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PDF fillable va 21 4138 Form: What You Should Know

IF AVA FORM 21-4138 AND VA FORM 21-4139 ARE USED TO SUPPORT CLAIMS FOR VA BENEFITS, DEBTS, SERVICES, OR RELATED AGREEMENTS, I, THETA CERTIFY (I certify) that I am the authorized representative of the claimant as defined in VA form 21-4138; that I have been given a copy of the statement of claimant's name, Social Security Number (SSN), date and place of birth, and a copy of any accompanying certificate; and that I know or have reliable information regarding all of this information on a form of acceptable form or document (e.g., birth or death certificate, official transcript, hospital or physician statement, etc.) that can reasonably be expected to have been given as evidence by the claimant. REVOKED, SEPT 30, 2022 — DO NOT Used to SUPPORT ANY CLAIMS WITHOUT PRIOR NOTICE AND APPROVAL FROM YOUR CONGRESSIONAL OR AGENCIES. VA Form 21-4138 is also used for other claims and contracts where a signed statement on it is required. These include, but are not limited to: — VA contracts or contracts for services — Veterans Employment and Training Program contracts or contracts for services — Supplemental Security Income (SSI) payments and Survivors Benefits (SSI-SP) payouts -- For example, this form can be used to sign up for Supplemental Security Income (SSI) or Survivors Benefits (SSI-SP). -- For veterans who have no VA Social Security Number (SSN) because they were discharged under conditions other than dishonorable, there is a new Form 10-B Veteran Application, Form SS-30, which can be used to request a VA social security number if the veteran doesn't have one. -- This form can be used to sign up for Veteran Claims Services.

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Instructions and Help about PDF Fillable Va Form 21 4138

Laws dot-com legal forms guide a VA Form 21 - 41 38 is the Veteran Affairs statement in support of a claim form that is used to support a claim for benefits this form is used to prrequested information by Veterans Affairs while they are evaluating your claim the VA form 21 - 41:38 is available on the United States Department of Veteran Affairs website the first blank boxes require your basic identification information in the top box you must prthe name social security number and the claims file number of the veteran who is making the claim next the large box on the first page requires a statement made in connection with the applied for claims this is the most important section of your VA form 21 - 41 38 it is important that you write a well-thought-out statement that supports your claims write a draft of your statement ensure that your draft includes a very detailed explanation addressing all of the required additional information the Department of Veterans Affairs requires also ensure that you cover all of your claims once you have a completed draft you can either handwrite your explanation in the box or print it from a computer and attach it you must also attach any supporting documents you may require finally you must certify your VA Form 21 - 41:38 sign and date the VA Form 21 - 41:38 at the bottom of the page supply your address and phone number contacts if your statement will not fit in the box on the first page you may continue your statement in the box on the second page you may also attach additional pages for your form if you so require submit your VA form 21 - 41:38 to the Department of Veteran Affairs by mailing...

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FAQ - PDF Fillable Va Form 21 4138

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Why do ex-employers refuse to fill out the VA form 21-4192 for a vet?
VA Form 21u20134192 is an application for disability benefits and like similar state benefits, it must be filled out by the veteran or by his or her qualified representative. This is a private, sensitive, legal document and every dot or dash in it can be critical, so must be accurate and verifiable.Employers have zero responsibility to fill out this form or furnish information for it, however, Social Security would have all the information required that the Department of Defense did not have. The veteranu2019s DD-214 is likely required, but does not furnish all the information required on the form.
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Create PDF Form that will be used for download and convert it to HTML Form for viewing on your website.However thereu2019s a lot of PDF to HTML converters not many can properly convert PDF Form including form fields. If you plan to use some calculations or validations itu2019s even harder to find one. Try PDFix Form Converter which works fine to me.
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