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There are several reasons you received a letter from the Evidence Intake Center, such as: Decision on your compensation claim. Request for additional information. Information about other compensation benefits you are eligible for.
Online tool You can submit your request online instead of filling out and sending us the paper form.
Form 21-2680 should be signed by a physician because the signatures of nurse practitioners or physicians assistants are not acceptable. Errors and omissions of this type should be corrected before filing the claim or you may risk a delay.
Appointment of Individual As Claimants Representative. Related to: Burials and memorials, Careers and employment, Disability, Education and training, Family member benefits, Health care, Housing assistance, Life insurance, Pension, Service member benefits. Form last updated: June 2022.
You will have up to one year from the date VA receives your intent to file to submit a formal claim. This process also allows VA to award backdated benefits from the date of your diagnosis or treatment. Your intent to file just needs to be filed within one year of the diagnosis or treatment.
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To complete a VA Form 21-22, you need to provide the following information: Veterans Information. Name of veteran (first, middle, last) Claimants Information. Claimants name. Service Organization Information. Name of individual appointed as representative. Authorization Information. Conditions of Appointment.
Use this form to request a SUPPLEMENTAL CLAIM of the decision you received that you disagree with. A SUPPLEMENTAL CLAIM is a new review of an issue(s) previously decided by the Department of Veterans Affairs (VA) based on submission of new and relevant evidence.
Appointment of Individual As Claimants Representative. Related to: Burials and memorials, Careers and employment, Disability, Education and training, Family member benefits, Health care, Housing assistance, Life insurance, Pension, Service member benefits. Form last updated: June 2022.
Use this form to request a SUPPLEMENTAL CLAIM of the decision you received that you disagree with. A SUPPLEMENTAL CLAIM is a new review of an issue(s) previously decided by the Department of Veterans Affairs (VA) based on submission of new and relevant evidence.
Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

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