VA Forms 21-0960j-1 - 21-845

The VA provides a wide range of benefits and services to eligible veterans, their family members, and survivors. To access these benefits and services, veterans and their dependents must complete various VA forms accurately and completely. In this conversation, we will discuss several VA forms used to apply for vocational rehabilitation, designate a representative payee for tribal veteran beneficiaries, request a review of a supplemental claim decision, apply for education benefits, apply for transportation and/or beneficiary travel benefits, and more.

• VA Form 21-0960j-1: Application for Increased Compensation Based on Unemployability - Same as VA Form 21-8940.
• VA Form 21-0960j-2: Veterans Application for Increased Compensation Based on Individual Unemployability (IU) Due to a Disability Rating - Used to apply for increased compensation based on IU due to a disability rating.
• VA Form 21-0960j-3: Veterans Application for Increased Compensation Based on Unemployability Due to Individual Unemployability - Used to apply for increased compensation based on IU.
• VA Form 21-0960l-2: Instructions for Completing Prescription Medication Refill Request - Used to provide instructions for completing the prescription medication refill request process.
• VA Form 21-0960m-6: Medical Opinion - Used to gather medical information and opinions from a physician in connection with a disability claim.
• VA Form 21-0960n-1: Monthly Report of Nursing Home Information - Same as VA Form 10-10N.
• VA Form 21-0960p: Disability Compensation Award Attachment - Used to provide information regarding a veteran's disability compensation award.
• VA Form 21-0960p-1: Individual Unemployability Compensation Award Attachment - Used to provide information regarding a veteran's individual unemployability compensation award.
• VA Form 21-0960p-2: Individual Unemployability Compensation Award Attachment - Used to provide information regarding a veteran's individual unemployability compensation award.
• VA Form 21-0960p-3: Reconsideration of Individual Unemployability Compensation Claim - Used to request reconsideration of an individual unemployability compensation claim.
• VA Form 21-0960p4: Permanent and Total Disability Rating Request - Used to request a permanent and total disability rating.
• VA Form 21-0961: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC - Used to indicate intent to file a claim for compensation, pension, or survivors benefits.
• VA Form 21-0966: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (Fillable) - Same as VA Form 21-0961, but fillable.
• VA Form 21-0969: Information Regarding Beneficiary Travel - Used to provide information regarding beneficiary travel benefits.
• VA Form 21-0972: Application for Automobile or Other Conveyance and Adaptive Equipment - Used to apply for automobile or other conveyance and adaptive equipment benefits.
• VA Form 21-0995: VHA Therapy Consent - Used to consent to therapy services provided by the Veterans Health Administration (VHA).
• VA Form 21-0996: VHA Mental Health Information Release (May be you are looking for the VA Form 20-0996. Decision Review Request: Higher-Level Review)
• VA Form 21-0998: Statement in Support of Claim - Used to provide additional information in support of a VA claim.
• VA Form 21-1021: Application for Compassionate Allowance - Used to apply for expedited processing for certain conditions under the compassionate allowance program.
• VA Form 21-10210: Lay/Witness Statement
• VA Form 21-1151: Application for Accrued Amounts Due a Deceased Beneficiary - Same as VA Form 21-0819.
• VA Form 21-1880: Application for Certificate of Eligibility for Home Loan Benefits - Used to apply for a certificate of eligibility for VA home loan benefits.
• VA Form 21-1900: Application for VA Education Benefits - Used to apply for VA education benefits.
• VA Form 21-1990: Application for VA Education Benefits - Used to apply for VA education benefits under the Post-9/11 GI Bill.
• VA Form 21-1995: Request for Change of Program or Place of Training - Used to request a change of program or place of training under VA education benefits.
• VA Form 21-1999: Veterans Application for Increased Compensation Based on Unemployability - Same as VA Form 21-0960a.
• VA Form 21-20: Application for Dependency and Indemnity Compensation (DIC), Death Pension and/or Accrued Benefits - Used to apply for DIC, death pension, or accrued benefits as a surviving spouse or child.
• VA Form 21-2008: Application for United States Flag for Burial Purposes - Used to apply for a flag for burial purposes for a deceased veteran.
• VA Form 21-21: Application for Accreditation as Service Organization Representative - Used to apply for accreditation as a service organization representative with the VA.
• VA Form 21-2122: Appointment of Individual as Claimant's Representative - Used to appoint an individual as a claimant's representative for VA benefits.
• VA Form 21-2138: Statement in Support of Claim - Used to provide additional information in support of a VA claim.
• VA Form 21-2142: Application for Dependency and Indemnity Compensation (DIC), Death Pension and/or Accrued Benefits by a Surviving Spouse or Child - Same as VA Form 21-0510.
• VA Form 21-2142a: General Affidavit - Used to provide a general affidavit in connection with a VA claim.
• VA Form 21-2148: Application for Active Duty for Training, Active Duty for Special Work, Temporary Tour of Active Duty, and Annual Training for Individual Ready Reserve Members - Used to apply for active duty training as a member of the Individual Ready Reserve.
• VA Form 21-22: Appointment of Veterans Service Organization as Claimant's Representative - Used to appoint a veterans service organization as a claimant's representative for VA benefits.
• VA Form 21-2507: Request for and Consent to Release of Information from Claimant's Records - Used to request and consent to release of information from a claimant's records in connection with a VA claim.
• VA Form 21-256: Statement of Marital Relationship - Used to provide information regarding a claimant's marital relationship for purposes of VA benefits.
• VA Form 21-256EZ: Statement of Marital Relationship, Child-Birth and Rearing - Same as VA Form 21-256, but a simplified version.
• VA Form 21-268: Statement of Dependency of Parent(s) - Used to provide information regarding a parent's dependency for purposes of VA benefits.
• VA Form 21-2680. Examination for Housebound Status or Permanent Need for Regular Aid and Attendance - Used to evaluate a veteran's need for housebound status or regular aid and attendance.
• VA Form 21-2860: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance - Same as VA Form 21-2680.
• VA Form 21-3101: Application for Vocational Rehabilitation for Veterans with Service-Connected Disabilities - Used to apply for vocational rehabilitation services for veterans with service-connected disabilities.
• VA Form 21-3148: Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) - Used to provide additional information in support of a claim for service connection for PTSD.
• VA Form 21-4138. Statement in Support of Claim - Used to provide additional information in support of a VA claim.
• VA Form 21-4140: Employment Questionnaire - Used to gather employment history and related information from a veteran in connection with a VA claim.
• VA Form 21-4140-1: Authorization and Consent to Release Information to the Social Security Administration (SSA) - Used to authorize release of information to the SSA in connection with a VA claim.
• VA Form 21-4142: Authorization to Disclose Personal Information to a Third Party - Same as VA Form 21-0845.
• VA Form 21-4142a: General Release for Medical Provider Information - Used to authorize release of medical information from a provider in connection with a VA claim.
• VA Form 21-4148: Application for Approval of School Attendance - Used to apply for approval of school attendance under VA education benefits.
• VA Form 21-4170: Statement of Accrued Amounts Due a Deceased Beneficiary - Used to report accrued amounts due to a deceased beneficiary.
• VA Form 21-4171: Statement of Dependency of Children When There Are No Surviving Parents - Used to provide information regarding a dependent child's dependency when there are no surviving parents.
• VA Form 21-4176: Request for and Consent to Release of Information from Individual Treatment Records - Used to request and consent to release of information from an individual's treatment records in connection with a VA claim.
• VA Form 21-4185: Request for Verification of Benefits - Used to request verification of benefits from the VA in connection with a claim for other benefits.
• VA Form 21-4192: Request for Approval of School Attendance - Used to request approval of school attendance under VA education benefits.
• VA Form 21-4193: Request for Certification of a Serious Employment Handicap - Used to request certification of a serious employment handicap for vocational rehabilitation purposes.
• VA Form 21-4238: Statement in Support of Claim (Secondary Service Connection) - Used to provide additional information in support of a claim for secondary service connection.
• VA Form 21-438: Statement of Qualifications for Special Monthly Compensation - Used to provide information regarding a veteran's qualifications for special monthly compensation.
• VA Form 21-441: Request for Full Month's Benefits Based on Hospitalization - Used to request full month's benefits based on hospitalization.
• VA Form 21-4502: Application for Automobile or Other Conveyance and Adaptive Equipment 
• VA Form 21-4555: Employment Questionnaire - Same as VA Form 21-4166.
• VA Form 21-4706b: Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Other Health Insurance (OHI) Certification - Used to certify other health insurance coverage for CHAMPVA beneficiaries.
• VA Form 21-4718a: Information on Subsequent Awards - Used to report subsequent awards in connection with a VA claim.
• VA Form 21-492: Request for Change of Program or Place of Training - Same as VA Form 21-1995.
• VA Form 21-509: Statement of Dependency of Children and Parents - Used to provide information regarding a dependent child or parent's dependency for purposes of VA benefits.
• VA Form 21-5103: Application for Benefits for Certain Children with Disabilities Born of Vietnam and Certain Korea Service Veterans - Used to apply for benefits for certain children with disabilities born of Vietnam and certain Korea service veterans.
• VA Form 21-524: Application for Pension - Used to apply for pension benefits for wartime veterans or their surviving spouses.
• VA Form 21-526: Veterans Application for Compensation and/or Pension - Used to apply for compensation or pension benefits based on service-connected disabilities.
• VA Form 21-526EZ. Application for Disability Compensation and Related Compensation Benefits - Same as VA Form 21-526, but for fully developed claims.
• VA Form 21-530: Application for Burial Benefits - Used to apply for burial benefits for a deceased veteran.
• VA Form 21-530EZ: Application for Burial Benefits - Same as VA Form 21-530, but a simplified version.
• VA Form 21-534: Application for Dependency and Indemnity Compensation (DIC), Death Pension and/or Accrued Benefits - Same as VA Form 21-20.
• VA Form 21-601: Application for Accrued Amounts Due a Deceased Beneficiary - Same as VA Form 21-1151.
• VA Form 21-647: Request for and Consent to Release of Information from School Records - Used to request and consent to release of information from school records in connection with a VA claim.
• VA Form 21-674. Request for Approval of School Attendance
• VA Form 21-6789: Annual Certification of Permanently and Totally Disabled Individual for Continued Eligibility for Commissary and Exchange Privileges - Used to certify continued eligibility for commissary and exchange privileges for permanently and totally disabled individuals.
• VA Form 21-680: Application for Accreditation as a Claims Agent or Attorney - Used to apply for accreditation as a claims agent or attorney with the VA.
• VA Form 21-686c. Application Request to Add and/or Remove Dependents - Used to provide information regarding a claimant's dependents for purposes of VA benefits.
• VA Form 21-781: Statement in Support of Claim - Same as VA Form 21-4138.
• VA Form 21-781a: Statement in Support of Claim for PTSD - Used to provide additional information in support of a claim for service connection for PTSD.
• VA Form 21-8416: Medical Expense Report - Used to report medical expenses incurred by a claimant in connection with a VA claim.
• VA Form 21-845: Certification of School Attendance or Termination - Used to certify school attendance or termination under VA education benefits.

Completing VA forms accurately and completely is crucial to access the benefits and services provided by the VA. In this conversation, we discussed several VA forms used to apply for vocational rehabilitation, designate a representative payee for tribal veteran beneficiaries, request a review of a supplemental claim decision, apply for education benefits, apply for transportation and/or beneficiary travel benefits, and more. We emphasized the importance of providing accurate and complete information on these forms to access the resources and benefits needed. By understanding the purpose of each form and completing them accurately and completely, veterans and their dependents can access the benefits and services they deserve. The VA is committed to providing the highest quality of care and support to veterans, and completing these forms is an essential step in accessing the benefits and services they need to thrive.