Issued by VA. This site is not the issuer. Checked against the issuer on 2026-11-03. Issuer's page · Instructions: on the form, pages 1–8
Veterans and active duty servicemembers fill out this document to apply for service-connected disability compensation and related benefits from the Department of Veterans Affairs. You submit it directly to the VA, either online or on paper with your signature. Depending on whether you choose the Fully Developed Claims program or the standard process, you must have ready your private medical records, federal treatment facility details, pre-service medical evidence for conditions aggravated by service, and specific supplemental forms if claiming mental health disorders, dependents, or unemployability.