We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Va Form 21-4138

Get Va Form 21-4138

Rm, read the Privacy Act and Respondent Burden on page 2. Use this form to submit a statement to support a claim. For more information you can contact us through Ask VA: https://ask.va.gov/, or call us toll-free at 1-800-827-1000 (TTY:711). VA forms are available at www.va.gov/vaforms. After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. SECTION I: VETERAN/BENEFICIARY'S IDENTIFICATION INFORMATION NOTE: You may comp.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the VA Form 21-4138 online

Filling out the VA Form 21-4138, also known as the Statement in Support of Claim, is a crucial step for veterans and beneficiaries seeking to support their claims for benefits. This guide provides clear instructions for completing the form online to ensure a smooth submission process.

Follow the steps to complete the VA Form 21-4138 online.

  1. Press the ‘Get Form’ button to access the VA Form 21-4138 and open it in your online editor.
  2. Begin by filling out Section I: Veteran/Beneficiary's Identification Information. Provide the full name, Social Security number, VA file number (if applicable), date of birth, service number (if applicable), telephone number, and optional email address.
  3. Next, complete the mailing address section accurately. Ensure that you include the street number, city, state, ZIP code, and country.
  4. In Section II: Remarks, write your statement supporting the claim. Be thorough and clear in your explanation, as this section is crucial for your claim's evaluation.
  5. Proceed to Section III: Declaration of Intent. Sign the form in the designated area to certify that the information provided is true and correct, and indicate the date of signing.
  6. Review all completed sections for accuracy. Make any necessary corrections to ensure that your form is complete.
  7. Finally, save your changes. You can now download the form, print it for your records, or share it as required.

Complete your VA Form 21-4138 online today to support your claim without delay.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

VA Form 21-4138 - Veterans Benefits Administration
Use this form to submit a statement to support a claim. For more information you can...
Learn more
VA Form 21-4138
VA FORM. AUG 2011. 21-4138. OMB Approved No. 2900-0075. Respondent Burden: 15 minutes...
Learn more
About VA Form 21-4138 | Veterans Affairs
5 days ago — Get VA Form 21-4138, Statement in Support of Claim. Use this VA form to...
Learn more

Related links form

GREEN TESO PROJECT PROPOSAL Eu372001951 Conners Questionnaire Online Creating A Picture Slideshow With MovieMaker

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Tinnitus. Tinnitus is by far the most common condition veterans receive disability benefits for. In 2023, 2,944,093 veterans were receiving VA disability benefits for this condition–the only one accounting for more than 2 million recipients.

The personal statement should clearly describe your symptoms and how they affect your body and mind. Be specific and provide examples whenever possible to illustrate the severity of your symptoms. Avoid vague statements and instead focus on concrete details that show the VA how your condition impacts your daily life.

The Top Ten Most Commonly Approved VA Claims: Tinnitus. Hearing Loss. Limitation of Flexion, Knee. Post-Traumatic Stress Disorder (PTSD) Lumbosacral or Cervical Strain (Back Pain) Scars, General. Paralysis of the Sciatic Nerve. Limitation of Range of Motion of the Ankle.

Tinnitus, otherwise known as “Ringing-in-the-Ear-Syndrome” is the #1 easiest VA disability claim to win. Tinnitus is when you experience ringing, hissing, buzzing, or other noises in one or both of your ears.

Pro Tip: If you've been out of the military for more than 12 months, Hearing Loss is one of the most difficult claims to get service connected and rated above 0%. Get a Medical Nexus Letter to improve your odds of service connected Hearing Loss.

What is VA Form 21-4138? Form 21-4138 also referred as a Statement in Support of Claim , is offered by the VA to claimants who are interested in offering a written statement that attests to the medical condition preventing them from working.

If you have a presumptive condition, you don't need to prove that your service caused the condition. You only need to meet the service requirements for the presumption.

Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA For 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our ...

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get VA Form 21-4138
Get form
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
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