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About VA Form 21-8940

Form name: Veteran's Application for Increased Compensation Based on Unemployability
Related to: Disability
Form last updated: November 2022

When to use this form

Use VA Form 21-8940 if you want to apply for Individual Unemployability disability benefits for a service-connected condition that prevents you from keeping a steady job.

Downloadable PDF

Download VA Form 21-8940 (PDF)
  • VA Form 21-4192

    Form name: Request for Employment Information in Connection with Claim for Disability Benefits

    Use VA Form 21-4192 if you’re a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.

    Download VA Form 21-4192 (PDF)