Hello and welcome back to Legal Help for Veterans. Today, we're going to be discussing the benefits of VA Form 21-0966, also known as the Intent to File a Claim form. The sole purpose of this form is to inform the VA of your intent to file a new claim for benefits. It is commonly referred to as an informal claim for benefits. This form can be used if you intend to file a claim for a service-connected disability, a claim for pension/survivor's pension, and/or DIC (Dependency and Indemnity Compensation). This form is potentially the very first form you will file to initiate the VA claims process. If you are not a client of Legal Help for Veterans, you are able to obtain and print this form directly from the VA's website. Unlike several of our other tutorials that have focused on how to actually complete the forms themselves, our intent here is to help you understand how this form can be critical in order to ensure you are ultimately paid your maximum allowable award. As you'll see, this form is a simple one-page form with only the most basic information needed. It can usually be completed with only a few minutes of time invested. Please note that the completion and submission of this form to the VA does not trigger a claim. Again, it only informs the VA that you are intending to file a claim. You will still need to submit a completed application for benefits in order to trigger the VA's duty to assist. The VA has a mandatory obligation to assist a veteran or any other qualified claimant in perfecting their claims for benefits. Please see our alternate videos for the completion of VA Form 21-526EZ (Application for Disability Compensation Benefits), used to pursue any type of claim for compensation as a...
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Va 21-0788 Form: What You Should Know
Download now. VA Form 21-1706 — Pension Adjustment for Disability Pension Benefits VA Form 21-1706 is used by beneficiaries who have been disabled and receive a pension based upon a disability determination and who wish to have their pension benefits adjusted in accordance with Section 4 of the Act of August 2, 1948 (5 U.S.C. 562) entitled “Adjustment of Pension of Persons Killed in the Military Service During World War or Vietnam.” VA Form 21-1706 — Pension Adjustment for Disability Pension Benefits VA Form 21-1706. 1. VETERAN'S NAME (First, Middle Initial, Last). The Veteran's address is optional. Veterans whose address is blank or no street address are assigned a location of residence. 2. METHOD OF PAYMENT. The Veteran will be awarded a disability pension on a single monthly payment of 75% of the veteran's adjusted basic pension. 3. EXHIBIT A. Eligibility & Documentation for Application Veterans who have been killed or wounded in service of the United States in World War II, Korean War or Vietnam, who died from a disability incurred in that service are eligible for awards on the basis of their disability rating. The Veteran was medically awarded a disability pension and the veteran's pension was adjusted in accordance with Section 4 of the Act entitled “Adjustment of Pension of Persons Killed in the Military Service During World War II, Korea or Vietnam.” If the Veteran is eligible, VA Form VA 21-1706 must be submitted. Fill online, printable, fillable VA Form 21 – 1706 — Fillable PDF Template VA FORM. JUL 2023. 21-1706. 1. VETERAN'S NAME (First, Middle Initial, Last). 2. MAILING ADDRESS (Number and street or rural route, city or. Information Regarding Apportionment of Beneficiary's Award VA Form 21-1706 is used to gather information, from veterans and claimants, necessary to determine whether benefits may be apportioned to the veteran's dependent and to obtain the final and official beneficiary's award. The beneficiary and dependent are separated by the beneficiary's designation of date of birth and mailing address. In such cases, the beneficiary or dependent must be identified in the appropriate portion of VA Form 21-1705 and must provide their mailing address along with the completed Part A.
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