VA Forms You Need To Secure Your Benefits

High Level Review (HLR) Form

Other Forms

A National Guard and Reserve member

All your service treatment and personnel records from your unit(s) Headline

Claiming Individual Unemployability

A Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940)

Get VA Form 21-8940 to download

and

A Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192)

Get VA Form 21-4192 to download

Claiming Posttraumatic Stress Disorder (PTSD)

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (VA Form 21-0781)

Get VA Form 21-0781 to download

Claiming PTSD based on a Personal Assault

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder Secondary to Personal Assault (VA Form 21-0781a)

Get VA Form 21-0781a to download

Claiming Specially Adapted Housing or a Special Home Adaptation

An Application in Acquiring Specially Adapted Housing or Special Home Adaptation Grant (VA Form 26-4555)

Get VA Form 26-4555 to download

Claiming an Auto Adaptive-equipment Grant

An Application for Adaptive Equipment—Motor Vehicle (VA Form 10-1394)

Get VA Form 10-1394 to download

Claiming Additional Benefits because You or Your Spouse Needs Aid and Attendance

An Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680)

Get VA Form 21-2680 to download

Claiming Aid and Attendance because You’re in a Nursing Home

A Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779)

Get VA Form 21-0779 to download

Authorizing the Release of your Medical Records to VA 

Authorization to Disclose Information to VA (VA Form 21-4142)

Get VA Form 21-4142 to download

Claiming Dependents

A Declaration of Status of Dependents (VA Form 21-686c)

Get VA Form 21-686c to download

and

If your dependent is a child in school between the ages of 18 and 23, you’ll also need to turn in a Request for Approval of School Attendance (VA Form 21-674).

Get VA Form 21-674 to download

If your dependent is a seriously disabled child, you’ll also need to turn in all private medical records for the child’s disabilities.

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