VSO TRIP #1
VA Form 9
"Appeal to Board of Veterans Appeals Used in the appeal process after the Statement of the Case has been issued by the VA."
DD 149
"Application for Correction of Military Record Used to correct erroneous information on a veteran's discharge"
VAF 22-1990
"Application for VA Education Benefits Used in original application for educational benefits"
DD 293
"Application for the Review of Discharge OR Dismissal from Armed Force of the United States Used for applying for an upgraded discharge if a veteran received a less than Honorable Discharge"
VAF 21-4142 and 21-4142a
"Authorization for Release of Information Used to release private medical records to the VA in support of a disability claim."
VA Education Benefits
"CHAPTER 30 CHAPTER 31 CHAPTER 33 CHAPTER 35 CHAPTER 1606/1607 VA WORK STUDY"
"HOME LOANS VETERANS' EXEMPTIONS "
"CLAIM FOR DISABLED VETERANS' PROPERTY TAX FORM FORM BOE 261G DISABLED VETERANS' EXEMPTION C HANGE OF ELIGIBILITY REPORT GENERAL INFORMATION AND OVERVIEW ELIGIBILITY REQUEST O HOME LOANS (CALVET)"
"SURVIVOR & DEPENDENT EDUCATIONAL ASSISTANCE "
"Chapter 35 - DEA Provides payment of a monthly education or training allowance to the spouse and children of a veteran who died of a service-connected disability. Eligible persons can receive up to 45 months of benefits."
VAF 21-686c
"Declaration of Status of Dependents Used by claimants to notify the VA of their current marital status or to notify the VA of a loss, or addition of dependents"
VAF 28-1900
"Disabled Veterans Application for Vocational Rehabilitation Used by veteran with established service connected disability who wish to apply for VA Vocational rehabilitation benefits."
10-10EZR
"Health Benefits Renewal Form Used for updating personal insurance or financial information for subsequent yearly enrollment verification"
VA F21-0966
"Intent to File a Claim for Compensation and/or Pension, or Supervisors Pension and/or DIC Used to notify VA of your intent to file for general benefits"
Veterans Pension
"Monetary benefit paid to veterans who are found to be permanently and totally disabled based on disabilities not the result of their active military service Veterans aged 65 and over are deemed to be permanently and totally disabled for the purposes of this benefits Must have been discharged under conditions other than dishonorable and must have served 90 days or more of active military service, at least one day of which was during a period of war, or discharged due to a service connected disability. Must meet specified income and net worth thresholds"
Survivors Dependency and Indemnity Compensation (DIC)
"Monthly benefit paid to eligible survivors of a service member or veteran whoDied while on active duty, OR Whose death resulted from a service-related injury or disease, OR Whose death resulted from a nonservice-related injury or disease, and who was receiving, or entitled to receive, VA Compensation for service-connected disability that was rated as totally disabling: For at least 10 years immediately before death, OR From the time of the veteran's release from active duty and for at least five years immediately preceding death, OR For at least one year before death if the veteran was a former prisoner of war who died after September 30, 1999."
"NON-SERVICE CONNECTED VETERANS PENSION"
"Needs based benefit paid to wartime veterans who have limited or no income and net worth. The purpose of the VA pension program is to bring the total income of qualified veterans to an established level. Includes income received by the veteran and his or her dependents, if any, from earnings, disability and retirement payments, interest and dividends, and net income from farming or business Net worth is the value of all assets including bank accounts, stocks, bonds, mutual funds and any property other than the veteran's residence and a reasonable lot area. There is no set limit on how much net worth a veteran can have, but it cannot be excessive. Veterans must be age 65 or older OR If under age 65, must be permanently and totally disabled Veterans must have been discharged under other-than-dishonorable conditions Have at least 90 days of wartime service, OR Have at least 90 days of consecutive service, 1 day of which was during a period of war, OR Have served during a wartime period and was discharged for a service connected disability regardless of length of service."
VA F21-0958
"Notice of Disagreement Used to apply for a notice of disagreement with VA decision."
VA F21-527EZ
"Notice to Veteran of Evidence Necessary to Substantiate a Claim for Veterans Non Service-Connected Pension Benefits Used to apply for veterans pension benefits"
VA F 21-526EZ
"Notice to Veteran/Service Member of Evidence Necessary to Substantiate a Claim for Veterans Disability Compensation and Related Compensation Benefits Used in original application for service connected compensation"
VA F21-22
"Power of Attorney (POA) Appointment of Veterans Service Organization a Claimant's Representative Used by all claimants requesting VA benefits "
SF-180
"Request Pertaining to Military Records Used to request Military records, medal, DD 214, SMR's, etc."
VAF 22-1995
"Request for Change of Program or Place of Training Used whenever a veteran changes educational programs or their place of training"
VAF 26-1880
"Request for a Certificate of Eligibility for VA Home Loan Benefits Used to acquire a certificate of eligibility for home loan guaranty entitlement"
Veterans Life Insurance
"SERVICEMEMBERS GROUP LIFE INSURANCE (SGLI) VETERANS GROUP LIFE INSURANCE (VGLI) SERVICE-DISABLED VETERANS INSURANCE (S-DVI)"
VA F21-4138
"Statement in Support of Claim Used for miscellaneous statements in support of claim"
VA F21-0781
"Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder Used to establish stressor for PTSD"
VA Health Care
"The primary factor in determining eligibility for VA health care benefits is 'veteran status' which is established by active duty service and a discharge or release under other than dishonorable conditions. Reservist/Guard must have completed 24 continuous months of active military service Reservist/Guard are covered if Service Connected Disability Discharge or Combat Veterans Combat Veterans = 5 years post separation coverage Enrollment, Eligibility, Hardship, Income Verification, Copayments"
VA Form 21
Application for Accreditation as a Service Organization Representative
VA F21-530
Application for Burial Benefits Used in applying for VA burial benefits
10-10EZ
Application for Health Benefits Used to apply for health care benefits, including initial enrollment
IU Eligibility Requirements
Be rated with at least one service connected disability Provide evidence of past employment Be unemployable
CHAMPVA
Civilian Health and Medical Program of the Department of Veterans Affairs Survivors Benefit
Disability Compensation
Claim for official recognition of a medical condition Treated while on active duty or within a presumptive period after leaving active duty. Provides monetary monthly disability payments and free medical treatment for service connection conditions.
Special Benefits
Clothing Allowance Automobile/Tranportation Adaptive Housing
Disability Compensation 38 CFR 3.03
Disability Chronicity/Contin uity Definitions
Disability Compensation 38 CFR 4.25
Disability Chronicity/Continuity Rating Table Highest Disability on Left Column Lowest on Top Column Axis=Combined Rating Special Monthly Compensation (SMC)
VA F 21-526EZ
Disability Compensation Application (FULL)
VA F 22-1990/1995
Education Benefit Application
How to notify of intent to file
Electronically (ebenefits or Stakeholder Enterprise Portal, mail VA Form 21-0966, Phone: National call center or public contact representative.
Vocational Rehabilitation Services
Evaluation of abilities and skills through extensive testing Education, vocational and personal counseling. Education and training to qualify veterans for suitable employment. Financial assistance during training.
Veteran Burial and Memorial Benefits
Headstones and/or Markers Burial Flags Presidential Memorial Certificates Federal and State Cemeteries
Intent to File contains?
Identification of Vet & Claimant, election of benefit asking for, signature of claimant or vet
Presumptive Diseases
May be service connected even if they were not diagnosed while the veteran was still on active duty as follows: If manifest to a compensable degree within one ye4ar following release from active duty Chronic, Topical, POW, Radiation, Agent Orange.
NACVSO
National Association of County Veteran Service Officers
Vocational Rehabilitation Benefits
Normally services are provided until the rehabilitation goal is met, up to a maximum of 48 months of training (may be extended) Must have a 20% service connected disability Must be within 12 years from the date the veteran was notified by the VA that he or she has a qualifying compensable disability.
DD 214
Official Discharge Orders
How many Intents to File will the VA recognize
Only 1 at any given time
VA F 21-527EZ
Pension Application
VA F21-22
Power of Attorney
Intent to File
Protects filing date for 1 year.
VA F 26-1880
Request for Certificate of Eligibility (VA Home Loans)
Reopened Claim
Request for reconsideration of a previously denied claim for service connection Must be based on new and material evidence.
VA F21-4138
Supporting Evidence Document
U.S. Flag
VA F 2008: Application for United States Flag for Burial Purposes Death Certificate DD-214 (Separation Papers
Burial Allowance
VA F 21-530: Application for Burial Benefits Death Certificate Funeral Receipt Medical Evidence to support service connected death (if applicable) Transportation receipt/invoice
Home Loan Guaranty (Surviving Spouse)
VA F 26-1817: Request for Determination of Loan Guaranty Eligibility - Surviving Spouse DD-214 (Certified) Marriage Certificate Death Certificate of Veteran
Home Loan Guaranty (National Guard or Reservist)
VA F 26-1880: Eligibility Request Points Statement showing Character of Service or Statement of Service from Commanding Officer or NGB Form 22 (US Army) or DD Form 256 & Points Statement
Home Loan Guaranty (Veteran)
VA F 26-1880: Request for a Certificate of Eligibility DD-214 (Certified)
Presidential Certificate
VA F 40-0247: Presidential Memorial Certificate Request Form or VA F 21-4138: Statement in Support of Claim Death Certificate of Veteran DD-214 (Separation Papers (for each enlistment)
Grave Markers
VA F 40-1330: Application for Standard Government Headstone Death Certificate DD-214 (Separation Papers) Birth Certificate (if discrepancy noticed)
Veterans Pension
VA F21-22 POA VA F21-527EZ Application for Pension VA F21-8416: Supporting Documentation DD-214 (Certified) Verification of Income Dependents Information
Death Pension (Widow and/or Children
VA F21-22:POA VA F21-534EZ: Survivors Benefit Application DD-214 (Certified) Veterans Death Certificate Marriage Certificate Verification of Income Proof of Funeral/Illness Expenses Dependents Information
Reopened Veterans Pension
VA F21-4138: Statement in support of claim VA F21-0516-1: Improved Pension EVR (Veteran with no children) or VA F21-0517-1: Improve Pewnsion EVR (Veteran with children) Verifcation of Income Dependents Information
Reopened Death Pension
VA F21-4138: Statement in support of claim VA F21-0518-1: Improved Pension EVR (surviving spouse with no children) or VA F21-0519S-1:Improve Pension EVR (Surving spouse with children) Verification of Income Dependents Information
VA F 10-10EZ
VA Health Care Application
Individual Unemployability Eligibility
Veteran may receive payment as though rated at 100% Must be found unable to secure or maintain substantially gainful employment due to service connected disability. Impairment of mind or body that is sufficient to make it impossible for the average person to follow a substantially gainful occupation.
VA F 22-1900
Vocation Rehabilitation Application
