Filing checklist
Before preparing VA Form 28-10289 (28-10289), verify the identity of the form and gather the records the instructions call for.
- For VA forms, check benefit program, claimant identity, service records, medical evidence, and dependency records before submission.
- Confirm the VA form edition and benefit program before filing.
- Attach service records, medical evidence, dependency records, or authorization documents when required.
- Confirm employee, employer, payroll, tax, work authorization, and effective-date details before signing.
- Use legal names and identification numbers exactly as they appear in employer or government records.
- Collect any required policy acknowledgments, authorization pages, or employer-provided instructions.