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This form contains the following sections: Identifying the veteran. Claimant information (if the claimant is not the veteran) The written statement. The laypersons contact information (e.g., phone number, email address, mailing address) A section to docHub and sign the statement.
During our deployment to [Location], I witnessed the event that resulted in [Veteran Name]s disability. As a fellow service member, I can testify to the impact it had on their physical and mental well-being and the immediate medical attention they required. - Eyewitness Account from a Fellow Service Member.
What purpose does the VA Form 21-4138 serve? In summary, this form is used to provide information to corroborate a veterans claim for benefits. This form is filled out by a veterans friends, families, or former service members.
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.
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