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VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.
If your PTSD was the result of physical assault or military sexual trauma, you should use VA Form 21-0781a. For all other service-connected stressors, fill out VA Form 21-0781.
When to use this form. Use VA Form 21-0781 if youve been diagnosed with PTSD (posttraumatic stress disorder) and want to apply for related benefits or services.
Fill out VA Form 21-509, Statement of Dependency of Parents, located at . Submit the completed form to your local VA regional office: .
When to use this form. Use VA Form 21-4138 when you want to submit a VA buddy statement or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.
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A disability letter example for him is as follows: DC 9411, Post Traumatic Stress Disorder (PTSD) Due to Combat Deployment to Afghanistan. I was deployed to Afghanistan from April 2009 to March 2011. I was diagnosed with PTSD in 2012 after being discharged from the Army.
This form is filled out by a veterans friends, families, or former service members. Those filling out this form provide statements supporting the veterans claim and verifying the limitations the veteran suffers because of their disability.
Use VA Form 21-0781a if youve been diagnosed with PTSD related to or because of personal assault, and you want to apply for related benefits or services.
A buddy statement can be created by anyone that knows the Veteran and can serve as a dependable witness to their conditions. That is why the following individuals often write this letter: Fellow service members. Spouse.
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.

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