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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.
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.
The Statement in Support of Claim for Service Connection for PTSDVA Form 21-0781can be filed online, or printed out and submitted via mail or in-person at a local VA Regional Office. It contains three sections: Veterans Identification Information, Stressful Incidents, and Veteran Signature.
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.
Filing for substitution means that an eligible dependent or surviving spouse of the veteran applies to step into the shoes of the veteran in their VA claim.
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Substitution allows a person eligible for accrued benefits to substitute a deceased beneficiary on a pending claim or appeal. The substitute claimant may submit evidence in support of the pending claim or appeal for potential accrued benefits.
VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE.
What is a VA Form 21 0781 a? This form is known as a Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault. The VA Form 21-0781A is used by the United States Department of Veterans Affairs.

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