21-0995

Decision Review Request: Supplemental Claim

Use this form to submit new and relevant evidence to support your claim after a VA decision. This is one of three appeal options in the Appeals Modernization Act (AMA) review lanes.

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Used in these claim stages:

supplemental_claim

Last updated by VA: January 1, 2024

How to Complete This Form

A Supplemental Claim allows you to submit new and relevant evidence to have your claim reconsidered.

1. Complete your personal information in Section I
2. In Section II, identify the issue(s) you want reviewed
3. Describe the new evidence you're submitting or want VA to obtain
4. You may request a VA medical exam if appropriate
5. Sign and date the form

New and relevant evidence must relate to your claim and not have been previously considered by VA.

Helpful Tips

- Make sure your evidence is truly NEW (not previously submitted) and RELEVANT (relates to the reason for denial)
- Request a new medical exam if your condition has worsened
- Include a nexus letter if that was the reason for denial
- Consider getting a private medical opinion if appropriate

Common Mistakes to Avoid

- Submitting evidence that was already considered
- Evidence that doesn't address the reason for denial
- Not explaining how the new evidence relates to your claim
- Filing without actually having new evidence

Deadline Information

No deadline for filing, but you cannot file a Supplemental Claim for the same issue more than once within one year unless you have new and relevant evidence.