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OMB Control No. 2900-0115 Respondent Burden: 20 Minutes VA DATE STAMP (DO NOT WRITE IN THIS SPACE) SUPPORTING STATEMENT REGARDING MARRIAGE Privacy Act Notice: VA will not disclose information collected

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How to fill out va form 21-4138 statement

How to Fill out VA Form 21-4138 Statement:

01

Start by downloading VA Form 21-4138 Statement of Support of Claim from the official U.S. Department of Veterans Affairs (VA) website.

02

Begin filling out the form by entering your personal information in Section I, including your name, social security number, address, and contact information.

03

In Section II, provide a description of the claim or issue you are addressing in the form. Be clear and concise in explaining the details of your situation or request.

04

Use Section III to provide any additional information or remarks that may be necessary to support your claim. This section allows you to elaborate on the details mentioned in Section II or include any relevant supporting documents.

05

If there are any witnesses or individuals who can provide supporting statements or documents, use Section IV to list their names, addresses, and relationship to you.

06

Ensure that the form is signed and dated in Section V. Remember to date the form with the current date that you are submitting it.

07

Keep a copy of the completed form for your records before submitting it to the VA.

Who Needs VA Form 21-4138 Statement:

01

Veterans: Veterans who are filing claims with the VA for benefits, compensation, or other related matters may need to submit a VA Form 21-4138 Statement.

02

Dependents: Dependents or family members of veterans who are claiming benefits or support may also need to submit this form.

03

Advocates or Representatives: Individuals acting as advocates or representatives for veterans or dependents in their claims or appeals process may be required to complete this form to provide additional information or support.

Note: It is advisable to consult with a VA representative, such as a Veterans Service Officer (VSO), to ensure the proper completion and submission of VA Form 21-4138 Statement. They can provide guidance specific to your situation and help ensure the best possible outcome for your claim.

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