Va Statement In Support Of Claim Form
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The Statement in Support of Claim form also known as a buddy statement when completed by other service-members is officially called VA Form 21-10210. STATEMENT IN SUPPORT OF CLAIM VA FORM DEC 2017 21-4138 OMB Control No.
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For each incident provide a description of what happened the date the geographic location your unit assignment and dates of assignment and the full names and unit assignments of you know of who were killed.
Va statement in support of claim form. Can use to provide information to substantiate a claim for VA benefits. The VA Form 21-0781 is the standard form for filing a claim for PTSD. Ive heard others talk about why the VA Form 21-4138 might be hurting your claim.
Read the Privacy Act and Respondent Burden on Page 2 before completing the form. Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder or if claiming PTSD based on personal assault submit a completed VA Form 21-0781a Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder Secondary to Personal Assault. This is a multi-purpose form that has been used by the VA for many years on which veterans are able to write any information that they would like the VA to know.
Use this VA form if youve already filed a DIC claim and want to provide supporting financial evidence. VA Form 21-4138 Statement in Support of Claim is a form used to support a claim for benefits. STATEMENT IN SUPPORT OF CLAIM FOR SERVICE CONNECTION FOR POST-TRAUMATIC STRESS DISORDER PTSD INSTRUCTIONS.
A Statement in Support of Claim is a document used to establish proof for a veterans claim for benefits from the Department of Veterans Affairs. Statement in Support of Claim for Service Connection for PTSD Secondary to Personal Assault Use VA Form 21-0781a if youve been diagnosed with PTSD related to or because of personal assault and you want to apply for related benefits or services. Formally known as VA Form 21-4138 this document will collect personal information from the veteran such as his or her name social security number and a statement that would support this claim for benefits.
Get VA Form 21P-0969 Income and Asset Statement in Support of Claim for Pension or Parents Dependency and Indemnity Compensation DIC. The latest edition of the form was released by the Department of Veterans Affairs VA on December 1 2017. The VA Form 21-4138 Statement in Support of Claim is at is most basic level the VA Form for a blank sheet of paper.
When filing a VA disability claim former military service members can fill out the VA Form 21-4138 also known as the Statement in Support of Claim. You can find this claim form on VAgov. VA DATE STAMP DO NOT WRITE IN THIS SPACE.
List the stressful incident or incidents that occurred in service that you feel contributed to your current condition. Writing Convincing VA Statements in Support of Claim. When writing or obtaining a buddy letter in support of a veterans VA disability claim you can simply use the VA Form 21-4138 Statement in Support of a Claim.
12312020 EXISTING STOCKS OF VA FORM 21-4138 JAN 2015 WILL BE USED. Besides the standard personal information about the filer it asks. In 7 years of representing Veterans I have reviewed hundreds if not thousands of VA Claim C-Files.
Download VA Form 21-0781a PDF. This claim can be filed by the veteran or another person such as a relative or a friend. Complete as much of Section I as possible.
Here is a copy of VA Form 21-4138 sample so you remember what it looks like. 15 minutes Expiration Date. Use this VA form to submit a VA buddy statement or other statement you believe will help support your request for VA benefits.
Get VA Form 21-4138 Statement in Support of Claim. A Statement in Support of Claim also known as a Lay Evidence or a Witness Statement is a VA form that veterans their families friends former service members etc. The form asks for vital information to establish your service-connected PTSD through the means of a timeline.
The form asks for specific details surrounding your claim.
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