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Versions Form popularity Fillable & printable
VA 21-0781a 2017 4.8 Satisfied (55 Votes)
VA 21-0781a 2014 4.4 Satisfied (1022 Votes)
VA 21-0781a 2007 4.4 Satisfied (60 Votes)
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The VA considers the following to be PTSD stressors: Threatened death. Actual serious injury. Threatened serious injury. Actual sexual violence. Threatened sexual violence.
While these two forms collect similar types of information, they are meant for different types of trauma. VA 21-0781 is used for general post-traumatic stress disorder and VA 21-0781a is meant to be used for cases that involve personal assault, military sexual trauma, and physical attacks.
Use VA Form 21-4138 when you want to submit a VA \u201cbuddy statement\u201d or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.
What is VA Form 21-526EZ? VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, is a formal application for VA disability benefits. Veterans are required to submit this form in order to initiate a claim for service-connected compensation.
Write very clearly, or type on a computer if you can. Describe the traumatic events in the order that they happened. Tell where the event happened, what unit you were in at the time, and when it happened (as best you can). Provide as much detail as you can and also describe the feelings you had about what happened.
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VA Form 21-0538 is used to request certification of the status of dependents for whom additional compensation is being paid to veterans. Without this information, continued entitlement to the benefits for dependents could not be determined.
To complete a VA Form 21-0781, you need to provide the following information: Veterans Identification Information. Veteran/beneficiary full name. Social security number. ... Stressful Incidents. Date incident occurred. Dates of unit assignment. ... Veteran's Signature. Certification that information is true to the best of knowledge.
Use VA Form 21-4192 if you're a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.
Appointment of Veterans Service Organization as Claimant's Representative. Related to: Burials and memorials, Careers and employment, Disability, Education and training, Family member benefits, Health care, Housing assistance, Life insurance, Pension, Service member benefits.
Use VA Form 21-0781a if you've been diagnosed with PTSD related to or because of personal assault, and you want to apply for related benefits or services.

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