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File additional forms for your disability claim

Find out if you’ll need to turn in any additional forms when you file your disability claim.

Do I need to turn in any additional forms?

In some cases, you may need to turn in one or more additional forms to support your disability claim.

If you’re: You’ll need to turn in:
If you’re: A National Guard and Reserve member You’ll need to turn in: All your service treatment and personnel records from your unit(s)
If you’re: Claiming Individual Unemployability You’ll need to turn in:

Both of these:

A Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940)

Download VA Form 21-8940 (PDF)

and

A Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192)

Download VA Form 21-4192 (PDF)

If you’re: Claiming posttraumatic stress disorder (PTSD) You’ll need to turn in:

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (VA Form 21-0781)

Download VA Form 21-0781 (PDF)

or

You can fill out VA Form 21-0781 when you file a disability claim online.

File a disability compensation claim

If you’re: Claiming PTSD based on a personal assault You’ll need to turn in:

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder Secondary to Personal Assault (VA Form 21-0781a)

Download VA Form 21-0781a (PDF)

or

You can fill out VA Form 21-0781a when you file a disability claim online.

File a disability compensation claim

If you’re: Claiming Specially Adapted Housing or a Special Home Adaptation You’ll need to turn in:

An Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (VA Form 26-4555)

Download VA Form 26-4555 (PDF)

If you’re: Claiming an auto allowance You’ll need to turn in:

An Application for Automobile or Other Conveyance and Adaptive Equipment (VA Form 21-4502)

Download VA Form 21-4502 (PDF)

If you’re: Claiming an auto adaptive-equipment grant You’ll need to turn in:

An Application for Adaptive Equipment—Motor Vehicle (VA Form 10-1394)

Download VA Form 10-1394 (PDF)

If you’re: Claiming additional benefits because you or your spouse needs Aid and Attendance You’ll need to turn in:

An Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680)

Download VA Form 21-2680 (PDF)

If you’re: Claiming Aid and Attendance because you’re in a nursing home You’ll need to turn in:

A Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779)

Download VA Form 21-0779 (PDF)

If you’re: Claiming dependents You’ll need to turn in:

A Declaration of Status of Dependents (VA Form 21-686c)

Download VA Form 21-686c (PDF)

And:

If your dependent is a child in school between the ages of 18 and 23, you’ll also need to turn in a Request for Approval of School Attendance (VA Form 21-674).

Download VA Form 21-674 (PDF)

If your dependent is a seriously disabled child, you’ll also need to turn in all private medical records for the child’s disabilities.

If you’re: Authorizing the release of your medical records to VA You’ll need to turn in:

Authorization to Disclose Information to VA (VA Form 21-4142)

Download VA Form 21-4142 (PDF)

or

You can fill out VA Form 21-4142 when you file a disability claim online.

File a disability compensation claim

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