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Use this form to provide a statement in support of a claimed mental health disorder(s) due to an in-service traumatic event(s). For more information, you can contact us.
We’ve combined this form into a new PDF version of the Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) (VA Form 21-0781). You can download the updated PDF form on this page.
It is important that you complete the form in detail and be as specific as you can so that research of military records can be thoroughly conducted. If you do not know the answer, write "unknown."
Get VA Form 21-0781 to download. Learn more about VA disability compensation for PTSD. For an automobile allowance. When you file a claim for disability compensation, you’ll also need to submit this form: An Application for Automobile or Other Conveyance and Adaptive Equipment (VA Form 21-4502) Get VA Form 21-4502 to download. Learn more ...
When you file a disability compensation claim, you’ll also need to fill out a Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) (VA Form 21-0781). Get VA Form 21-0781 to download
New VA Form 21-0781: Effective July 2024, the updated VA Form 21-0781 is crucial for veterans supporting claims for mental health conditions due to in-service traumatic events. Types of Traumatic Events: This form covers combat, personal, and other traumatic events, helping to document PTSD, depression, anxiety, and more.
VA forms are available at www.va. gov/vaforms. After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. NOTE: You can either complete the form online or by hand. Please print the information requested in ink, neatly and legibly to help process the form. 1.
SUPERSEDES VA FORM 21-0781, JUL 2017, WHICH WILL NOT BE USED. PAGE 1. NOTE: You can . either. complete the form online or by hand. Please print the information requested in ink, neatly and legibly to help process the form. 2. SOCIAL SECURITY NUMBER. 3. VA FILE NUMBER (If applicable) 4. DATE OF BIRTH (MM/DD/YYYY) 1. VETERAN NAME (First, Middle ...
Download Fillable Va Form 21-0781 In Pdf - The Latest Version Applicable For 2024. Fill Out The Statement In Support Of Claim For Service Connection For Post-traumatic Stress Disorder (ptsd) Online And Print It Out For Free.
VA FORM 21-0781a, JUL 2017. PAGE 3. PENALTY - The law provides severe penalties which include fine or imprisonment or both, for the willful submission of any statement or evidence of a material fact, knowing it is false, or fraudulent acceptance of any payment to which you are not entitled.