VA 21-0781 · VA
Statement detailing stressor events related to a PTSD disability compensation claim. Describes incidents during military service.
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VA.gov
https://www.va.gov/disability/file-disability-claim-form-21-526ez/Submit as supporting evidence with your PTSD disability claim.
Mail to VA Evidence Intake Center
Department of Veterans Affairs Evidence Intake Center PO Box 4444 Janesville, WI 53547-4444
Fax to VA
Fax: 844-531-7818
Processed as part of your PTSD disability claim — 3-6 months total. VA may research military records to verify stressors.
VA will attempt to verify your stressor(s) through military records. You will likely be scheduled for a C&P exam with a psychologist or psychiatrist.
VA 21-0781a · VA
Statement for PTSD claims secondary to personal assault including military sexual trauma (MST). Allows alternative evidence sources.
VA 21-526EZ · VA
Application for disability compensation and related benefits for service-connected conditions. Requires linking conditions to military service.
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 21-4142 · VA
Authorization and consent allowing VA to obtain private medical records from non-VA providers for disability claim adjudication.
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