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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.

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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.

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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...
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VA Form 21-4138
VA FORM. AUG 2011. 21-4138. OMB Approved No. 2900-0075. Respondent Burden: 15 minutes...
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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...
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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 ...

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