| VA Form 21-526EZ |
Claims |
Application for Disability Compensation (Original, Increase, Secondary) |
Profile Header • DC Codes • TERA • 2-Block |
Active |
| VA Form 21-0966 |
Claims |
Intent to File a Claim for Compensation/Pension (Freezes Effective Date) |
Profile Demographics • 1-Year Clock Lock |
Active |
| VA Form 21-4138 |
Evidence |
Statement in Support of Claim (Sworn Lay Testimony & In-Service History) |
Top Header • 2-Block Overflow • Caluza Precedents |
Active |
| VA Form 20-10210 |
Evidence |
Lay / Witness Statement in Support of Claim (Buddy Statement) |
Witness Profile • Observation Timeline |
Active |
| VA Form 21-0781 |
Evidence |
Statement in Support of Claim for PTSD (Combat & Fear Stressors) |
Stressor Incident Coordinates • Unit Dates |
Active |
| VA Form 21-0781a |
Evidence |
Statement for PTSD Secondary to Personal Assault / MST |
Confidential Timeline • Behavioral Markers |
Active |
| VA Form 20-0995 |
Appeals |
Decision Review Request: Supplemental Claim |
New & Relevant Evidence (38 CFR Β§ 3.2501) |
Active |
| VA Form 20-0996 |
Appeals |
Decision Review Request: Higher-Level Review (HLR Brief) |
CUE Errors • Informal Conference Arguments |
Active |
| VA Form 10182 |
Appeals |
Board of Veterans' Appeals Notice of Disagreement (NOD) |
Appellate Brief • Direct/Evidence/Hearing Lanes |
Active |
| VA Form 21-8940 |
TDIU |
Veteran's Application for Increased Comp Based on Unemployability |
5-Year Job History • 38 CFR Β§ 4.16 Restrictions |
Active |
| VA Form 21-4192 |
TDIU |
Request for Employment Information for Disability Benefits |
Employer Schedule • Missed Workdays |
Active |
| VA Form 21-2680 |
SMC |
Examination for Housebound Status or Aid & Attendance (SMC-L/R) |
Physician 6 ADL Incapacity Schedule |
Active |
| VA Form 21-4180 |
SMC |
Application for Special Monthly Compensation (SMC-K to SMC-R) |
Anatomical Loss • Statutory Stipends |
Active |
| VA Form 21-686c |
Dependents |
Application for Declaration of Status of Dependents |
Spouse/Child Addition • 30%+ Rate Increase |
Active |
| VA Form 21-674 |
Dependents |
Approval of School Attendance for Child in Full-Time Study (18β23) |
College/University Verification Schedule |
Active |
| VA Form 10-10EZ |
Health |
Application for Health Benefits (VHA System Enrollment) |
Priority Group 1β8 • Income Schedule |
Active |
| VA Form 10-10CG |
Caregivers |
Application for Comprehensive Assistance for Family Caregivers (PCAFC) |
Caregiver Stipend ($1,600β$3,400/mo) • ADL Need |
Active |
| VA Form 10-10d |
CHAMPVA |
Application for CHAMPVA Dependent Medical Care |
100% P&T Dependent Health Coverage |
Active |
| VA Form 20-10206 |
Records |
FOIA / Privacy Act Request for Complete VA Claims File (C-File) |
C-File, DBQs, Code Sheets & Treatment Records |
Active |
| VA Form 21-4142 |
Records |
Authorization to Disclose Information to the VA (HIPAA Release) |
Private Doctor Release Authorization |
Active |
| VA Form 21-4142a |
Records |
General Release for Medical Provider Information Schedule |
Clinic Directory • Treatment Date Matching |
Active |
| VA Form 21-22 |
POA |
Appointment of Veterans Service Organization (VSO) as Representative |
DAV, VFW, American Legion POA Filing |
Active |
| VA Form 21-22a |
POA |
Appointment of Individual / Attorney as Claimant's Representative |
Accredited Agent / Attorney POA Filing |
Active |
| VA Form 28-1900 |
VR&E |
Application for Vocational Readiness & Employment (Chapter 31) |
Employment Handicap • Tuition Tracks |
Active |
| VA Form 22-1990 |
Education |
Application for VA Education Benefits (Post-9/11 GI Bill / Ch. 33) |
Tuition • Yellow Ribbon • Housing Allowance |
Active |
| VA Form 21P-527EZ |
Pension |
Application for Veterans Pension (Needs-Based Wartime Pension) |
Countable Income • Net Worth Schedule |
Active |
| VA Form 21P-534EZ |
Survivor |
Application for DIC, Survivors Pension, and/or Accrued Benefits |
Dependency Indemnity Comp • Surviving Spouse |
Active |
| VA Form 21P-530EZ |
Burials |
Application for Burial Benefits & Plot-Interment Allowance |
Funeral, Plot & Transportation Reimbursement |
Active |