File Additional Forms For Your Disability Claim

When you file a claim for disability compensation, you’ll also need to submit both of these forms:

A Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940)

Get VA Form 21-8940 to download

and

A Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192)

Get VA Form 21-4192 to download

Learn more about special claims based on Individual Unemployability

If you’re filing a claim for disability compensation online, you don’t need to submit this PDF form. We’ll ask you questions about your claim for increased compensation based on Individual Unemployability when you fill out your online claim.

When you file a claim for disability compensation, you’ll also need to submit this form:

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (VA Form 21-0781)

Get VA Form 21-0781 to download

Learn more about VA disability compensation for PTSD

If you’re filing a claim for disability compensation online, you don’t need to submit this PDF form. We’ll ask you questions about your claim for PTSD when you fill out your online claim.

When you file a claim for disability compensation, you’ll also need to submit this form:

A Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder Secondary to Personal Assault (VA Form 21-0781a)

Get VA Form 21-0781a to download

Learn more about VA disability compensation for PTSD

If you’re filing a claim for disability compensation online, you don’t need to submit this PDF form. We’ll ask you questions about your claim for PTSD when you fill out your online claim.

When you file a claim for disability compensation, you’ll also need to submit this form:

An Application for Automobile or Other Conveyance and Adaptive Equipment (VA Form 21-4502)

Get VA Form 21-4502 to download

Learn more about special claims to get an automobile allowance

When you file a claim for disability compensation, you’ll also need to submit this form:

An Application for Adaptive Equipment—Motor Vehicle (VA Form 10-1394)

Get VA Form 10-1394 to download

Learn more about special claims to get adaptive equipment for your vehicle

When you file a claim for disability compensation, you’ll also need to submit this form:

An Application for Annual Clothing Allowance (VA Form 10-8678)

Get VA Form 10-8678 to download

Learn more about special claims to get a clothing allowance