In This Appendix
Appendix A
VA Forms and Documentation
This appendix provides a comprehensive reference guide to the essential VA forms and documentation requirements for secondary condition claims. Having the right forms and understanding proper completion procedures can significantly streamline your claims process and improve your chances of success.
The forms listed here represent the most commonly used documents in secondary condition claims, along with guidance on when and how to use each form effectively. Keep this reference handy throughout your claims process.
Essential VA Forms for Secondary Condition Claims
Primary Claims Forms
VA Form 21-526EZ
Title: Application for Disability Compensation and Related Compensation Benefits
Purpose: Primary form for filing secondary condition claims
When to Use: Initial filing of all secondary condition claims
VA Form 21-4138
Title: Statement in Support of Claim
Purpose: Submit personal statements and additional information
When to Use: Personal statements, clarifications, additional evidence submission
VA Form 21-2680
Title: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
Purpose: Special monthly compensation claims
When to Use: When secondary conditions result in need for aid and attendance
Claims-Specific Forms
Increase Claims
VA Form 21-526EZ: Use the same form for requesting increases in existing ratings due to worsening secondary conditions.
TDIU Claims
VA Form 21-8940: Veteran’s Application for Increased Compensation Based on Unemployability. Use when secondary conditions prevent employment.
Evidence Submission Forms
Medical Evidence Forms
VA Form 21-4142
Title: Authorization to Disclose Information to the Department of Veterans Affairs
Purpose: Authorize VA to obtain medical records from private healthcare providers
VA Form 21-4142a
Title: General Release for Medical Provider Information
Purpose: Supplementary form for medical record authorization
VA Form 21-0781
Title: Statement in Support of Claim for Service Connection for PTSD
Purpose: Specific form for PTSD claims, including secondary PTSD
Appeals Forms
AMA Appeals Forms
VA Form 20-0995
Title: Decision Review Request: Supplemental Claim
Purpose: Submit new evidence for reconsideration of denied claims
VA Form 20-0996
Title: Decision Review Request: Higher-Level Review
Purpose: Request senior rater review without new evidence
VA Form 10182
Title: Decision Review Request: Board Appeal
Purpose: Appeal to Board of Veterans’ Appeals
Documentation Checklist for Secondary Condition Claims
Required Documentation
- Completed VA Form 21-526EZ with secondary condition clearly identified
- Medical records documenting both primary and secondary conditions
- Medical opinion linking secondary condition to service-connected condition
- Personal statement describing development and impact of secondary condition
- Treatment records showing ongoing care for secondary condition
- Witness statements from family, friends, or coworkers (if applicable)
- Employment records showing impact on work capacity (if applicable)
Form Completion Tips
Best Practices for Form Completion
- Be Complete and Accurate: Fill out all applicable sections completely and accurately
- Use Clear Language: Write legibly and use clear, simple language
- Be Specific: Clearly identify the secondary condition and its relationship to the primary condition
- Include Supporting Evidence: Reference and attach all supporting documentation
- Keep Copies: Make copies of all forms and documentation before submission
- Use Current Forms: Always use the most current version of VA forms
- Seek Help When Needed: Contact a VSO or attorney for assistance with complex forms
Form Access and Submission
All VA forms are available for download at va.gov/find-forms/. Forms can be submitted online through VA.gov, by mail to your regional VA office, or in person at any VA facility. Online submission is recommended for faster processing and immediate confirmation of receipt.