Get 21-0966 Intent To File A Claim For Compensation Andor Pension Or Survivors Pension Andor Dic This

The 21-0966 form serves as a notification to the Department of Veterans Affairs (VA) of your intention to file a claim for various benefits. Understanding how to properly complete this form online is essential for ensuring that your benefits application is processed smoothly.

Follow the steps to accurately complete the 21-0966 form online.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. In Section I, select the general benefit(s) you intend to file for by checking the applicable boxes: Compensation, Pension, or Survivors Pension and/or Dependency and Indemnity Compensation (DIC). Ensure you check all that apply as this will affect the processing of your claim.
3. Proceed to Section II and provide your identification details. Fill in the Claimant's name, social security number, and if applicable, the details of the veteran, including their name, social security number, and date of birth.
4. Continue in Section II by indicating the veteran's sex and whether they have ever filed a claim with the VA. If yes, ensure that you provide the VA file number.
5. Complete the current mailing address for the claimant, including street address, city, state, ZIP code, and country.
6. Provide your preferred telephone number and, if applicable, an email address in the designated fields.
7. In Section III, read the declaration of intent and confirm your understanding of the filing process. Sign and date the form, ensuring the date is formatted correctly (MM/DD/YYYY). If applicable, include the name of your attorney, agent, or Veterans Service Organization.
8. After completing all sections, review the form for any missing information. You can then save changes, download, print, or share the completed form.

Complete your documents online today to ensure timely processing of your benefits.