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COMMONLY USED FORMSNOTE: It is very likely the VA will reject and return any outdated or superseded forms you submit for their consideration, especially for benefit claims. It is extremely important you use the most current forms available when preparing your submissions to the VA.Please use the official webpage when obtaining the most “up to date” forms available, at: Form 21-22Appointment of Veterans Service Organization as Claimant’s RepresentativeNote: this form allows you to select our VFW to help represent you through the claims process; it is a very general Power of Attorney; it is your “permission slip” to the VA that allows our accredited officers to help you in their official capacities.VA Form 21-0966Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DICNote: this form helps establish your Date of Claim; your VFW Service Officer can help explain why this is of critical importance to you.VA Form 21-526EZApplication for Disability Compensation and Related Compensation BenefitsNote: this is your very important claim(s) form; please consult with your VFW Service Officer before filing out and submitting this form.VA Form 21-4138Statement In Support of ClaimNote: this form allows you the opportunity to share the facts of your claim in writing, and further explain any submitted evidence if necessary.VA Form 21-4142Authorization to Disclose Information to the Department of Veterans Affairs (VA) Note: this is a medical information release form, granting your named provider permission to share your medical information with the VA.VA Form 21-4142aGeneral Release for Medical Provider Information to the Department of Veterans Affairs (VA)Note: this is a medical release form, granting the VA your provider’s name & contact in order for VA to request medical information about you.VA Form 21-686cApplication Request to Add and/or Remove DependentsNote: this form allows you to inform the VA of your eligible dependents for claims purposes; your VFW Service Officer can help further explain your benefits with this form.WHAT FORMS WILL I NEED IF MY CLAIM IS DENIED?The Appeals Improvement and Modernization Act of 2017 (AIM) was fully implemented, adjusted, and finally converted in effect as the Appeals Modernization Act of 2019 (AMA) on February 19, 2019. Legacy Appeals: you are considered to have a “legacy appeal” if your case was denied prior to February 19, 2019 and you are choosing to appeal under the old system. If you find yourself in this situation, please consult your VFW Service Officer for advice. The necessary VA Forms 21-0958, Form 9, etc may be hard to obtain without assistance. You may decide to proceed under the new AMA process instead. VA Form VA10182Decision Review Request: Board Appeal (Notice of Disagreement)Note: this form allows for one of three Board Review options for a claim decision you disagree with; please consult your VFW Service Officer before submitting this form.VA Form 20-0995Decision Review Request: Supplemental ClaimNote: this form allows you the option of submitting additional new and relevant evidence for a claim decision you disagree with; please consult your VFW Service Officer before submitting this form.VA Form 20-0996Decision Review Request: Higher-Level ReviewNote: this form allows you the option to request a Higher Level Review of a claim decision you disagree with; please consult your VFW Service Officer before submitting this form. ................
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