Get Va Form 4939 Fillable

Use VA Form 21-0966 if you're still gathering information to support your claim, and want to start the filing process. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive.

What Is a VA Intent to File? Previously known as an “informal claim,” the VA Intent to File is a form submitted to notify the VA that you plan to apply for veterans disability benefits or survivor benefits. It starts the claim process by opening a record and establishing an effective date.

Fill out a Request for Hardship Determination (VA Form 10-10HS). Write a letter explaining why you're requesting a hardship determination. The letter should describe the financial issues that make it hard for you to pay your copays. Submit your completed form and letter to us.

Or submit an Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966). Or turn in your form in one of these ways: Bring it to a VA regional office near you. Work with a trained professional called an accredited representative.

Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

This Form Is Used to Notify VA of Your Intent to File for the Compensation, Pension, Survivors Pension, and DIC Benefit(s). The Intent to File a claim process allows applicants additional time to gather all of the information and evidence needed to support their claim(s).

What is a Letter of Intent to File? An intent to file is a notification to the Veteran's Administration (VA) that a claimant is planning on filing an application for compensation within the next year. The intent to file a claim is not claim-specific.