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File Supplemental Forms for Special Claims

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

Do I need to turn in any supplemental forms?

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

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

Both of these:

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

Download VA Form 21-8940.

and

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

Download VA Form 21-4192.

Claiming Posttraumatic Stress Disorder (PTSD)

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

Download VA Form 21-0781.

Claiming PTSD based on a personal assault

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.

Claiming Specially Adapted Housing or a Special Home Adaptation

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

Download VA Form 26-4555.

Claiming an Auto Allowance

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

Download VA Form 21-4502.

Claiming additional benefits because you or your spouse need Aid and Attendance

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

Download VA Form 21-2680.

Claiming Aid and Attendance because you’re in a nursing home

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

Download VA Form 21-0779.

Claiming dependents

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

Download VA Form 21-686c.

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.

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