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Use this form to submit a statement to support a claim for VA benefits. The form is available online or by hand, and can be mailed to the Evidence Intake Center.
30 sie 2024 · Download and use VA Form 21-4138 to provide additional information to support your VA claim. Find out how to apply for VA health care, disability compensation, or other benefits.
Use this form to submit a statement to support a claim for VA benefits. The form is available online or by hand, and requires personal information, signature, and declaration of intent.
The following statement is made in connection with a claim for benefits in the case of the above-named veteran: VA FORM 21-4138, JAN 2015.
Valid OMB control numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form. VA FORM 21-4138, DEC 2017. Page 2.
Fillable Form VA 21-4138. The VA Form 21-4138, known as a Statement in Support of Claim, will be completed by a veteran who needs to establish proof for their claim for benefits. FILL ONLINE.
SECTION I: VETERAN/BENEFICIARY'S IDENTIFICATION INFORMATION NOTE: You will either complete the form online or by hand. Please print the information request in ink, neatly, and legibly to help process the form.
