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Use this notice and the attached application to submit a claim for veterans' disability compensation and related compensation benefits. This notice informs you of the evidence necessary to decide your claim.
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Aug 9, 2024 · Get VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. Use this VA claim form to apply for VA disability compensation (pay) or related benefits such as housing or compensation for your spouse.
Use this notice and the attached application to submit a claim for veterans disability compensation and related compensation benefits. This notice informs you of the evidence necessary to substantiate your claim.
- You are strongly encouraged to:
- You must:
- Standard Claim Process
- 3. HOW VA WILL HELP YOU OBTAIN EVIDENCE FOR YOUR CLAIM
- VA will:
- 4. WHERE TO SEND INFORMATION AND EVIDENCE
- 5. WHAT THE EVIDENCE MUST SHOW TO SUPPORT YOUR CLAIM
- Disability Service Connection
- To support a claim for service connection based upon a period of inactive duty training, the evidence must show:
- Secondary Service Connection
- Increased Disability Compensation
- Specially Adapted Housing or Special Home Adaptation
- VETERAN/SERVICEMEMBER CERTIFICATION AND SIGNATURE
- SECTION IX: WITNESSES TO SIGNATURE
• Send any information or evidence as soon as you can You have up to one year from the date we receive the claim to submit the information and evidence necessary to support your claim. If within 30 days, you do not provide any evidence or do not provide us with the information needed to assist you with obtaining evidence, we may decide your clai...
• Send the information and evidence identified in the "Special Circumstances" table below at the same time as your claim
If you know of evidence not in your possession and want VA to try to get or evidence necessary to support the claim.
The table below describes the information and evidence VA will assist you in obtaining based on whether you wish to have your claim considered in the FDC Program (Optional Expedited Process) or in the Standard Claim Process. FDC Program (Optional Expedited Process)
Retrieve relevant records from a Federal facility, such as a VA medical center, that you adequately identify and authorized VA to obtain Provide a medical examination for you, or get a medical opinion, if we determine it is necessary to decide your claim VA will: Retrieve relevant records from a Federal facility, such as a VA medical center, that...
You may send your application and any evidence in support of your claim by using any of the following methods shown in the table below.
The table below provides a guide to the evidence tables showing what evidence you must provide to support your claim.
To support a claim for service connection, the evidence must show: You had an injury in service, or a disease that began in or was made permanently worse during service, or there was an event in service that caused an injury or disease; AND You have a current physical or mental disability. This may be shown by medical evidence or by lay evidence ...
You were disabled during inactive duty training due to an injury incurred or aggravated in the line of duty or an acute myocardial infarction, cardiac arrest, or cerebrovascular accident during inactive duty training; AND You have a current physical or mental disability. This may be shown by medical evidence or by lay evidence of persistent and re...
To support a claim for compensation based upon an additional disability that was caused or aggravated by a service-connected disability, the evidence must show: You currently have a physical or mental disability shown by medical evidence or by lay evidence of persistent and recurrent symptoms of disability that are visible or observable, in additio...
If VA previously granted service connection for your disability and you are seeking an increased evaluation of your service-connected disability, we need medical or lay evidence to show a worsening or increase in severity and the effect that worsening or increase has on your ability to work. EVIDENCE TABLES (Continued)
To support your claim for specially adapted housing (SAH), the evidence must show you are a: Veteran entitled to compensation under 38 U.S.C. Chapter 11 for a permanent and totally disabling qualifying condition; OR Servicemember on active duty who has a permanent and totally disabling qualifying condition incurred or aggravated in the line of duty...
certify and authorize the release of information. I certify that the statements in this document are true and complete to the best of my knowledge. I authorize any person or entity, including but not limited to any organization, service provider, employer, or government agency, to give the Department of Veterans Affairs any information about me, an...
SECTION X: ALTERNATE SIGNER CERTIFICATION AND SIGNATURE SECTION XI: POWER OF ATTORNEY (POA) SIGNATURE
Nov 13, 2023 · Form 21-526EZ is a crucial tool for veterans seeking disability benefits, designed to make their journey easier and more straightforward. This form is the starting point for veterans to tell their story, share their service experiences, and explain how these have impacted their health.
Filing Form 21-526EZ is the first step in every request for service-related disability compensation. When completing this form, you must provide information about your medical condition and symptoms, which the department uses to determine your disability code and rating.
To file a claim for VA compensation or pension electronically, please complete and submit VA Form 21-526, Veteran's Application for Compensation and/or Pension, using VONAPP. The VONAPP (Veterans On Line Application) website is an official U.S. Department of Veterans Affairs (VA) website that enables service members,
