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Learn what the PACT Act means for your VA benefits

About VA Form 21-526EZ

Form name: Application for Disability Compensation and Related Compensation Benefits
Related to: Disability
Form last updated: March 2023

When to use this form

Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

Downloadable PDF

Download VA Form 21-526EZ (PDF)

Online tool

You can apply online instead of filling out and sending us the paper form.

Go to the online tool