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Va 21-4138 Form: What You Should Know

If you use this form, you need to have personal knowledge of evidence supporting your claim and a claim description from the Veteran Affairs Office. You can submit this form to the Veterans Compensation and Pensions (CC&Rs) Administration. You can also use VA Form 21-2148 to submit a statement supporting a claim for disabilities and disabilities of a veteran with respect to their discharge or separation from service. VA Form 21-4138 — Statement in Support of Claim Sep 8, 2024 — This form is used to verify that evidence from a VA medical provider is supported by information from a veteran, or the Veteran's surviving spouse or dependent, or from an agency or institution under contract with the VA. Why Veterans Need to Use VA Form 21-4138 If you are trying to determine if you have a disability due to injury, combat, or exposure to a disease/infection, for example, and you have a claim for disability compensation, you should use VA Form 21-4138. This form can be used as evidence that you have this disability on paper. What You Need to Know About VA Form 21-4138: The Veteran's Name VA Form 21-4138 is filled out by a veteran's friends or family members. This form should be used by an authorized representative of a veteran, including a spouse, surviving spouse, or dependent child. If the Veteran's Representative is not the Veteran's dependent, then that person should be designated as an “Agent,” an employee who uses VA Form 21-4138 to support the claim. The Veteran's Service Number VA Form 21-4138 has a service number that will match the number used on the disability claim. What You Need to Know About the Disability Claim After completing VA Form 21-4138, include information about the disability that you are claiming on your claim form. All the information you submit, including, but not limited to information that describes other limitations or conditions related to your disability, such as pain due to the condition, can help substantiate the disability claim. The Veteran's Disability Rating For each of the following disabilities, you must use VA Form 21-401, “Rating of the Veterans Disabilities Claim.” The conditions shown below need to be verified by your VA medical provider. The VA medical provider will use this information to evaluate the severity of each disability.

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