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)

Disability Benefits Questionnaires (DBQs)

In addition to the listed forms, VA Claim Helper also contains support for VA DBQs foundĀ here.

Packets

Sometimes, several forms are filled out at the same time. VA Claim Helper supports this functionality for the following “packets”:

  • Intake
  • Unemployability