II.iii.1.A.1.a. Requirements for a Complete Claim Received on or After March 24, 2015 | | Effective March 24, 2015, the Department of Veterans Affairs (VA) only recognizes compensation, pension, survivors, and related claims if they are submitted on the required standard forms. Use the table below to determine the correct VA form to use based on the type of benefit sought by the claimant. | If the benefit sought is ... | Then the prescribed form is VA Form ... |
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- service connection (SC) (initial)
- increased evaluation, or
- a claim for a permanent and total (P&T) rating
| 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. | | associated with a supplemental claim | 20-0995, Decision Review Request: Supplemental Claim. | | associated with a request for higher-level review of a prior decision | 20-0996, Decision Review Request: Higher-Level Review. | | temporary total disability rating (paragraph 29 and 30 benefits) | 21-526EZ. Note: Receipt of a Report of Hospitalization at a VA hospital or military treatment facility will prompt review for entitlement to a temporary evaluation under 38 CFR 4.29 and 38 CFR 4.30 without a claimant’s submission of a claim. References: For more information on- scope of
- hospitalization ratings, see M21-1, Part VIII, Subpart iv, 8.B.1.b, and
- convalescent ratings, see M21-1, Part VIII, Subpart iv, 8.C.1.d, and
- claims based on reports of examination or hospitalization, see M21-1, Part II, Subpart iii, 2.D.
| | total disability rating based on individual unemployability (TDIU) | TDIU can also be claimed on VA Form 21-526EZ. Notes: - VA Form 21-8940 is not required to claim individual unemployability (IU). However, submission of VA Form 21-8940 by the Veteran is required in the course of development of the IU claim and for the award of TDIU benefits.
- VA Form 21-8940 is not an acceptable standard form for a claim for increase in the evaluation of a disability independent of a claim for IU. However, as a part of adjudication of the TDIU issue, the evaluation of the service-connected (SC) disabilities claimed to cause unemployability must be considered.
References: For more information on- the role of VA Form 21-8940 in development of IU claims, see M21-1, Part VIII, Subpart iv, 3.B.1.d
- considering entitlement to an increased evaluation of SC disabilities when considering claims for TDIU, see M21-1, Part VIII, Subpart iv, 3.B.1.e, and
- reasonably raised claims for IU, see M21-1, Part VIII, Subpart iv, 3.B.1.f and g.
| | child incapable of self-support benefits | Note: Information about a child incapable of self-support submitted by a Veteran on a timely received December 2017 or earlier version of VA Form 21-0538, Mandatory Verification of Dependents, will be sufficient to initiate a claim to add the dependent(s) to the Veteran’s award. | | Veterans Pension (initial) | 21P-527EZ | | dependency and indemnity compensation (DIC), Survivors Pension and accrued benefits (initial) | Notes: Reference: For more information on actions to take upon receipt of VA Form 21-4182, Application for Dependency and Indemnity Compensation or Death Pension (Including Accrued Benefits and Death Compensation Where Applicable) From the Department of Veterans Affairs (Supplemental to Social Security Application Forms SSA-4, 5, 7 and 10), see M21-1, Part XII, Subpart i, 4.A. | | income adjustments for running pension awards or to supplement initial applications (income/asset/net worth, liberalized legislation) | - 21P-0512S-1,Old Law and Section 306 Eligibility Verification Report (Surviving Spouse)
- 21P-0512V-1,Old Law and Section 306 Eligibility Verification Report (Veteran)
- 21P-0513-1,Old Law and Section 306 Eligibility Verification Report (Children Only)
- 21P-0514-1, D.I.C. Parents' Eligibility Verification Report
- 21P-0516-1, Improved Pension Eligibility Verification Report (Veteran With No Children)
- 21P-0517-1, Improved Pension Eligibility Verification Report (Veteran with Children)
- 21P-0518-1, Improved Pension Eligibility Verification Report (Surviving Spouse With No Children)
- 21P-0519C-1, Improved Pension Eligibility Verification Report (Child or Children)
- 21P-0519S-1, Improved Pension Eligibility Verification Report (Surviving Spouse with Children)
- 21P-0969, Income and Asset Statement in Support of Claim for Pension or Parents’ Dependency and Indemnity Compensation (D.I.C.)
- 21P-8416, Medical Expense Report
- 21P-8416b, Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death
- 21P-0571, Application for Exclusion of Children’s Income
- 21-8049, Request for Details of Expenses
- 21P-4165, Pension Claim Questionnaire for Farm Income, and
- 21P-4185, Report of Income from Property or Business.
Exception: VA does not require beneficiaries to use a specific form to report a change in income that will result in a decrease in benefits. A beneficiary may report such changes- in writing
- by telephone or e-mail, or
- through a VA claims submission service website.
| | burial benefits (initial) | | | specially adapted housing (SAH) or special housing adaptation (SHA) | SAH/SHA can also be claimed on VA Form 21-526EZ. Important: - VA Form 26-4555 or 26-4555c can be used as a standalone initial claim.
- VA Form 26-4555 or 26-4555c is a claim for both SAH and SHA.
- A grant of SAH renders the issue of SHA moot since SAH is the greater benefit. SHA need not be addressed when SAH is granted.
- If SAH is denied, the rating decision must address both SAH and SHA.
Note: When eligibility is being determined in response to a request from a regional loan center referral, VAForm 26-4555 or 26-4555c is not required in the claims folder. Reference: For more information on issues that may arise from consideration of VA Form 26-4555, see M21-1, Part II, Subpart iii,1.A.3.c. | | auto allowance | 21-4502, Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904). Auto allowance can also be claimed on VA Form 21-526EZ. Important: VA Form 21-4502 is required for the award of benefits and can be used as a standalone form for initial auto allowance claims. Reference: For more information on issues that may arise from consideration of VA Form 21-4502, see M21-1, Part II, Subpart iii, 1.A.3.c. | | special monthly compensation (SMC) for housebound/aid and attendance (A&A) including spousal A&A | Reference: For more information on reviewing VA Form 21-2680to identify the benefit sought, see M21-1, Part II, Subpart iii, 1.A.3.a-c. | | SMC for housebound/A&A for DIC benefits | Note: VA Forms 21-2680and 21-0779are acceptable for SMC only when there is an active DIC claim or running DIC award.Reference: For more information on reviewing VA Form 21-2680 to identify the benefit sought, see M21-1, Part II, Subpart iii, 1.A.3.a-c. | | special monthly pension (SMP) for housebound and/or A&A | Note: VA Forms 21-2680 and 21-0779 are acceptable for SMP only when there is an active pension claim or running pension award.Reference: For more information on reviewing VA Form 21-2680to identify claims for SMP and SMC, see M21-1, Part II, Subpart iii, 1.A.3.a-c. | | spina bifida | 21-0304, Application for Benefits for a Qualifying Veteran’s Child Born With Disabilities. | | apportionment | 21-0788, Information Regarding Apportionment of Beneficiary’s Award. | | dependents | - 21P-527EZ (pension only)
- 21P-534EZ (survivors only)
- 21-686c
- 674-series to include 21-674, Request for Approval of School Attendance, (school children over 18 only)
- 21P-509, Statement of Dependency of Parent(s), (for dependent parent(s) only)
- 21-4170, Statement of Marital Relationship (for adding a spouse based on a common-law marriage), or
- 21-0538 (versions December 2017 and earlier, when timely submitted as part of the verification process described in M21-1, Part VII, Subpart i, 1.B).
Notes: - Past versions of VA Form 21-0538, dated December 2017 or earlier, when timely submitted, could be used to initiate the process of adding a dependent to an award.
- A VA Form 21-674 can be accepted as a standard form for a school child claiming DIC in their own right if the child was previously on a surviving spouse’s DIC award.
| References: For more information on - when a power of attorney (POA) representative may sign prescribed forms on behalf of a claimant, see M21-1, Part I, Subpart i, 2.A.4.a and b
- handling outdated or discontinued forms, see M21-1, Part II, Subpart i, 2.B.4
- prescribed forms used for claims under 38 U.S.C. 1151, see M21-1, Part VIII, Subpart iv, 6.B.5.a, and
- claims submitted at or prior to separation from military service, including
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