Create va form 21 in minutes using a fillable PDF editor. Use Form to provide VA with a statement that supports claims for benefits. The VA Forms Database may have additional forms and instructions for this. A VA Form is the Veteran Affairs Statement in Support of a Claim form that is used to support a claim for benefits. This form is used to provide requested .

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form 21-4138

After we foem this out, should I mail in with it, form 3rd party as I Daughter am sure to become fiduciary, waiting for paperwork Dr. How does one fill out this form on the space titled “The following statement is va form 21-4138 in connection with a claim for benefits in the case va form 21-4138 the above-named veteran: What type of statement is required on this form, it has 2 blank pages!!

I have just begun this process and found this va form 21-4138. I understand that claim expires after one year, which is now over the one year point This may take flrm second or two.

Do I fill in my deceased veteran father’s name and social security number or my mom’s? Sign and date the VA Form at the bottom of the page.

I know Va form 21-4138 need to indicate my name and address in box 10 as the 3rd party. Discussion in ‘ Va form 21-4138 Discussion ‘ started by TrekMay 18, If your statement will not fit in the box on the first page, you may continue your statement in the box on the second page. Upon receipt of the informal claim, if a formal claim has not been filed, an application form will be forwarded to va form 21-4138 claimant for execution. My father in-law is has been in a memory care unit for 2 years.


TrekMay 18, TrekMay 27, Do you already have an account? Once the form has been submitted, you will have one year to flrm the formal package with all supporting documents.

If she does not qualify on her own, add her as spouse on dads?

In the top box, you must provide the name, social security number, and the claims file number va form 21-4138 the veteran who is making the claim. You must log in or sign up to reply here.

VA Form 21-4138

Hi everyone, I also have a related question on form Share This Page Tweet. Log in or Va form 21-4138 up. It is important that you write a well thought out statement ba supports your claims.

You should have your mom’s doctor complete a VA Form for her as well as your father. Va form 21-4138 must log in or sign up to reply here.

Ensure that your draft includes a very detailed explanation addressing all of the required additional information the Department of Veteran’s Affairs requires.


No, create an account now. She is able to sign her name. Any answers would be greatly appreciated. I handle paying 214-138 bills but my wife signs the checks for the memory care bill, etc.

Veterans Support Services :: University of Illinois at Urbana-Champaign

And, does my mom sign her name or do I sign as her power of attorney? Write a draft of your statement. You may also attached additional pages for your form if you so require. Also ensure that you cover all of your claims. Yes – I realize is not for the 3rd party. Would this be my wife or me? Turns out for va form 21-4138 situation the form is redundant because another form, Care Expense Statement, was included with this letter.

214138 form is used to provide requested information by Veteran’s Affairs while they are evaluating your claim. Your va form 21-4138 or email address: You should include the following statement on Form in the va form 21-4138 allotted: Thank you for the fast response.

Such informal claim must identify the benefit sought. We will also indicate my wife as fiduciary.