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VA Form 21-0966 - Intent To File A Claim


VA Form 21-526EZ -  File A Claim

Disability Service Connection

Secondary Service Connection-Increased

Disability Compensation-Temporary

Total Disability Rating -

 Individual Unemployability -

Compensation under 38 U.S.C. 1151 -

 Special Monthly Compensation -

Specially Adapted Housing/Special

Home Adaptation Automobile 

Allowance/Adaptive Equipment -

Benefits Based on a Veteran's

Seriously Disabled Child


VA Form 21-0958 - NOD

​Notice of Disagreement


VA Form 21-534 EZ

Application for DIC, Death Pension, 

Change of Address


The VA Claims Intake Center - Western Region

Department of Veterans Affairs

PO Box 5235
Janesville, WI  53547-5235
Toll Free FAX Janesville – 844-822-5246


The VA Claims Intake Center - Eastern Region
Department of Veterans Affairs

PO Box 5235
Newnan, GA   30271-0020
Toll Free Fax Newnan – 844-531-7817


File Your Claim On-Line - eBenefits


Disability Benefits Questionnaires (DBQ's) 

List By DBQ Form Name

​​DBQ Provider Instructions

DBQ FAQs


TDIU Annual - VA Form 4140


VA form 21-686c

Declaration of Status of Dependents


CHAMPVA


My HealtheVet


Jim's Mailbag




Are You Aware That VA Has Changed?


The process of filing a claim is much different than any other time in the past. 


You must use the proper form. If you're filing a claim, setting up an appeal, seeking an

increase for an existing benefit or almost any other action with VA, you must use a form.


You should begin to take advantage of the new "Intent To File A Claim" process now.

You can easily establish the effective date of your claim and then take your time (up to one year)

to develop and perfect your claim. It's simple and easy to do.

We disagree with the nattering nabobs of negativity that the new "Intent" process is unfair.

We like it, we recommend you use it. Today.


The simplest way to file a claim is on-line. I know, I know. We were never fans

of the eBenefits system. But, it's improving and the leap to electronic filing has to occur now.

Things change, technology advances. Get over it. Spend the time necessary

to set up your eBenefits and your My HealtheVet accounts. It's a bit of time consuming

work to get the accounts set correctly but then it seems to work well.


We continue to urge veterans to take a Do-It-Yourself (DIY) attitude when you file any claim.

VA is providing what you need electronically. If you're reading this sentence,

you probably have the capability to file your claim in front of you.

Why would you hand over a POA to a stranger?


Going forward, we are confident that VA will continue to make an extraordinarily

high number of errors in deciding your claim. While some claims may move

more smoothly through the process, appealable errors will continue as usual.

You're going to need a doctor and a lawyer to appeal. You need an IMO and you need attorney representation. The VA has become ever more adversarial as

technology improvements are being made. VA has hundreds of lawyers

to fight you and your claim. If you show up without an IMO and a veterans law attorney, 

you've gone to a gunfight armed with a knife. Good luck.


We support the changes occurring at the VBA. While we have some concerns,

we're confident that there are positive changes taking place.

Stay tuned.




​Top-paid doctor involved in Pittsburgh VA scandal

​One of the highest paid federal employees in the country knew for more than a year

about dangerous levels of Legionella bacteria in drinking water that later caused six

patient deaths at a Veterans Affairs hospital, internal VA communications show.


House wants better long-term planning from VA

Before Veterans Affairs Department officials make another

promise, House lawmakers want to know how much it's going to cost.


This Women’s History Month, let’s fix the VA for our female veterans

​Throughout the month of March Americans around the country honor courageous

women who have made significant contributions to history. In honor of this year’s

Women’s History Month, I’d like to reflect on our nation’s female

military members as they make the transition to becoming veterans. 


Will VA take choice from vets?

Now, the VA is trying to take the choice away.




CNN Shines a Light on Ongoing VA Scandal

​While the Obama administration may have rearranged the deck chairs on the

Titanic, in this case the Department of Veterans Affairs, it is still a sinking disaster. 


VA hospital needs a Ronald McDonald place where families can stay

Nearly out of her mind with worry and grief, Lisa Fagan woke up in the green

chair next to her Marine son’s hospital bed at the Army hospital in

Honolulu where she’d been praying and napping for two days.

IG Says VA Hospitals Have Oversubscribed Opiates for 12 Years

A Veterans Affairs investigator told the Senate Thursday he had been aware that

opiates have been over-prescribed at VA medical facilities for at least a dozen years,

though the VA only began addressing the problem in 2012.


Combat veterans face ‘cruel’ struggle to prove their service to VA

Stanley Friedman was shot at. The ship he was on was attacked by enemy bombers.

He saw a landmine blow apart a truck carrying two dozen of his fellow soldiers.

One of them died in his arms.  But after he came home from World War II,

he found himself embroiled in another battle -- this time, with the

Veterans Administration, as he tried to get his benefits. 




​Calls mount for release of Phila. VA report

Rubens, who was a senior executive in the D.C. office when

she was tapped in June to take over the troubled Philadelphia branch, received

more than $288,000 in relocation expenses.
"The government shouldn't be in the business of doling out

hundreds of thousands in cash to extremely well-compensated executives

just to move less than three hours down the road," Miller said.


​​Veterans Hurt by Chemical Weapons in Iraq Get Apology

The under secretary of the Army on Wednesday apologized for the military’s

treatment of American service members exposed to chemical weapons in Iraq,

and he announced new steps to provide medical support to those with lingering health

effects and to recognize veterans who had been denied awards.


Veterans Weigh In On Sen. Ernst’s Proposed Legislation

Veterans are hopeful proposed mental health legislation will lead to a change in care.


Local veterans react to Bergdahl charges

News of an Army soldier charged Wednesday with desertion and misbehavior before

the enemy spread like wildfire through local VFW Posts, including Post 8787 in North Austin.


​Philly VA director got $288K ‘relocation’ bonus

​The Department of Veterans Affairs confirmed Wednesday that it paid a senior

manager $288,000 in “relocation payments” when it reassigned her from Washington last year to become director of the agency’s problem-riddled Philadelphia office.


23,000 veterans in La. may lose health care

More than 23,000 Louisiana veterans are in danger of losing access to private doctors

because the U.S. Department of Veterans Affairs isn't reimbursing physicians

for their services. It's one of many problems that have come to light

concerning the embattled federal agency.



The VAWatchdog

Veterans Benefits Intel Since 2005


This Is the Site VA Reads When They Want To Learn What They've Been Doing