Va form 21 4138-2026

See details

4.7 out of 5

96 votes

The document is a VA Form 21-4138, titled 'Statement in Support of Claim,' which is used by veterans or beneficiaries to submit statements supporting their claims for benefits. It includes sections for personal identification information, remarks related to the claim, and a declaration of intent. The form also outlines privacy information and respondent burden, indicating an estimated completion time of 15 minutes. The expiration date for this form is June 30, 2024.

Here's how it works

01. Edit your va form 21 4138 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send va form 21 4138 pdf fillable via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out VA Form 21-4138 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Section I, where you will enter the Veteran/Beneficiary's identification information. Fill in the name, Social Security number, VA file number, date of birth, service number (if applicable), email address (optional), telephone number, and mailing address. Ensure all details are accurate for efficient processing.
Proceed to Section II: Remarks. Here, provide a detailed statement supporting the claim for benefits related to the veteran/beneficiary. Be clear and concise to enhance understanding.
In Section III: Declaration of Intent, sign and date the form. This confirms that all statements made are true and correct. Remember that providing false information can lead to severe penalties.

Start using our platform today for free to complete your VA Form 21-4138 effortlessly!

See more va form 21 4138 versions

We've got more versions of the va form 21 4138 form. Select the right va form 21 4138 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.7 Satisfied (96 Votes)
2017	4.4 Satisfied (135 Votes)
2011	4.4 Satisfied (632 Votes)
2004	4.1 Satisfied (49 Votes)
2000	3.9 Satisfied (33 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an example of a PTSD stressor statement?

I also experience panic at loud sounds, such as fireworks and cars backfiring. I have found it difficult to hold a job, as my anger and anxiety affect my ability to work. Due to my symptoms, my family members encouraged me to see a psychiatrist. This is when I received a PTSD.

What is a VA form 21-4138 used for?

What is VA Form 21-4138? Form 21-4138 also referred as a Statement in Support of Claim , is offered by the VA to claimants who are interested in offering a written statement that attests to the medical condition preventing them from working.

What is the VA form 21 10210 used for?

When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claimor the claim of another Veteran or eligible family member. People also sometimes call this statement a buddy statement.

Has VA Form 21-4138 been replaced?

What has the VA changed this form to be now? In 2021, the VA replaced the VA Form 21-4138 with five new forms. These five new forms will help veterans better communicate specific requests to the VA, and even expedite the claims process.

Has VA Form 21 4138 been replaced?

What is the Hardest VA Claim to Get? Mental Health Conditions (e.g., PTSD, Depression) Sleep Apnea. Tinnitus and Hearing Loss. Military Sexual Trauma (MST) Chronic Pain Without a Clear Diagnosis.

va form 21 4138 pdf

VA Form 21-10210 VA Form 21-4138 examples VA Form 21-4138 PDF VA Form 21-4138 download New VA Form 21-4138 fillable PDF VA Form 21-4138 word document What is VA Form 21-4138 used for VA form 21-4138 online

What is the difference between VA form 21-4138 and 21 10210?

VA Form 21-10210 is used to provide information about an in-service injury or to give an update on the current severity of their service-connected conditions. However, VA form 21-4138 is no longer in use and the VA Form 21-10210 has been updated to replace it.