Va Form 21 0966 Printable In Word Format 21 0966 OMB Control No 2900 0826 Respondent Burden 5 minutes Expiration Date 02 28 2026 VA DATE STAMP DO NOT WRITE IN THIS SPACE INTENT TO FILE A CLAIM FOR COMPENSATION AND OR PENSION OR SURVIVORS PENSION AND OR DIC INSTRUCTIONS Before completing this form read the Privacy Act and Respondent Burden on page 2
Use this form 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 You can submit this form online or by mail Submit a lay or witness statement online to support a claim Get VA Form 21 10210 to download If you want to notify us by submitting the form download and fill out an Intent to File a Claim for Compensation and or Pension or Survivors Pension and or DIC VA Form 21 0966 Download VA Form 21 0966 PDF Mail your completed form to this address Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville WI 53547 4444
Va Form 21 0966 Printable In Word Format
Va Form 21 0966 Printable In Word Format
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2014 2024 Form VA 21 0960A 3 Fill Online Printable Fillable Blank PdfFiller
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21 0966 INTENT TO FILE A CLAIM FOR COMPENSATION AND OR PENSION OR SURVIVORS PENSION AND OR DIC This Form Is Used to Notify VA of Your Intent to File for the General Benefit s Checked Below NOTE Please read the Privacy Act and Respondent Burden below before completing the form SECTION I CLAIMANT VETERAN IDENTIFICATION VA Form 21 0966 Intent to File A Claim for Compensation and or Pension or Survivors Pension and or DIC is a document that notifies the U S Department of Veterans Affairs VA about your intention to file a claim for the VA compensation and pension benefits including the Dependency and Indemnity Compensation DIC a monetary benefit paid t
If you are planning to file a claim for VA Disability Benefits a VA Intent to File VA Form 21 0966 sets an effective date for your benefits If the VA Intent to File is submitted you will receive retroactive payments from the date it is received by the VA This is why submitting an intent to file is so important 1 15 VA Form 21 0966 Intent to File a VA Claim This Form Is Used to Notify VA of Your Intent to File for the Compensation Pension Survivors Pension and DIC Benefit s The Intent to File a claim process allows applicants additional time to gather all of the information and evidence needed to support their claim s
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Form VA Form 21 0966 Intent to File a Claim for Compensation and or Pension or Survivors Pension and or DIC VA Form 21 0966 Form 2023 00590 pdf Supplementary Document 2022 24354 pdf Supplementary Document 2900 0826 Supporting Statement VAF21 0966 docx Supporting Statement A Last March the Department of Veterans Affairs began requiring that all claims to the agency be filed on standardized VA forms This new process has helped the VA make significant progress in reducing its backlog but more progress can be made with the improved use of one of the most underutilized documents the VA provides VA Form 21 0966
The Senior Veterans Service Alliance provides a PDF form vba 21 0966 for veterans who intend to file a claim for benefits from the VA This form can help veterans preserve their effective date and gather evidence for their claim Learn more about this form and other VA benefits forms on the webpage Filling Out VA Form 21 0966 In this section you will provide some personal information You will need to include your name Social Security Number VA file number veteran s date of birth veteran s name if different from claimant veterans Social Security Number veteran s biological sex veteran s service number current mailing
VA Form 21 0966 Printable VA Form
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Va Form 21 0966 Printable Printable Blank World
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https://www.vba.va.gov/pubs/forms/VBA-21-0966-ARE.pdf
21 0966 OMB Control No 2900 0826 Respondent Burden 5 minutes Expiration Date 02 28 2026 VA DATE STAMP DO NOT WRITE IN THIS SPACE INTENT TO FILE A CLAIM FOR COMPENSATION AND OR PENSION OR SURVIVORS PENSION AND OR DIC INSTRUCTIONS Before completing this form read the Privacy Act and Respondent Burden on page 2
https://www.va.gov/supporting-forms-for-claims/
Use this form 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 You can submit this form online or by mail Submit a lay or witness statement online to support a claim Get VA Form 21 10210 to download
Va Form 21 0966 Printable
VA Form 21 0966 Printable VA Form
Va 21 0961 2016 2024 Form Fill Out And Sign Printable PDF Template SignNow
Va Form 21p 0969 Fill Out Sign Online DocHub
VA Form 21 0966 Download Fillable PDF Or Fill Online Intent To File A Claim For Compensation And
Va Form 21 0781 Printable Printable World Holiday
Va Form 21 0781 Printable Printable World Holiday
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Va Form 21 0966 Printable
Va Form 21 686C Printable
Va Form 21 0966 Printable In Word Format - 1 15 VA Form 21 0966 Intent to File a VA Claim This Form Is Used to Notify VA of Your Intent to File for the Compensation Pension Survivors Pension and DIC Benefit s The Intent to File a claim process allows applicants additional time to gather all of the information and evidence needed to support their claim s
