Fill out VA forms in plain English
Answer simple questions instead of decoding boxes. Claim Raven puts your answers on the official VA form, and you download it ready to sign and send. It is free with a Claim Raven account.
Claims and evidence
- VA Form 21-4138: Statement in Support of Claim. Tell VA something in writing.
- VA Form 21-526EZ: Application for Disability Compensation and Related Compensation Benefits. Apply for VA disability compensation.
- VA Form 21-4142: Authorization to Disclose Information to the Department of Veterans Affairs (VA). Let VA request your private medical records.
- VA Form 21-4142a: General Release for Medical Provider Information to the Department of Veterans Affairs (VA). List the private providers VA should get records from.
- VA Form 21-0781: Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s). Describe an in-service event behind a mental health claim.
- VA Form 21-10210: Lay/Witness Statement. Give VA a statement about a claim, your own or someone else's.
- VA Form 21-0966: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC. Tell VA you plan to file a claim.
- VA Form 21-8940: Veteran's Application for Increased Compensation Based on Unemployability. Apply for TDIU when your service-connected disabilities keep you from working.
- VA Form 21-4192: Request for Employment Information in Connection with Claim for Disability Benefits. Ask a former employer to confirm your work history for TDIU.
Decision reviews and appeals
- VA Form 20-0995: Decision Review Request: Supplemental Claim. Ask VA to decide an issue again with new evidence.
- VA Form 20-0996: Decision Review Request: Higher-Level Review. Ask a senior VA reviewer to look at a decision again.
- VA Form 10182: Decision Review Request: Board Appeal (Notice of Disagreement). Appeal a VA decision to a Veterans Law Judge.
Family and survivors
- VA Form 21-686c: Application Request to Add and/or Remove Dependents. Add or remove dependents on your VA benefits.
- VA Form 21-674: Request for Approval of School Attendance. Keep a child 18 to 23 who is in school on your VA benefits.
- VA Form 21P-534EZ: Application for D.I.C., Survivors Pension, and/or Accrued Benefits. Apply for survivor benefits after a veteran's death.
- VA Form 21-0788: Information Regarding Apportionment of Beneficiary's Award. Ask VA to pay part of a veteran's award to a family member.
Representation and access
- VA Form 21-22: Appointment of Veterans Service Organization as Claimant's Representative. Appoint a Veterans Service Organization to represent you.
- VA Form 21-22a: Appointment of Individual as Claimant's Representative. Appoint an attorney or claims agent to represent you.
- VA Form 21-0845: Authorization to Disclose Personal Information to a Third Party. Let someone receive your VA claim information.
Special benefits
- VA Form 21-2680: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance. Start the aid and attendance or housebound exam form before the doctor completes it.
- VA Form 21-0779: Request for Nursing Home Information in Connection with Claim for Aid and Attendance. Start the nursing home form for an aid and attendance claim.
- VA Form 21-4502: Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904). Apply for VA's automobile allowance.
Before you send a form
The filler never asks for your Social Security number, VA file number, date of birth or signature. You write those in by hand.
Claim Raven does not submit forms to VA. You review the filled PDF, sign and date it, and send it to VA yourself. Claim Raven is independent and is not affiliated with VA.