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VA 21-4138 2021-2023 free printable template
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OMB Control No. 29000075
Respondent Burden: 15 minutes
Expiration Date: 06/30/2024VA DATE STAMP
(DO NOT WRITE IN THIS SPACE)STATEMENT IN SUPPORT OF CLAIM
INSTRUCTIONS: Before completing this form,
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How to fill out va form 21 4138

How to fill out VA Form 21-4138:
01
Begin by downloading VA Form 21-4138 from the official Department of Veterans Affairs website or obtaining a physical copy from your local VA office.
02
Fill out the top section of the form, including your name, social security number, and contact information.
03
Provide details about the purpose of the form by explaining the issue or claim you are addressing. Be specific and concise in describing your concerns or requests.
04
Use additional pages if necessary to provide extra information. Clearly label each page with your name, social security number, and the page number.
05
Attach any supporting documents or evidence that may be relevant to your claim or issue. This can include medical records, letters, or other documents that support your case.
06
Sign and date the form. Ensure your signature matches the name provided at the top of the form.
07
Keep a copy of the completed form and supporting documents for your records.
08
Submit the form to the appropriate VA office, whether by mail or electronically, as indicated on the form's instructions.
Who needs VA Form 21-4138:
01
Veterans who wish to communicate specific concerns, claims, or requests to the Department of Veterans Affairs may need to fill out VA Form 21-4138.
02
Family members or representatives of veterans may also use this form to address issues on behalf of the veteran.
03
The form is utilized by individuals seeking to navigate the VA system, provide information, appeal decisions, or submit evidence related to their VA benefits or claims.
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