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28 Official VBA / VHA / NCA Forms
⚡ 100% AI Auto-Fill • Title 38 CFR Evidence Synthesis
OFFICIAL VA FORMS DIRECTORY & AI AUTO-FILL PACKAGING CENTER
Access, review, and auto-fill all 28+ official Department of Veterans Affairs claims forms using our multi-engine intelligence suite. Synthesizes Title 38 CFR Diagnostic Codes, MOS toxic hazard exposure profiles, PACT Act presumptions, and CAVC precedents directly into structured legal narratives for every form.
VA FORM 21-526EZ
Claims
Application for Disability Compensation and Related Compensation Benefits
The primary mandatory application used for initial service connection, secondary conditions, and rating increase evaluations under Title 38 CFR Part 4.
VA FORM 21-0966
Effective Date
Intent to File a Claim for Compensation and/or Pension
Freezes your effective retroactive back-pay date for 1 full year while gathering private medical records, nexus letters, and lay evidence.
VA FORM 21-4138
Evidence & Lay
Statement in Support of Claim (Personal Sworn Testimony)
Official sworn personal statement establishing in-service incident timeline, symptom progression, daily flare-ups, and occupational impairment.
VA FORM 20-10210
Evidence & Lay
Lay / Witness Statement in Support of Claim (Buddy Statement)
Third-party sworn testimony from squad members, commanders, or spouse corroborating in-service events and daily physical/mental symptoms.
VA FORM 21-0781
PTSD & Stressors
Statement in Support of Claim for Service Connection for PTSD
Required stressor incident reporting form documenting dates, geographic locations, unit designations, and citations for non-combat/combat PTSD.
VA FORM 21-0781a
PTSD & Special
Statement in Support of Claim for PTSD Secondary to Personal Assault / MST
Confidential reporting form for military sexual trauma (MST), stalking, physical assault, or harassment experienced on active duty.
VA FORM 20-0995
Appeals & Reviews
Decision Review Request: Supplemental Claim
Filed within 1 year of a denial or whenever submitting new and relevant medical nexus opinions, DBQs, or service treatment records.
VA FORM 20-0996
Appeals & Reviews
Decision Review Request: Higher-Level Review (HLR)
Requests a senior DRO adjudicator re-evaluate the evidentiary record for Clear and Unmistakable Error (CUE) with an informal telephone conference.
VA FORM 10182
BVA Appeals
Board of Veterans' Appeals Decision Review Request (Notice of Disagreement)
Direct appeal to the Board of Veterans' Appeals (BVA) choosing Direct Review, Evidence Submission Lane, or Veterans Law Judge Hearing.
VA FORM 21-8940
TDIU & Unemployability
Veteran's Application for Increased Compensation Based on Unemployability (TDIU)
Application for 100% disability compensation rate under 38 CFR § 4.16 due to service-connected conditions preventing substantially gainful employment.
VA FORM 21-4192
TDIU Verification
Request for Employment Information in Connection with Claim for Disability Benefits
Sent to previous employers to document physical job requirements, missed workdays, on-the-job accommodations, and health-related termination reasons.
VA FORM 21-2680
Aid & Attendance / SMC
Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
Physician examination report certifying permanent need for assistance with Activities of Daily Living (bathing, dressing, medication, mobility) for SMC-L stipends.
VA FORM 21-4180
Special Monthly Comp
Application for Special Monthly Compensation (SMC) & Housebound Allowance
Claimant statement requesting statutory Special Monthly Compensation rates (SMC-K, SMC-L, SMC-M, SMC-S, SMC-R) for severe anatomical loss or disability.
VA FORM 21-686c
Dependents
Application for Declaration of Status of Dependents (Spouse / Children / Parents)
Adds eligible spouse, biological/adopted children, and dependent parents to monthly compensation payments for veterans rated at 30% or higher.
VA FORM 21-674
Dependents
Request for Approval of School Attendance for Child in Full-Time Study (Age 18-23)
Maintains monthly dependent benefit payments for unmarried dependent children attending high school, trade school, college, or university full-time.
VA FORM 10-10EZ
Healthcare Enrollment
Application for Health Benefits (VHA Healthcare System Enrollment)
Enrolls veterans in the VA Healthcare System, assigning priority groups 1-8 for outpatient care, inpatient hospitalizations, prescriptions, and dental.
VA FORM 10-10CG
Caregiver Program
Application for Comprehensive Assistance for Family Caregivers (PCAFC)
Joint application for family caregivers to receive monthly nontaxable financial stipends ($1,600–$3,400/mo), health insurance, and 30-day annual respite care.
VA FORM 10-10d
CHAMPVA Insurance
Application for CHAMPVA In-House / Outpatient Dependent Medical Care
Comprehensive civilian medical and pharmacy health insurance for dependents and surviving spouses of 100% Permanent & Total (P&T) rated veterans.
VA FORM 20-10206
Records & C-File
FOIA / Privacy Act Request for Complete VA Claims File (C-File)
Statutory request to receive your complete C-File containing historical C&P exam DBQs, rating code sheets, service treatment records, and denial rationales.
VA FORM 21-4142
Medical Records Release
Authorization to Disclose Information to the Department of Veterans Affairs
HIPAA-compliant authorization empowering the VA to retrieve private medical records, MRIs, and physician treatment notes on your behalf.
VA FORM 21-4142a
Medical Records Release
General Release for Medical Provider Information to the VA
Companion schedule document listing civilian clinic names, provider addresses, phone numbers, and treatment dates for private records retrieval.
VA FORM 21-22
VSO Representation
Appointment of Veterans Service Organization (VSO) as Claimant's Representative
Designates a recognized Chartered Veterans Service Organization (DAV, VFW, American Legion, AMVETS) as your accredited Power of Attorney (POA).
VA FORM 21-22a
Attorney Representation
Appointment of Individual as Claimant's Representative (Accredited Agent / Attorney)
Appoints a VA-accredited private attorney or independent claims agent for legal representation before the Regional Office and BVA.
VA FORM 28-1900
VR&E / Chapter 31
Application for Vocational Readiness & Employment (VR&E / Chapter 31)
Applies for comprehensive employment track services, 100% college tuition funding, technology equipment, and monthly subsistence allowances.
VA FORM 22-1990
Education Benefits
Application for VA Education Benefits (Post-9/11 GI Bill / Chapter 33)
Primary application for Post-9/11 GI Bill, Montgomery GI Bill, tuition reimbursement, Yellow Ribbon program, and monthly housing allowance (MHA).
VA FORM 21P-527EZ
Wartime Pension
Application for Veterans Pension (Needs-Based Non-Service Connected Wartime Pension)
Application for tax-free monthly supplemental pension for wartime veterans age 65+ or permanently disabled with countable income limits under 38 U.S.C. § 1521.
VA FORM 21P-534EZ
Survivor & DIC
Application for DIC, Survivors Pension, and/or Accrued Benefits
Application for monthly Dependency and Indemnity Compensation (DIC) and survivors pension for surviving spouses and dependent children of deceased veterans.
VA FORM 21P-530EZ
Burials & Memorials
Application for Burial Benefits, Plot-Interment Allowance & Transportation Reimbursement
Reimburses families for funeral, burial plot, cremation, and transportation expenses for eligible service-connected and pension-eligible veterans.