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  • Va 21-0966 2018

Get Va 21-0966 2018-2025

OMB Control No. 29000826 Respondent Burden: 15 minutes Expiration Date: 08/31/2021VA DATE STAMP (DO NOT WRITE IN THIS SPACE)INTENT TO FILE A CLAIM FOR COMPENSATION AND/OR PENSION, OR SURVIVORS PENSION.

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How to fill out the VA 21-0966 online

The VA 21-0966 form is essential for notifying the Department of Veterans Affairs about your intent to file a claim for various benefits. This guide will provide you with clear, step-by-step instructions to effectively complete the form online.

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

  1. Press the 'Get Form' button to access the form and open it in your document management system.
  2. In Section I, begin by providing the claimant or veteran identification details. Fill out the claimant's name, social security number, and VA file number if applicable. Record the veteran's date of birth, name (if different), sex, and service number.
  3. Next, enter the current mailing address, including the number and street, city, state, ZIP code, and country. Ensure the accuracy of this section for effective communication.
  4. Indicate whether the veteran has ever filed a claim with the VA by selecting 'Yes' or 'No.' Then, provide a telephone number and email address if applicable.
  5. In Section II, select the general benefit(s) you intend to file for by checking the appropriate boxes for compensation, pension, or survivors pension/DIC if applicable.
  6. Review the information provided to ensure completeness. Take note that VA cannot process the form if they cannot identify the claimant and veteran due to incomplete information.
  7. In Section III, sign and date the form to declare your intent to apply for the selected benefits. Make sure the signature aligns with the claimant or authorized representative. Optional: Include the name of your attorney, agent, or veterans service organization if applicable.
  8. Finally, after reviewing the entire form for accuracy, save your changes, download the document, print it if necessary, or share it as required.

Complete your VA 21-0966 form online today to ensure a smooth application process.

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Related content

VA Form 21-0966 - Veterans Affairs
This site provides public access to all VA forms that are appropriate to be on the web.
Learn more
Veterans Affairs Administrative Law
VA Form 21-0966. â–« Placeholder for effective dates. â–« Electronic file: incomplete...
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It can take as little as three weeks to receive a decision or could take months. It's impossible to predict. By all means start making appointments for the treatment you need. You can be treated before a claim is even filed or even if it's denied.

VA maintains that veterans should receive VA back pay within 15 days of the decision granting the retroactive benefits either through direct deposit or a check. However, it is not uncommon for VA to take several months to issue back pay and retroactive benefits.

A VA Form 21-22a is known as an Appointment of Individual as Claimant's Representative form. It will be used by the United States Department of Veterans Affairs. This form is necessary to recognize someone as a representative of a veteran who has a claim with the Department of Veterans Affairs.

NOTE: As of February 14, 2019,*, both VA Form 21-526, Veterans Application for Compensation and/or Pension, and VA Form 21-526b, Veteran's Supplemental Claim for Compensation, will be discontinued from use. These forms will be removed from VA forms websites and will no longer be accepted by our intake centers.

A SUPPLEMENTAL CLAIM is a new review of an issue(s) previously decided by the Department of Veterans Affairs (VA) based on submission of new and relevant evidence.

What is the intent to file process? This process allows you more time to collect information to support your claim. It also protects the earliest possible effective date for any benefits resulting from your claim. The date VA receives your intent to file will be protected as your effective date.

What Happens After a C&P Exam? After you've had your C&P exam, the doctor will prepare a report that may include information on your medical history, your current symptoms, and the severity of your symptoms, along with a professional opinion about whether your disability is service related.

A VA Form 21-22a is known as an Appointment of Individual as Claimant's Representative form. It will be used by the United States Department of Veterans Affairs. This form is necessary to recognize someone as a representative of a veteran who has a claim with the Department of Veterans Affairs.

On average, it takes 91.7 days for VA to decide an initial application for disability-related compensation, according to the U.S. Department of Veterans Affairs. This does not include the time it will take to fight an appeal if your claim is denied.

What happens after my exam? We'll review all the evidence in your file, assign your disability rating, and send you a decision notice (a letter letting you know your disability rating). Each claim is different, but it usually takes us about 3 to 4 months to process a claim from start to finish.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232