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Learn what the PACT Act means for your VA benefits

About VA Form 21-4138

Form name: Statement in Support of Claim
Related to: Careers and employment, Disability, Education and training, Health care, Housing assistance, Life insurance, Pension
Form last updated: December 2022

When to use this form

Use VA Form 21-4138 when you want to submit a VA “buddy statement” or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.

Downloadable PDF

Download VA Form 21-4138 (PDF)

Online tool

You can submit your statement in support of claim online instead of filling out and sending us the paper form.

Go to the online tool