Forms Library

Use VA Form 21-0781 if you've been diagnosed with a mental health condition related to a traumatic event during your military service, and you want to apply for related benefits or services. As of June 28, 2024, we've discontinued a similar form, Statement in Support of Claim for Service Connection for PTSD Secondary...

Use VA Form 21-0788 if you're a spouse, dependent, or dependent parent of a Veteran and you want to apply to receive some or all of a Veteran's or surviving spouse's disability compensation.

Official Department of Veterans Affairs 21-0789 for Your Rights to Representation and a Hearing, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization.

Use VA Form 21-0966 if you're still gathering information to support your claim, and want to start the filing process. Submitting an intent to file can secure the earliest possible effective date for any retroactive payments you may be eligible to receive. Information for accredited representatives: If you're an...

Use VA Form 21-0972 if you're signing an application form for benefits on behalf of a Veteran or non-Veteran.

Use VA Form 21-10210 to submit a formal statement to support your VA claim-or the claim of another Veteran or eligible family member. People also sometimes call this statement a "buddy statement."

If you want to have an individual help you with your claim or benefits, have that person complete and submit this form.

Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.

Use VA Form 21-4138 to provide additional information to support your claim.

Use VA Form 21-4140 if we asked you to verify your employment status because you currently receive Individual Unemployability disability benefits for a service-connected condition.

Use VA Form 21-4142a to give us permission to get medical provider information from a non-VA source like a private doctor or hospital. This will allow us to gather information like the name and address of a facility and your medical treatment dates.

Official Department of Veterans Affairs 21-4170 for Statement of Marital Relationship, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Use VA Form 21-4192 if you're an employer and you need to send us information about a Veteran who's applying for Individual Unemployability disability benefits. The Veteran's most recent employer must complete and submit this form.

Official Department of Veterans Affairs 21-4193 for Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Use VA Form 21-4502 if you're a Veteran with a disability and you want to apply for compensation for a vehicle that meets your needs. This may include a specially equipped vehicle for you to drive or adaptive equipment to help you get in and out of your vehicle.

Use VA form 21P-509 if you're a Veteran whose parents are dependent on you for support, or you're the parent of a Veteran who died on active duty or as a result of service-connected injuries or disease.

Official Department of Veterans Affairs 21-651 for Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation from Department of Veterans Affairs (38 U.S.C. 5304(a)-5305), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and...

Use VA Form 21-674 when claiming benefits for a child who is at least 18 years old, but under 23, and attending school. Note: We automatically remove children from your benefits when they turn 18. If you have a child who will remain in school past the age of 18, you'll need to submit their information again. If you'd...

Official Department of Veterans Affairs 21-674B for School Attendance Report, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 21-6898 for Application for Amounts on Deposit for Deceased Veteran, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 21-8760 for Additional Information for Veterans with Service-Connected Permanent and Total Disability, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 21-8764 for Disability Compensation Award Attachment Important Information, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

Official Department of Veterans Affairs 21-8764A for Disability Compensation Award Under 38 U.S.C. 1151 Important Information, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.