21-526EZ

Application for Disability Compensation and Related Compensation Benefits

The primary form for filing an initial disability compensation claim with the VA. Use this form to claim service-connected disabilities.

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Used in these claim stages:

initial_claim

Last updated by VA: January 1, 2024

How to Complete This Form

This form is used to apply for disability compensation for conditions that are related to your military service.

1. Complete Section I with your personal information
2. In Section II, list all conditions you're claiming, including when they started and how they relate to your service
3. Section III covers your service history - be thorough and accurate
4. Section IV is for additional information about your conditions
5. Sign and date the form

You can submit this form online at VA.gov, by mail, or in person at a VA regional office.

Helpful Tips

- List ALL conditions, even ones you're unsure about - you can always withdraw a condition later
- Use lay statements from family, friends, and fellow service members to support your claim
- Include your service treatment records if you have them
- Be specific about how your conditions affect your daily life

Common Mistakes to Avoid

- Not listing all conditions
- Vague descriptions of how conditions affect daily activities
- Missing or incorrect service dates
- Not including nexus evidence linking conditions to service
- Filing without gathering supporting medical evidence first

Deadline Information

There is no deadline for filing an initial claim. However, effective dates may be affected by when you file.