VA 21-8940 2021 free printable template

OMB Approved No. 2900-0404 Respondent Burden 45 minutes Expiration Date 06/30/2024 VA DATE STAMP DO NOT WRITE IN THIS SPACE VETERAN S APPLICATION FOR INCREASED COMPENSATION BASED ON UNEMPLOYABILITY IMPORTANT This is a claim for compensation benefits based on unemployability. I UNDERSTAND THAT IF I AM GRANTED SERVICE-CONNECTED TOTAL DISABILITY BENEFITS BASED ON MY UNEMPLOYABILITY I MUST IMMEDIATELY INFORM VA IF I RETURN TO WORK. REMARKS SECTION VI - AUTHORIZATION CERTIFICATION AND SIGNATURE...

How to fill out VA 21-8940

How to fill out VA 21-8940

1. Obtain the VA Form 21-8940 from the VA website or local VA office.
2. Fill in your personal information at the top of the form, including name, address, and Social Security number.
3. Indicate the date you became too disabled to work.
4. Complete the section regarding your employment history, including any jobs held within the last five years.
5. Provide details about your disabilities, including descriptions and associated medical treatment.
6. List all income sources, including wages, benefits, and any other financial assistance.
7. Sign and date the form.
8. Submit the form to the appropriate VA regional office to initiate the evaluation process.

Who needs VA 21-8940?

1. Veterans who are seeking a total disability rating based on individual unemployability due to service-connected disabilities.

Who needs a VA 21-8940 form?

The Department of Veterans Affairs (VA) gives benefits to all military personnel who have work limitations associated with the service in the army. A veteran must go through the VA Disability Process to obtain the status of a disabled person. After applying for VA Disability, military needs to go through the process of Compensation and Pension examination to determine the adequacy of the stated limits for the disability status.

What is the VA 21-8940 form for?

The VA 21-8940 is a claim for compensation benefits based on unemployability where you are claiming total disability because of service-connected physical limitations which are preventing you from securing or following any substantially gainful occupation. After the VA receives your VA 21-8940 application, they will verify your employment history by sending your past employers the VA 21-4192 form to fill out. The VA will ask the employer to verify the dates of employment and indicate why you stopped working for the company.

Is the VA 21-8940 form accompanied by other forms?

This form is used along with VA 21-4192 form to claim Unemployability for VA Disability. Usually, the VA 21-8940 form is sent to your employer by the VA, but if they have not received a response to their request from the employer, they can force you to make a request yourself.

Ask your doctors to provide statements that your service-connected disabilities prevent you from working. The more documents you get from them, the better chance you have for your claim to be satisfied.

When is VA 21-8940 form due?

There are no specific deadlines for submission of the VA 21-8940 form. The form is valid for a calendar year. Information from the form is recognized as valid for the calendar year from the date of its submitting.

How do I fill out VA 21-8940 form?

You should fill out such blocks from the form: 1) personal information; 2) disability and medical treatment; 3) employment statement; 4) personal information of the employers; 5) schooling and other training. In the end, you should certify and authorize the document.

Where do I send VA 21-8940 form?

The completed and signed document should be sent to the nearest Department of Veterans Affairs office.

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What is VA 21-8940?

VA Form 21-8940, also known as the Veteran's Application for Increased Compensation Based on Unemployability, is a form used by veterans to apply for increased compensation due to the inability to secure and follow a substantially gainful occupation as a result of service-connected disabilities.

Who is required to file VA 21-8940?

Veterans who are unable to maintain substantially gainful employment due to service-connected disabilities are required to file VA Form 21-8940 to seek increased compensation based on unemployability.

How to fill out VA 21-8940?

To fill out VA Form 21-8940, veterans should provide personal information such as name, social security number, and contact details. They must also detail their service-connected disabilities, employment history, education, and state how these disabilities affect their ability to work, along with any other relevant information.

What is the purpose of VA 21-8940?

The purpose of VA Form 21-8940 is to allow veterans to request a determination of their eligibility for Individual Unemployability (IU) benefits, which provide compensation at the 100% disability rate, even if their disability rating is less than 100%, if they are unable to work due to service-connected disabilities.

What information must be reported on VA 21-8940?

On VA Form 21-8940, veterans must report information including their personal details, the nature of their service-connected disabilities, details about previous employment, the reasons for leaving jobs, educational history, and current employment status, along with specifying the impact of their disabilities on their ability to work.