Forms

 


 

Please contact a Veterans Service Officer prior to submitting any forms or documents to the VA. These are the standard forms necessary for claims; however, additional documents or forms may be required for your individual claim.

 

Survivors Pensions Disability Compensation

Letter to Claimant
VA Form 21-22
VA Form 21-2680 - Physicians Statement
VA Care Expense Statement
VA Form 21-534EZ - Death Benefits
VA Form 21-0845 - Third Party
VA Form 21-8416 - Medical Expenses

VA Form 21-0966 - Intent to File

Letter of Claimant
VA Form 21-22
VA Form 21-526EZ - Fully Developed Compensation
VA Form 21-686c - Declaration of Dependents

VA Form 21-0966 - Intent to File

 
Veteran Supplemental Pension Death and Indemnity DIC

Letter to Claimant
VA Form 21-22
VA Form 21-527EZ - Fully Developed Pension
VA Form 21-2680 - Physicians Statement
VA Care Expense Statement
VA Form 21-0845 - Third Party
VA Form 21-8416 - MedicalExpense

VA Form 21-0966 - Intent to File

Letter to Claimant
VA Form 21-22
VA Form 21-534EZ - Death Benefits

VA Form 21-0966 - Intent to File





 

 

2377 N. Stemmons Fwy., Suite 631 Box 1
Dallas, TX 75207-2710
Phone: (972)692-4939       Fax: (214)819-2880
Email:

We strongly advise applicants to consult with the County Veterans Service Office prior to submitting this application. We can assist the widow in completing the application and acquiring supporting documents. This may help to reduce delays in receiving benefits or preventing the denial of benefits.