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What Is VA Form 21-0788?-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with PART A, where you can nominate a representative if desired. Fill in their name, organization, and contact details.
- Move to PART B to provide your personal details. Include your DVA file number, name, postal address, and the reason for your loss of earnings.
- In PART C, your employer will need to confirm your absence from work and detail the wages lost during that period.
- Finally, complete PART D by having your treating doctor report on the treatment provided and how it affected your ability to work.
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Jan 13, 2026 Eligible Veterans and surviving spouses. VA Form 21-0788, Information Regarding Apportionment of Beneficiarys Award.
Your family must apply to the VA for Apportionment using VA Form 21-0788. A copy of that form is attached to this letter. This form is also available on the