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Get Va Form 21-0958 - Veterans Benefits Administration
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How to use or fill out the VA Form 21-0958 - Veterans Benefits Administration online
Filling out the VA Form 21-0958 is a crucial step for users wishing to appeal a decision regarding their disability compensation claims. This guide provides clear, step-by-step instructions to assist you in accurately completing the form online.
Follow the steps to fill out the VA Form 21-0958 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Part I, provide personal information including the veteran's name, VA file number, Social Security number, and contact details. Ensure this information is accurate to help identify your claim.
- In Part II, consider whether you would like to receive a telephone call from a VA representative. If you choose 'Yes', select your preferred time window for them to reach you.
- In Part III, complete the specific issues of disagreement. Enter the date from the notification or decision letter you are appealing. Itemize each disagreement in the provided boxes, specifying the issue and the area of disagreement.
- If applicable, specify the percentage of evaluation sought for your disability in Item 10C. Clearly describe the reasons for your disagreement in the space provided in Item 11A.
- In Part IV, provide your signature in the designated area, certifying that your statements are true to the best of your knowledge. Make sure to date the form.
- Once completed, you can save changes, download, print, or share the form as needed. Ensure you keep a copy for your records.
Take action now and complete your VA Form 21-0958 online to initiate your appeal.
Make your NOD statement simple by stating that you disagree with all of the decisions in the VA denial letter and ratings decision and that you wish to appeal those decisions. Write notice of disagreement at the top of Form 21-4138 or your letter. Include the date of the denial letter and ratings decision.
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