Get VA 4265 2017-2024

You can also request debt relief by mail or in person. Fill out a Financial Status Report (VA Form 5655). Write a letter describing the financial issues that make it hard for you to pay your copay debt.

What is VA financial hardship? “Financial hardship” for purposes of requesting expediting of your VA disability claim means that you, the veteran, are unable to earn enough income to pay essential expenses such as housing payments or medical expenses relating to your disability.

Benefit debt includes debt related to VA disability compensation, non-service-connected pension, or education benefits. Repay your VA benefit debt at Pay.va.gov. Information you'll need to repay benefit debt online.

Send comments regarding this burden estimate or any other aspects of this collection of Information, including suggestions for reducing this burden, to the VA Clearance Officer (005E3), 810 Vermont Avenue, NW, Washington, DC 20420.

You can submit your completed VA Form 5655 and personal statement in either of these 2 ways: Online: Our online form includes a section for your personal statement. Submit your Financial Status Report online. By mail: Fill out and sign VA Form 5655. Write your personal statement in a separate document.

You can file online instead of filling out and sending us the paper form. At this time, you can file a Supplemental Claim online only for disability compensation claims.

Appoint or contact your Veterans Service Officer for help filing an eClaim, or visit .eBenefits.va.gov to start filing today. You may also call 1-800-827-1000, Option 7 for assistance. Log into eBenefits, select Apply for Benefits, then click Apply for Disability Compensation to start a new application.

Changes to income and net worth over multiple years must be reported on a separate VA Form 21P-0969 for each year. Changes to dependents and medical expenses may impact your benefits. Submit the following forms if you need to update dependent or medical expense information.