as any relevant medical records and statements.
The purpose of VA Form 21-0781a is to gather information and evidence in support of a claim for PTSD secondary to personal assault.
Information such as the details of the personal assault, the dates and locations of the incident, any medical treatment received, and statements from witnesses or other individuals familiar with the incident must be reported on VA Form 21-0781a.
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