VAFORMS.NET – VA Form 21-0966 – Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC – A VA Form 21-0966 – Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC. If you or a family member has been injured in the course of your employment, you can file this form to request compensation. The form can be faxed or mailed. It is important to fill out the form completely and accurately to ensure that the process goes smoothly.
Download VA Form 21-0966 – Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC
| Form Number | VA Form 21-0966 |
| Form Title | Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC |
| Edition Date | June 2022 |
| File Size | 1 MB |
What is a VA Form 21-0966?
Before submitting your application, you should make sure you understand the information on it. This form can be submitted online or by mail. It is used to apply for VA health care and disability benefits. It is also used to request financial assistance from the VA. To apply, you must complete the form in its entirety. If you need additional assistance, you can visit the VA regional office located in your state.
To complete the form, you will need to provide details about your income and assets. You will need to include the source of each source of income, any medical expenses, and any other assets you have. You will also need to complete the Aid and Attendance Worksheet for both yourself and your spouse.
Where Can I Find a VA Form 21-0966?
VA Form 21-0966 is a form that must be completed in order to file a claim with the VA. Veterans who need assistance with this form should consult a veteran disability attorney. After the form is completed, the Veteran must sign it. If the Veteran is unable to sign it, an alternate signer may sign for the Veteran. A physician must also complete this form.
The form includes information on the veteran, including his name, social security number, VA file number, and date of birth. It also includes information on the beneficiary of his or her benefits, such as the beneficiary’s name, contact information, and relationship to the veteran. The veteran must also write his or her Social Security number on every page.
The form must be completed before an appeal can be made. In most cases, it is required by law for a veteran to appeal a VA disability compensation decision. In the past, representatives and attorneys used this form on an optional basis, but now it is required for all appeals. However, veterans do not need to use this form if they are appealing a decision regarding pensions or survivor benefits.
VA Form 21-0966 – Intent to File a Claim for Compe
VA Form 21-0966 – Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC is used to inform the VA that you intend to file a claim for benefits. Filing an intent to file gives you additional time to gather evidence and information necessary to support your claim. This is important for securing the earliest possible effective date for retroactive payments.
VA Form 21-0966 is an integral part of the Intent to File rule and is designed to speed up the claims process. It has a more recent effective date, which makes it easier for VA employees to sort through informal claims and make an accurate decision. Additionally, it should help speed up the processing time, which means faster awards and less frustration.
The VA is implementing new regulations that mandate the use of standard claims and appeal forms. The new forms will be required for claims filed after March 24, 2015.
VA Form 21-0966 Example
