Get Va Voda-01 2019-2025

Completing the VA VODA-01 claim form for Line of Duty Act benefits is essential for those eligible individuals seeking assistance. This guide provides straightforward instructions for filling out the form online to ensure your submission is accurate and complete.

Follow the steps to successfully complete the VA VODA-01 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Select the type of benefit you are claiming by checking the appropriate box for either death or disability.
3. Indicate whether you are applying under presumption by selecting 'Yes' or 'No' based on the incident details.
4. In Part A, enter the preparer's information if it differs from the claimant. Include name, relationship to claimant, phone number, and email address.
5. In Part B, fill out the claimant's information including name, social security number, address, gender, marital status, birth date, and contact details.
6. Complete Part C with the claimant’s employment information at the time of the incident, ensuring that the employer provides accurate details.
7. In Part D, report the incident details such as the date of the incident, witness information, and the nature of the illness or injury.
8. For disability claims, provide details of any relevant physician visits in Part D. Ensure to attach the necessary reports.
9. In Part E, check the required reports and documentation being submitted alongside the claim form to avoid processing delays.
10. Complete Part F by providing information for the spouse, dependents, and any other beneficiaries, along with required documentation.
11. In Part G, ensure both the employer/volunteer department certification and claimant/preparer certification sections are signed and dated to finalize the form.
12. Once you have completed the form, you can save changes, download, print, or share the form as necessary.

Complete your VA VODA-01 submission online today to ensure timely processing of your claim.