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INFORMATION AND INSTRUCTIONS FOR COMPLETING DECISION REVIEW REQUEST: HIGHERLEVEL REVIEW IMPORTANT: Please read the information below carefully to help you complete this form quickly and accurately.

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How to fill out the Va Form 20 0996 Fillable online

Filling out the VA Form 20 0996 for a higher-level review can seem daunting, but this guide provides clear steps to help you complete it accurately and efficiently online. By carefully following the instructions and providing necessary information, you can streamline your request process.

Follow the steps to successfully fill out the Va Form 20 0996 online.

  1. Press the ‘Get Form’ button to access the form and open it in your online editor.
  2. In Part I, enter the claimant's identifying information. This includes the veteran's name, date of birth, Social Security number, and other relevant data. Make sure to fill out all applicable fields to help VA identify your claim.
  3. For Part II, select whether you want the same office that made the prior decision to review your request. If you choose not to select a box, it will be assumed that you want a different office to conduct the review. You may also opt for an informal conference by checking the appropriate box.
  4. In Part III, specify the issues you are requesting for the higher-level review. You should refer to your decision notice for the issues you wish to include. Fill in the date of each VA decision for clarity.
  5. Finally, complete Part IV by signing and dating the form. This certifies that all information provided is true and accurate. Ensure all sections are filled out to avoid delays in processing your review request.
  6. Once you have completed the form, save your changes. You can then download, print, or share the filled-out form as needed.

Start filling out your VA Form 20 0996 online today to ensure your request for higher-level review is submitted efficiently.

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USE THIS FORM TO REQUEST A HIGHER-LEVEL REVIEW OF A DECISION YOU RECEIVED. A Higher-Level Review is a new review of an issue(s) previously decided by the Department of Veterans Affairs (VA) based on the evidence of record at the time VA issued notice of the prior decision.

Fill out the Decision Review Request: Higher-Level Review (VA Form 20-0996). Bring your completed form to a VA regional office near you. You can also ask a regional benefit office for a copy of this form to fill out. Or you can call the VA toll-free hotline at 800-827-1000 to request a form.

When to use this form. 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.

You will need to provide your: full name, social security number, VA file number, date of birth, service number, insurance policy number (if applicable), claimant's name (applicable for DIC claims), claimant type, current mailing address, telephone number, email address, and benefit type.

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

Use VA Form 21-651, Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation From Department of Veterans Affairs (38 U.S.C. 5304(a)-5305) when it is necessary to obtain the veteran's or fiduciary's signature on the election or waiver.

Use this form to request a Higher-Level review of the decision you received by the Department of Veterans Affairs based on the evidence of record at the time VA issued of the prior decision.

Frequently used VA forms You can now do many form-based tasks online, like filing a disability claim and applying for the GI Bill or VA health care. We'll walk you through the process step-by-step.

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