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VA Form 21-0781a specifically addresses stressors related to incidents of personal assault, including physical assaults and military sexual trauma. If your PTSD is caused by any other type of stressor, you should complete VA Form 21-0781.
In order to get a disability rating and subsequent benefits for PTSD, veterans must complete VA Form 21-0781. This is a statement in support of a claim for service connection for PTSD. If your PTSD was the result of physical assault or military sexual trauma, you should use VA Form 21-0781a.
The VA Form 21-0781A is used by the United States Department of Veterans Affairs. This form will be completed by veterans who have been diagnosed with PTSD due to their military service. This form should be used by individuals who have personal assault as a contributing factor to their PTSD.
While these two forms collect similar types of information, they are meant for different types of trauma. VA 21-0781 is used for general post-traumatic stress disorder and VA 21-0781a is meant to be used for cases that involve personal assault, military sexual trauma, and physical attacks.
FOR POST-TRAUMATIC STRESS DISORDER (PTSD) For each incident, provide a description of what happened, the date, the geographic location, your unit assignment and dates of assignment, and the full names and unit assignments of you know of who were killed or injured during the incident.
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In order to get a disability rating and subsequent benefits for PTSD, veterans must complete VA Form 21-0781. This is a statement in support of a claim for service connection for PTSD. If your PTSD was the result of physical assault or military sexual trauma, you should use VA Form 21-0781a.
The Department of Veterans Affairs (VA) uses VA Form 21-0781 to help determine if service connection for PTSD is warranted. Essentially, this form allows veterans to list the traumatic incident or incidents (i.e., stressors) that occurred during military service that led or contributed to their PTSD diagnosis.
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.

va form 0781