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Name: Fillable Online Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or Dic Fax Email Print - pdfFiller
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This form is used to notify the VA of the claimant\'s intent to file for general benefits including compensation, pension, and survivors pension. It includes sections for identifying the veteran and

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How to fill out va form 21-0966

01

Obtain VA Form 21-0966 from the VA website or local office.

02

Read the instructions provided on the form carefully.

03

Fill in your personal information, including your name, Social Security number, and contact information.

04

Indicate your relationship to the veteran, if applicable.

05

Provide details about your military service, including branch and dates of service.

06

Specify the type of benefits you are applying for.

07

Review the completed form for accuracy and completeness.

08

Sign and date the form.

09

Submit the form either online, by mail, or in person at a local VA office.

Who needs va form 21-0966?

01

Any veteran or eligible dependent applying for benefits from the VA needs to fill out VA Form 21-0966.

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What is va form 21-0966?

VA Form 21-0966 is the Application for Disability Compensation and Related Compensation Benefits that veterans use to apply for disability benefits from the Department of Veterans Affairs.

Who is required to file va form 21-0966?

Any veteran who has a service-connected disability or who believes they may be eligible for disability compensation benefits is required to file VA Form 21-0966.

How to fill out va form 21-0966?

To fill out VA Form 21-0966, you need to gather personal information, details about your military service, information on your medical conditions, and related service records. Follow the instructions provided with the form to complete it accurately.

What is the purpose of va form 21-0966?

The purpose of VA Form 21-0966 is to initiate the application process for disability compensation and related benefits for veterans who may have service-connected health issues.

What information must be reported on va form 21-0966?

Information that must be reported on VA Form 21-0966 includes personal identification details, service history, medical conditions for which the veteran is claiming benefits, and any relevant supporting documents or evidence.

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