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Veterans may now file an eClaim or electronic FDC on eBenefits for: An injury, disability, or condition believed to have occurred or been aggravated by military service. Veterans are encouraged to work with a Veterans Service Officer (VSO) to get the fastest VA decision.
Changes to income and net worth over multiple years must be reported on a separate VA Form 21P-0969 for each year. Changes to dependents and medical expenses may impact your benefits. VA Form 21P-0969 - Veterans Benefits Administration va.gov pubs forms va.gov pubs forms
Community Care Provider-Request for Service (RFS), VA Form 10-10172, is used to request additional services or continued care from VA. The requested care may be performed within VA or in the community based on a Veterans eligibility. The signed RFS is required to facilitate care review and authorization. Community Care - Request and Coordinate Care - VA.gov va.gov providers Care-Coordination va.gov providers Care-Coordination
Use this Supplemental Claim form (VA 20-0995) if you disagree with our decision on your claim and you meet at least 1 of these requirements: You have new and relevant evidence to submit, or. You would like VA to review your claim based on a new law (such as the PACT Act). File A Supplemental Claim | Veterans Affairs va.gov decision-reviews file-supplement va.gov decision-reviews file-supplement
You can submit your completed VA Form 5655 and personal statement in either of these 2 ways: Online: Our online form includes a section for your personal statement. Submit your Financial Status Report online. By mail: Fill out and sign VA Form 5655. Write your personal statement in a separate document. Submitting A Financial Status Report (VA Form 5655) | Veterans Affairs va.gov resources submitting-a-financial- va.gov resources submitting-a-financial-
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When to use this form. Use VA Form 20-0995 if you disagree with a VA decision and want to provide new evidence to support your claim.
PRIVACY ACT NOTICE: The information you furnish on this form is almost always used to determine if you are eligible for waiver of a debt, for the acceptance of a compromise offer or for a payment plan.

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