VA 20-0995 · VA
Decision Review Request for submitting new and relevant evidence for reconsideration of a denied VA claim under the Appeals Modernization Act.
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VA.gov (recommended)
https://www.va.gov/decision-reviews/supplemental-claim/file-supplemental-claim-form-20-0995/File online for the fastest processing.
Mail to VA
Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444
Fax to VA
Fax: 844-531-7818
Filing Deadline
No deadline — but filing within 1 year of the decision preserves your effective date.
4-5 months on average.
VA will review your claim with the new evidence. The duty to assist applies, so VA will help gather evidence. You may be scheduled for a new C&P exam.
VA 21-526EZ · VA
Application for disability compensation and related benefits for service-connected conditions. Requires linking conditions to military service.
VA 21-4142 · VA
Authorization and consent allowing VA to obtain private medical records from non-VA providers for disability claim adjudication.
VA 10-10EZ · VA
Application for VA health benefits. Requires military service history, current insurance, income/assets, and toxic exposure history.
VA 10-10EZR · VA
Health Benefits Update Form for veterans already enrolled in VA health care who need to update personal, insurance, financial, or military service information.
VA 21-0966 · VA
Preserves the effective date for a VA benefits claim while gathering evidence. Provides 1 year to submit the formal claim.
VA 21-4142a · VA
Companion form to 21-4142 allowing specific medical professionals to release records to VA for claim processing.
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