About VA Form 21-4140
- Related to: Disability
- Form last updated: August 31, 2021
When to use this form
Use VA Form 21-4140 if we asked you to verify your employment status because you currently receive Individual Unemployability disability benefits for a service-connected condition.
Downloadable PDFDownload VA Form 21-4140 (PDF)
Helpful links related to VA Form 21-4140
Find out if you qualify for compensation for a presumptive disability or other service-connected conditions.
Find out how to file a claim for disability compensation or increased disability compensation.
Find out if you need to complete additional forms for your disability claim.
Find out how to file for VA Individual Unemployability compensation if you're an unemployed Veteran who can't work due to a service-connected disability.