Form Filling


VA Claim Helper automatically fills out veteran’s and their representative’s information in standard VA Forms. If a VA specific form is not included, and you think it should be, please contact us.

The following forms are currently supported:

  • 22-22a: APPOINTMENT OF INDIVIDUAL AS CLAIMANT’S REPRESENTATIVE
  • 21-0958: NOTICE OF DISAGREEMENT
  • 3288: REQUEST FOR AND CONSENT TO RELEASE OF INFORMATION FROM INDIVIDUAL’S RECORDS
  • 21-4142: AUTHORIZATION TO DISCLOSE INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA)
  • 21-8940: VETERAN’S APPLICATION FOR INCREASED COMPENSATION BASED ON UNEMPLOYABILITY
  • 21-526ez: APPLICATION FOR DISABILITY COMPENSATION AND RELATED COMPENSATION BENEFITS
  • 21-4138: STATEMENT IN SUPPORT OF CLAIM
  • SF-180: REQUEST PERTAINING TO MILITARY RECORDS
  • VA9: APPEAL TO BOARD OF VETERANS’ APPEALS
  • 21-526-ARE: VETERAN’S APPLICATION FOR COMPENSATION AND/OR PENSION
  • Centralized Intake Coversheet
  • 21-4192: REQUEST FOR EMPLOYMENT INFORMATION IN CONNECTION
  • 21-526b: VETERAN’S SUPPLEMENTAL CLAIM FOR COMPENSATION
  • DD-2870: AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION
  • 21P-4185: REPORT OF INCOME FROM PROPERTY OR BUSINESS
  • 21-686c: DECLARATION OF STATUS OF DEPENDENTS
  • 21-0781: STATEMENT IN SUPPORT OF CLAIM FOR SERVICE CONNECTION FOR POST-TRAUMATIC STRESS DISORDER (PTSD)
  • 21-0847: REQUEST FOR SUBSTITUTION OF CLAIMANT UPON DEATH OF CLAIMANT
  • 21-2680: EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT NEED FOR REGULAR AID AND ATTENDANCE
  • 20-0955 – Decision Review Request: Supplemental Claim
  • 20-0996 – Decision Review Request: Higher-Level Review
  • VA-10182 – Decision Review Request: Board Appeal (Notice of Disagreement)