Statement in support of Claim for Service Connection for PTSD 2025

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The document is a VA form (21-0781a) used by veterans to provide detailed information in support of their claim for service connection for post-traumatic stress disorder (PTSD) related to personal assault during military service. It requires veterans to describe specific stressful incidents, including dates, locations, unit assignments, and any other relevant sources of information that could support their claims.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field at the top of the form. This ensures that your claim is accurately associated with your identity.
Next, provide your VA file number. This is crucial for tracking your claim within the VA system.
For each stressful incident, fill out the date it occurred, location, unit assignment, and dates of assignment. Be as specific as possible to aid in thorough research.
In the description section, detail what happened during each incident. Clarity and specificity will strengthen your claim.
Identify other sources of information that may support your claim. Include names and addresses of individuals or organizations that can provide additional context.
Finally, review all entries for accuracy before signing and dating the form at the bottom. Ensure you include contact numbers for follow-up.

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Versions	Form popularity	Fillable & printable
2021	4.3 Satisfied (29 Votes)
2017	4.8 Satisfied (55 Votes)
2014	4.4 Satisfied (1022 Votes)
2007	4.4 Satisfied (60 Votes)

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What is an example of a PTSD statement in support of claim?

Personal Impact and How the Stressor Has Affected Daily Life Emotional Toll: Dont just describe the event; express the emotional impact it had on you. Describe the fear, helplessness, or despair you felt during and after the trauma. Life Disrupted: Explain how the trauma has disrupted your daily life.

What is supporting evidence for PTSD?

Documentation or credible evidence that a traumatic event occurred during service, capable of causing PTSD. For combat veterans, personal statements and participation in combat can be enough to establish the stressor. Non-combat veterans need corroborative evidence such as buddy statements or service records.

How to write a successful stressor statement in support of PTSD?

Describe the Experiences That Resulted in PTSD As best you can, describe the traumatic events in the order that they happened. Say where, when, and what unit you were in when the event happened. Provide as much detail as youre able to, and describe the feelings you had about what happened.

How do you write a convincing VA statement in support of a claim?

The personal statement should clearly describe your symptoms and how they affect your body and mind. Be specific and provide examples whenever possible to illustrate the severity of your symptoms. Avoid vague statements and instead focus on concrete details that show the VA how your condition impacts your daily life.

What is an example of PTSD statement?

I still suffer from symptoms of PTSD, including nightmares, flashbacks, severe emotional distress, feelings of hopelessness, lack of interest in activities, difficulty sleeping, self-destructive behavior, memory problems, severe anger, paranoia, and feeling detached from loved ones.