Va form 21 526 2025

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  1. Click ‘Get Form’ to open VA Form 21-526 in the editor.
  2. Begin by entering your name and Social Security number in the designated fields on page 2. This information is crucial for processing your application.
  3. In Section I, provide details about your disability. List all disabilities related to military service and include treatments received from both military and civilian sources.
  4. For each disability, specify when it began and the dates of treatment. Use the provided fields to enter this information clearly.
  5. Proceed to Section II, where you will indicate any exposures that may have contributed to your disabilities. Answer the questions regarding Agent Orange, asbestos, mustard gas, ionizing radiation, and Gulf War environmental hazards.
  6. Finally, in Section III, explain how your listed disabilities are connected to your military service. Provide a detailed account to support your claim.

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A veteran should first receive notification from VA that the claim was receivedwhich may take up to two weeks after filing a paper form or within a matter of hours if the claim was submitted electronically. A VA representative will then review your claim to determine if any additional information is needed.
Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.
VA Effective Date and Back Pay by Type of Claim Generally, it is: The date the VA receives your claim (for most claims) The day after military discharge (if filed within one year of separation) Up to 1 year prior to the date you file for an increased rating (if a condition worsened)