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

Claiming posttraumatic stress disorder (PTSD)

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

or

You can fill out VA Form 21-0781 when you file a disability claim online.

File a disability compensation claim

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)

or

皇家棋牌You can fill out VA Form 21-0781a when you file a disability claim online.

File a disability compensation claim

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)

Claiming an auto allowance

皇家棋牌An Application for Automobile or Other Conveyance and Adaptive Equipment (VA Form 21-4502)

Claiming an auto adaptive-equipment grant

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

Download VA Form 10-1394 (PDF)

Claiming additional benefits because you or your spouse needs Aid and Attendance

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

Claiming Aid and Attendance because you’re in a nursing home

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

Claiming dependents

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

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).

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

Authorizing the release of your medical records to VA

皇家棋牌Authorization to Disclose Information to VA (VA Form 21-4142)

or

You can fill out VA Form 21-4142 when you file a disability claim online.

File a disability compensation claim

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