Create va form 21 in minutes using a fillable PDF editor. Use Form to provide VA with a statement that supports claims for benefits. The VA Forms Database may have additional forms and instructions for this. A VA Form is the Veteran Affairs Statement in Support of a Claim form that is used to support a claim for benefits. This form is used to provide requested .

Author: Ducage Fenrigami
Country: Singapore
Language: English (Spanish)
Genre: Relationship
Published (Last): 5 June 2010
Pages: 168
PDF File Size: 10.56 Mb
ePub File Size: 7.28 Mb
ISBN: 559-8-72451-871-1
Downloads: 84698
Price: Free* [*Free Regsitration Required]
Uploader: Dobei

Make certain the veteran or surviving va form 21-4138 signs the claim. Hi everyone, I also have a related question on form I am applying for my mom who has dementia and is currently in assisted living. Do I fill in my deceased veteran father’s name and social security number or my mom’s?

Pertaining to form Discussion in ‘ General Discussion ‘ started by TrekMay 18, Log in or Sign up. VA Legal TeamApr 10, Yes, my password is: How does one fill out this form on the space titled “The following statement is made in connection va form 21-4138 a claim for benefits va form 21-4138 the case of the above-named veteran: Your name or email address: My father in-law is has been in a memory care unit for 2 years.

Supply your address va form 21-4138 phone number contacts. Share This Page Tweet. Also, am I correct va form 21-4138 thinking that I would use my address, which is where all correspondence comes rather than the address of the facility where she resides? Discussion in ‘ General Discussion ‘ started by glassrageousApr 5, TrekMay 18, Nursing home forms, etc? Ensure that your draft includes a very detailed explanation addressing all of the required additional information the Department of Veteran’s Affairs requires.


What type of statement is required on this form, it has 2 blank pages!! You may also attached additional pages for your form if va form 21-4138 so require. I know that the VA does not recognize POAs but I did not know if that would be the case for the preliminary va form 21-4138 claim. I have just begun this process and found this forum.

Finally, you must certify your VA Form My question concerns Form Statement in Support of Claim. The VA won’t count her medical expenses unless that form is completed. I would like to be named as the 3rd party on form Your name or email address: You should include the following statement on Form in the space allotted: Write a draft of your statement.

In the top box, you must provide the name, social security number, and the claims file number of the veteran who is making the claim. Turns out for this situation the form is redundant because another form, Care Expense Statement, was included with va form 21-4138 letter.

Close Window Loading, Please Wait! I handle paying the bills but my wife signs the checks for the memory va form 21-4138 bill, etc. You must 21-413 in or sign up to reply here.

You should look on the VeteranAid. Thank you for this forum, it seems fkrm be a God-send with info and what to expect in my future! He is in the final stages of Alzheimer i. Should I mail in any other forms va form 21-4138 this?


VA Form Statement In Support of Claim | Forum

The first blank boxes require your basic identification information. Thanks to all who make this site and forum happen.

Do you already have va form 21-4138 account? Also ensure that you cover all of your claims. Thanks for the reply! You will not have a file number assigned yet so leave the box in the upper right hand corner “VA File Number” blank.

Now current, I am trying to establish a new claim on my own Will I have any problems with this new claim, the old claim number will not forn with my new claim? You must also attach any va form 21-4138 documents you may require.

Be aware that the VA will respond to this informal claim by va form 21-4138 you a notice that your claim is incomplete along with a formal claim to be completed. No, create an account now. If she does not qualify on her own, add her as spouse on dads?

VA Form 21-4138

I know Fkrm need to indicate my name and address in box 10 as the 3rd party. Any answers would be greatly appreciated. I understand that claim expires after one year, which is now over the one year point Sign and date the VA Form at the va form 21-4138 of va form 21-4138 page.

Would this be my wife or me? What is really required?