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ATTACHMENT TO THE STATEMENT IN SUPPORT OF CLAIMED MENTAL HEALTH DISORDER(S) DUE TO AN IN-SERVICE TRAUMATIC EVENT(S) When To Use This Form: Use this form, VA Form 21-0781, Statement in Support of Claimed.

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How to fill out the VA Form 21-0781 online

VA Form 21-0781 is used to provide a statement in support of a claimed mental health disorder due to in-service traumatic events. This guide will help users navigate the process of completing the form online clearly and effectively, ensuring that all necessary information is provided for their claim.

Follow the steps to complete your VA Form 21-0781 online

  1. Click the ‘Get Form’ button to access the form and open it in your chosen online form editor.
  2. In Section I, enter your identification information. Fill in your name, social security number, date of birth, and any other requested details in the relevant fields.
  3. Proceed to Section II to describe the traumatic events you experienced. Check the applicable boxes for the type of traumatic events and provide a brief description, including dates and locations if possible.
  4. In Section III, indicate any behavioral changes following the traumatic event. Check all applicable boxes and add any additional information that may support your claim.
  5. For Section IV, identify where you received treatment related to the traumatic events. Check all relevant healthcare providers and provide necessary details.
  6. If you need additional space for remarks or further details, use Section V.
  7. Review all completed sections to ensure accuracy before finalizing your form.
  8. Once satisfied with the information entered, you can save changes, download, print, or share the form as needed.

Start completing your VA Form 21-0781 online now to support your claim for mental health disorders.

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