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In order for us to begin processing your NOD, you must complete, sign, and return VA Form 21-0958, Notice of Disagreement, within one year of the date of the decision notice we sent you on the decision(s) you are intending to appeal, or within 60 days from the date of this notice, whichever is later.
VA Form 21-4138 - Statement in Support of Claim. Complete and submit the VA Form 21-4138 to provide the VA with information to support claims for benefits.
How do I dispute my VA copay charges? Write a letter explaining why you think the copay charges or balance amount may not be correct. Mail the letter, or bring it in person, to the business office or health administration office at your nearest VA medical center.
Use VA Form 21-22 when you want to have a Veterans Service Organization (VSO) help you with VA benefits or claims.
If misuse occurred, VA will work to make the beneficiary whole by reissuing the misused funds when it can. VA aggressively pursues debt collection of VA funds from misusing fiduciaries. If misuse occurred, VA provides the information to VA's Office of Inspector General to pursue a criminal investigation.
For most VA benefits, you have 1 year from the date on your decision letter to request a Higher-Level Review or a Board Appeal. Certain types of VA benefits have time limits that are less than 1 year.
Appeal to the Board If you disagree with a benefits decision, you can file an appeal with the Board and request to: 1) submit additional evidence, 2) have a hearing, OR 3) have the Board decide your appeal based on the same evidence as the prior decision. These options are called ?dockets?.
Fill out a Decision Review Request: Board Appeal (Notice of Disagreement) (VA Form 10182). Note: You can also get this form from a VA regional office. Or, you can call us at 800-827-1000 to request a form. We're here Monday through Friday, a.m. to p.m. ET.