VA Forms Library

VA Form 21-526EZ

Application for Disability Compensation

Primary form to file a new or increased disability claim

VA Form 21-0966

Intent to File

Preserve your effective date while gathering evidence

VA Form 21-4138

Statement in Support of Claim

Submit a personal or buddy statement

VA Form 21-10210

Lay/Witness Statement

Formal lay evidence statement (replaces 21-4138 for statements)

VA Form 21-4142

Authorization to Disclose Information

Authorize VA to obtain private medical records

VA Form 21-4142a

General Release for Medical Provider Information

Release form for specific medical providers

VA Form 21-0781

Statement in Support of Claim for PTSD

Describe PTSD stressor events

VA Form 21-0781a

Statement in Support of Claim for PTSD (Personal Assault)

PTSD stressor statement for MST/personal assault

VA Form 21-8940

Application for TDIU

Apply for Total Disability based on Individual Unemployability

VA Form 21-2680

Examination for Housebound Status or Aid & Attendance

Medical examination for A&A or housebound benefits

VA Form 20-0995

Supplemental Claim

File a supplemental claim with new and relevant evidence

VA Form 20-0996

Higher-Level Review

Request a senior reviewer re-examine your decision

VA Form 10182

Board Appeal (Notice of Disagreement)

Appeal directly to the Board of Veterans' Appeals

VA Form 21-686c

Declaration of Status of Dependents

Add or remove dependents for additional compensation

VA Form 21-534EZ

Application for DIC, Death Pension, and/or Accrued Benefits

Survivor benefits application

VA Form 21-0847

Request for Substitution of Claimant

Continue a deceased veteran's pending claim

VA Form 21-0960

Disability Benefits Questionnaire (General)

General DBQ for private physician completion

VA Form 21-0960A-1

DBQ — Musculoskeletal (Back/Neck)

Back and neck conditions including ROM

VA Form 21-0960A-3

DBQ — Musculoskeletal (Knee/Lower Leg)

Knee and lower leg conditions

VA Form 21-0960A-4

DBQ — Musculoskeletal (Shoulder/Arm)

Shoulder and arm conditions

VA Form 21-0960C-2

DBQ — Mental Disorders (Non-PTSD)

Depression, anxiety, bipolar, and other mental health

VA Form 21-0960I

DBQ — Initial PTSD

Initial evaluation for PTSD diagnosis

VA Form 21-0960J-1

DBQ — Skin Diseases

Skin conditions including burn scars

VA Form 21-0960L-1

DBQ — Respiratory (Sinusitis/Rhinitis)

Sinusitis, rhinitis, and respiratory conditions

VA Form 21-0960N-1

DBQ — Sleep Apnea

Sleep apnea and sleep-related conditions

VA Form 21-0960F-2

DBQ — Cardiovascular (Hypertension)

Hypertension and heart conditions

VA Form 21-0960B-1

DBQ — Ear Conditions (Tinnitus/Hearing)

Hearing loss, tinnitus, and ear conditions

VA Form 21-0960M-14

DBQ — Peripheral Neuropathy

Peripheral nerve conditions and radiculopathy

VA Form 21-4192

Request for Employment Information

Request employment verification for TDIU claims

VA Form 10-0379

Request for C&P Examination

Internal form to schedule compensation exam

VA Form 21-22

Appointment of VSO as Representative

Appoint a Veterans Service Organization

VA Form 21-22a

Appointment of Individual as Representative

Appoint an attorney or claims agent

VA Form 21-4502

Application for Automobile or Adaptive Equipment

Apply for automobile allowance or adaptive equipment

VA Form 10-10EZ

Application for Health Benefits

Enroll in VA health care

VA Form 26-1880

Request for Certificate of Eligibility (Home Loan)

VA home loan eligibility

VA Form 28-1900

Application for Vocational Rehabilitation

Apply for Chapter 31 Voc Rehab

VA Form 22-1990

Application for Education Benefits

Apply for GI Bill education benefits

VA Form 20-10206

FOIA or Privacy Act Request

Request records under Freedom of Information Act or Privacy Act