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Va Form 21-4138 - Statement In Support Of Claim - National: What You Should Know

The statement must include: (1) the name and address of the veteran;  (2) the service-connected disability rating; (3) the duration and disability rating; (4) the date of disability; and (5) the basis for  claimant's claim. The form must also contain supporting medical data, including a copy of the Veteran's Medical Record Sheet (MR), and the  service record summary for each month of the disability, excluding the period for which the veteran has the service-connected  disability. If a veteran is self-pay, the veteran has 10 days after receiving the Statement to complete and submit  the VA Form 21-4138 (Service-Paid Agent) in support of their claim. Veterans can use VA Form 21-4138 when supporting other veterans in a claim. These veterans include: spouses and dependent citizens or legally  permanent residents (including legal immigrants); members on active duty of the military forces of the United States or  deemed members of the Selected Reserve or National Guard and covered  by a service support contract; veterans in receipt of compensation other than the Veterans Health Administration Disability  Benefit (which includes veterans receiving disability pension from the Veterans Health Administration or VA or  covered veterans under VA and VA's health system). As a general rule, VA Form 21-4138 can be used to submit  VA Form 5800-7, Petition for Correction of Military Records, to DS POA for an opinion concerning  the veteran's claim. For more information, you can call them at. Also check with your local VA office. About the Form 21-4138 — Veterans Affairs Sep 29, 2024 — VA 21-4138, Statement in Support of Claim: Use this form to submit supporting medical data, including the  service record summary for a given month. The statement must include: (1) the name and address of the veteran and the claimant; (2) the  service-connected disability rating for each month of the disability and its duration and duration  ratings; and (3) the date of disability.

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