TELEPHONE NUMBER (Include Area Code) 7. E-MAIL ADDRESS(Optional) 8. MAILING ADDRESS (Number and street or rural route, P.O. Box, City, State, ZIP Code and Country) No. & Street. Apt./Unit Number City. State/Province Country ZIP Code/Postal Code. SUPERSEDES VA FORM 21-4138, DEC 2017.If you have any questions about this form, call VA toll-free at 1-800-827-1000 (Hearing Impaired TDD federal relay number is 711). Also, see mail/fax information and information about completing the form online on Page 2. VA DATE STAMP DO NOT WRITE IN THIS SPACE. SECTION I - VETERAN'S IDENTIFICATION INFORMATION. VA FORM XXX …Handy tips for filling out Va form 21 526ez online. Printing and scanning is no longer the best way to manage documents. Go digital and save time with airSlate SignNow, the best solution for electronic signatures.Use its powerful functionality with a simple-to-use intuitive interface to fill out Va form 21 526ez fillable online, design them, and quickly share them …The VA Form 21-526EZ can be completed via pdfFiller, or on paper. The 2023 version of the form contains Sections I – XII. Here are the instructions for completing the form: Section I: Veteran’s Identification Information. In this initial section, provide essential details that identify you to the Department of Defense.The VA 21-526EZ form is a rating-related original, secondary, or increased disability service connection claim for life compensation. The FDC requires the claimant to gather all the relevant information independently. The service member will have to submit that information as a part of the VA 21-526EZ application for disability benefits.3. va file number. important: please read the privacy act notice and respondent burden information below before completing this form. va date stamp do not write in this space. 5. telephone number(s) € € 4. veteran's address (number, street or rural route, city or p.o., state and zip code) part i - veteran's identifying information. 6. e ...VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online – using VA.gov. By mail – directed to the Department of Veterans Affairs, Evidence Intake Center, PO Box 4444 in Janesville, WI 53547-4444. In person – bringing a completed VA Form 21-526EZ to the nearest VA Regional Office.Nov 13, 2023 · Form 21-526EZ is a crucial tool for veterans seeking disability benefits, designed to make their journey easier and more straightforward. This form is the starting point for veterans to tell their story, share their service experiences, and explain how these have impacted their health. It's interesting to note that nearly half of all veterans ... Note: If you apply online for pension benefits, you still need to submit VA Form 21-0996 as your intent to file. Get VA Form 21-0966, Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC. Submitting an intent to file can secure the earliest possible effective date for retroactive payments you may be eligible for.please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ...A veteran can check the status of his or her compensation and pension claim either by telephone or online, says the Veterans Administration’s website.To check by telephone, the vet...VA Form 21-526ez can be completed on paper or online through the veteran’s VA.gov account. Given the volume of information required on this form, having a step by step guide for filling it out can be extremely helpful. For that reason, we have put together the information below for any veteran interested in applying for VA disability benefits.See full list on hillandponton.com 1.8. VA Form 21-526EZ- Application for Disability Compensation Benefits. Veterans and Service Member should use this form to submit a claim for veteran's disability compensation and related compensation benefits. Use this form to expedite the process under the Fully Developed Claim Program (FDC) Effective date: November 2022. DownloadsSubmit an online request to get your DD214 or other military service records through the milConnect website. Learn how to access your VA records, benefit letters, and documents online. More information. Find out which VA insurance programs may be right for you and the form you need. Search for DD forms and instructions at the official DOD …Submit your completed Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ), and. Submit all the evidence (supporting documents) you … A substantially complete claim must contain: (1) The claimant's name; (2) Sufficient service information for VA to verify the claimed service, if applicable; (3) The benefit sought and any medical condition(s) on which it is based; (4) The claimant's signature; (5) A statement of income, if applicable. VA FORM 21P-527EZ, FEB 2023. Oct 12, 2022 · Submit an online request to get your DD214 or other military service records through the milConnect website. Learn how to access your VA records, benefit letters, and documents online. More information. Find out which VA insurance programs may be right for you and the form you need. Search for DD forms and instructions at the official DOD forms ... The legacy VA appeals process has changed. Learn about the new decision review process and the 3 options available for disagreeing with a VA claim decision. You can check the status of a VA claim or appeal online. Get VA Form 20-0995, Decision Review Request: Supplemental Claim. Use this VA form if you disagree with a VA …Jan 27, 2022 · The VA Form 21-526EZ is an official application that veterans with service-related disabilities must submit to initiate a claim for VA disability benefits, providing crucial information about identification, claim details, service history, and legal representation to start the process of receiving compensation. Veterans who have been honorably ... Navigating the complex world of veterans’ benefits can be a daunting task. From applying for healthcare to filing disability claims, there are numerous forms and documents to compl...Please identify your type of exposure based on the claimed condition(s) noted on VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. IMPORTANT - You must complete a separate VA Form 21-0964, Statement in Support of Claim for Disability Compensation and Related Compensation Benefits Due to Exposure, …Download VA Form 20-0996 (PDF) Online tool. You can apply online instead of filling out and sending us the paper form. Go to the online tool Helpful links related to VA Form 20-0996 Learn how to ask for a higher-level reviewer to review your case. The legacy VA appeals process has changed. ...Learn about filing a Supplemental Claim and adding new evidence to support your case. Get VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA). Use this form to give VA permission to obtain your personal information such as your medical treatment, hospitalizations, psychotherapy, or outpatient care.Visit: http://legal-forms.laws.com/military/form-va-21-526-veteran39s-application-for-compensation-andor-pensionTo download the VA Form 21 526 form in print... CHECK LIST: WHICH PARTS OF VA FORM 21-526 SHOULD YOU USE? Look at the table below to find out which parts of VA Form 21-526 you should use to apply for different benefits. Your income is limited. . You were seriously ill while you were in the service, and you believe you have continuing problems.. You developed a mental or physical condition that In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on how to file and prepare VA Form 21-526EZ for your Disability cl...VA Form 21-0966, Intent to File. The 21-0966 establishes a “date of claim” even if you are not ready to submit the claim yet. It protects that date. Make sure that you select the right benefit whether it be compensation, pension, or DIC. Remember, you cannot use the 21-0966 for reopening issues, such as an appeal with a 21-0995 or 21-0996. just check the “Standard laims Process” box in Question 1 of the VA Form 21-526EZ. You should also submit a VA Form 21-4142 and VA Form 21-4142a if you have any non-VA medical records you want the VA to try to obtain and add to your claim file before it makes a decision. The VA will contact you if In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on how to file and prepare VA Form 21-526EZ for your Disability cl...please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ...The Act will help VA build a stronger, more skilled workforce to meet the growing demand for benefits . and services. The Act authorizes 31 new facilities. across the . country, providing greater access to VA health care. How can a Veteran file a claim? Veterans who would like to file a claim must complete . VA Form 21-526EZ. to apply for ...va form 21-526ez, sep 2019 page 10 va form 21-2680 or, if based on nursing home attendance, va form 21-0779 22b. date of activation: (mm,dd,yyyy) 22a. are you currently activated on federal orders within the national guard or reserves? 21d. current or last assigned name and address of unit: 21e. current or assigned phoneThe VA Form 21-526EZ is commonly used by veterans who would like to file a claim for disability compensation benefits or pension benefits. You can fill out a paper form, or fill out an electronic form on www.ebenefits.va.gov by selecting the option "Apply for Veterans Benefits via VONAPP." Components of a VA Form 21 526Oct 1, 2019 ... The VA long term care benefits can be so ... instructions laid out in this ... VA Form 21-526EZ for Disability Benefits: Step by Step How-To Guide.CHECK LIST: WHICH PARTS OF VA FORM 21-526 SHOULD YOU USE? Look at the table below to find out which parts of VA Form 21-526 you should use to apply for different benefits. Your income is limited. . You were seriously ill while you were in the service, and you believe you have continuing problems.. You developed a mental or physical …Apr 30, 2021 · In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on how to file and prepare VA Form 21-526EZ for your Disability cl... VA FORM 21-526EZ, SEP 2019 Page 10 VA Form 21-2680 or, if based on nursing home attendance, VA Form 21-0779 22B. DATE OF ACTIVATION: (MM,DD,YYYY) 22A. ARE YOU CURRENTLY ACTIVATED ON FEDERAL ORDERS WITHIN THE NATIONAL GUARD OR RESERVES? 21D. CURRENT OR LAST ASSIGNED NAME AND ADDRESS OF UNIT: 21E. CURRENT OR ASSIGNED PHONE NUMBER OF UNIT (Include ...In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on how to file and prepare VA Form 21-526EZ for your Disability cl...In order to arrive at a fair decision in this case, we need the information requested below. Please complete Sections II, III and IV and return to this office at the address below. Please be sure to sign and date this form in Items 23A and 23B. For free help in completing this form, call VA toll-free at 1-800-827-1000.If you’re the spouse or child of a Veteran with disabilities, or the surviving spouse or child of a Veteran who has died, complete VA Form 10-10d to apply for health insurance through CHAMPVA (the Civilian Health and Medical Program of the Department of Veterans Affairs) and VA Form 10-7959C (Other Health Insurance).Apr 2, 2024 ... Filling out VA Form 21-526EZ accurately is crucial for a successful claim. The form has 13 sections and requires detailed information about your ...SUPERSEDES VA FORM 21-526EZ, MAY 2015, WHICH WILL NOT BE USED. The Fully Developed Claim (FDC) Program is the fastest way to get your claim processed, and there is no risk to participate! Participation in the FDC Program is optional and will not affect the quality of care you receive or the benefits to which you are entitled. …Talk to the Veterans Crisis Line now. Home. Decision reviews and appeals. Supplemental Claims. File a Supplemental Claim. Please wait while we load the application for you.If you haven’t yet filed a claim for a new condition or if you want to file a claim for increased compensation, you can file using the online 21-526EZ form. The PACT Act expands VA benefits to Veterans exposed to burn pits, Agent Orange, and other toxic exposures. Learn what this law means for you and your family members.Hill and Ponton, P.A. 74.6K subscribers. Subscribed. 654. 33K views 2 years ago. In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on …Are you interested in tracing your family’s history and creating a visual representation of your genealogy? Look no further than free printable family tree forms. When it comes to ...A Discussion of Transition Tools such as a Substantially Completed VA Form 21-526EZ "Application For Disability Compensation and Related Compensation Benefit...a completed VA Form 21-0779,€Request for Nursing Home Information in Connection with Claim for Aid and Attendance € FDC Criteria (Claim(s) for DIC, Survivors Pension, and/or Accrued Benefits) ... use VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you are claiming veterans Pension benefits ...Jan 25, 2022 ... Get your fillable sample now at https://va-form-21-4138.pdffiller.com The 21-4138 VA form or Statement In Support Of Claim is a support form ...The VA 21-526EZ form is a rating-related original, secondary, or increased disability service connection claim for life compensation. The FDC requires the claimant to gather all the relevant information independently. The service member will have to submit that information as a part of the VA 21-526EZ application for disability benefits.VA Form 21-4706b: Federal Fiduciary Account. VA Form 21-4706c: Court Appointed Fiduciary’s Account. VA Form 21P-4718a: Certificate of Balance on Deposit and Authorization to Disclose Financial Records. VA Form 21-526EZ: Veteran's Application For Disability Compensation And Related Compensation Benefits. VA Form 21P-527: …Mar 19, 2015 ... Veterans Pension is a supplemental income paid to low-income wartime Veterans to help them cope with financial challenges.Veterans Benefits Administration Home ... 13 ¤1. Submit your claim on a signed and completed VA Form 21P-527EZ,Application for Veterans Pensio n (attached). 2. Submit simultaneously with your claim: . . All necessary income and asset information; AND. All, if any, relevant, private medical treatment records and an identification of any relevant treatment records available at a Federal ...VA Form 21-526 Please read the attached "General Instructions"before you fill out this form. Evening ( ) (VA File Number) Tell us about you 3.Whatisyoursex? Compensation 4a.HaveyoueverfiledaclaimwithVA? Pension Yes 1.Whatisyourname? No First Middle Last Suffix(Ifapplicable) 6.Whatisyouraddress? City State ZIPCode CountryA completed VA Form 21-8940, "Veteran's Application for Increased Compensation Based on Unemployability" (download form), A completed VA Form 21-4192, "Request for Employment Information in Connection with Claim for Disability Benefits" (download form,) completed by your last employer, AND; please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ... Apr 8, 2021 · VA Form 21-526ez can be completed on paper or online through the veteran’s VA.gov account. Given the volume of information required on this form, having a step by step guide for filling it out can be extremely helpful. For that reason, we have put together the information below for any veteran interested in applying for VA disability benefits. The legacy VA appeals process has changed. Learn about the new decision review process and the 3 options available for disagreeing with a VA claim decision. You can check the status of a VA claim or appeal online. Get VA Form 20-0995, Decision Review Request: Supplemental Claim. Use this VA form if you disagree with a VA …Execute VA 21-526EZ in just several minutes by following the instructions below: Choose the document template you need in the collection of legal form samples. Choose the Get form button to open it and begin editing. Fill in the required boxes (they will be marked in yellow). The Signature Wizard will allow you to insert your e-autograph right ...Veterans are required to submit this form to start the VA claims process for service-connected compensation. To learn more about how to fill out this form, including what …Jan 12, 2024 · DD Form 214 Member-4 or Service-2 Copy, for all periods of service to include current period of service once issued You can also fill out and mail in a VA Form 21-526EZ, “Application for Disability Compensation and Related Compensation Benefits.” Jan 20, 2017 #2. You can list "back pain" or "back surgery" or "spine disability" and VA will look at any thing in your medical records having to do with the spine. For the others, as long as your claim gives VA which organ, disease or bodily function to look at you are OK. VA will identify each rating that can possibly granted for each disability.Over the past years, we have seen the following changes: 1) A formal claim must be filed using VA Form 526ez. NOTE: As of February 14, 2019,*, both VA Form 21-526, Veterans Application for Compensation and/or Pension, and VA Form 21-526b, Veteran’s Supplemental Claim for Compensation, will be discontinued from use. please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ... Step-by-step instructions on how to complete this form from USVESANVA FORM 21-526EZ, MAR 2018 Page 2 SPECIAL CIRCUMSTANCES Under the special circumstances shown below, you must also submit along with your claim the following: • If you were treated at a Veterans Center, submit a completed VA Form 21-4142 • If claiming dependents, submit a completed VA Form 21-686c, Declaration of Status of …Sep 10, 2021 · Key Fact #3 – There are multiple ways to file. If you’re not feeling comfortable submitting your VA Form 21-526EZ claim online using the VA’s eBenefits platform, you can submit the form through the mail. This will slow down the process, but it’s fine to use this option. Send to the Department of Veterans Affairs, Evidence Intake Center ... Use VA Form 21P-534EZ if you want to submit evidence along with your claim, using the Fully Developed Claim (FDC) program to get a decision on your claim faster. You can use this form if you’re: A surviving spouse or child of a Veteran who has died. Applying for VA benefits and/or the money that we owe the Veteran but didn’t pay prior to ...Apr 2, 2024 ... Filling out VA Form 21-526EZ accurately is crucial for a successful claim. The form has 13 sections and requires detailed information about your ...VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online – using VA.gov. By mail – directed to the Department of Veterans …Claims Tool at VA.gov ... Equal to VA Form 21-526EZ (Application for Disability Compensation and Related Compensation Benefits). Your form is in progress Your disability compensation application (21-526EZ) is in progress. Your application was last saved on 6/14/2019 at 1:51 p.m. You can continue applying now, or come back later to … 1. HOW TO SUBMIT A CLAIM. Submit your claim on a VA Form 21-526EZ (Attached). Make sure you complete and sign your application. The information on pages 2 through 8 describes the evidence you need to submit, how VA will help you obtain evidence and what the evidence must show to support your claim. 2. Oct 12, 2022 · Submit an online request to get your DD214 or other military service records through the milConnect website. Learn how to access your VA records, benefit letters, and documents online. More information. Find out which VA insurance programs may be right for you and the form you need. Search for DD forms and instructions at the official DOD forms ... Mar 2, 2023 ... The VA Intent to File form, or VA Form 21-0966, can be used when a veteran is still gathering information to support their claim, ...A completed VA Form 21-8940, "Veteran's Application for Increased Compensation Based on Unemployability" (download form), A completed VA Form 21-4192, "Request for Employment Information in Connection with Claim for Disability Benefits" (download form,) completed by your last employer, AND;In this post, we compile the 7 most important VA forms with instructions for their use. VA Form 21-526EZ: Application for VA Disability Compensation and Related Compensation Benefits. VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, is a formal application for VA disability benefits. …Apr 18, 2017 ... This instructional video will help explain and walk you through filling out VA Form 21-0966, Intent to File a Claim (commonly known as an ...VA will: • Retrieve relevant records from a Federal facility, such as a VA medical center, that you adequately identify and authorize VA to obtain • Provide a medical examination for … please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. please complete and submit VA Form 20-0995, Decision Review Request: Supplemental Claim**. ** You may also file a request for higher-level review or appeal to the Board of Veterans' Appeals. The PACT Act is a law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. And starting March 5, 2024, we’re expanding VA health care to …Execute VA 21-526EZ in just several minutes by following the instructions below: Choose the document template you need in the collection of legal form samples. Choose the Get form button to open it and begin editing. Fill in the required boxes (they will be marked in yellow). The Signature Wizard will allow you to insert your e-autograph right ...Download VA Form 21P-527EZ (PDF) Online tool. You can apply online instead of filling out and sending us the paper form. Go to the online tool Related forms and instructions. VA Form 21P-0969. Form name: Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC)Download VA Form 21-22 (PDF) Related forms and instructions. VA Form 21-22a. Form name: Appointment of Individual As Claimant's Representative If you want to have an individual help you with your claim or benefits, have that person complete and submit this form. Download VA Form 21-22a (PDF) ...Step-by-step instructions on how to complete this form from USVESANVA FORM 21-4138, JUN 2021. ... We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is ...The other alternative is to obtain a wet signature from the Veteran on VA Form 21-526EZ Signature Page and submit that page as an uploaded document with the claim. ... and return them to the HRC as requested in the eQIP instructions. Next, you will be notified by your PIV Sponsor to make an appointment with the nearest PIV badge …Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, is a formal application for VA disability benefits. Veterans are r...The VA Form 21-526EZ is commonly used by veterans who would like to file a claim for disability compensation benefits or pension benefits. You can fill out a paper form, or fill out an electronic form on www.ebenefits.va.gov by selecting the option "Apply for Veterans Benefits via VONAPP." Components of a VA Form 21 526
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Obtaining an official Alcon rebate form involves going to the official Alcon rebates website, registering and entering the rebate code. The following shows how to obtain an officia...CHECK LIST: WHICH PARTS OF VA FORM 21-526 SHOULD YOU USE? Look at the table below to find out which parts of VA Form 21-526 you should use to apply for different benefits. Your income is limited. . You were seriously ill while you were in the service, and you believe you have continuing problems.. You developed a mental or physical …Jan 2, 2018 ... VA21-526EZ Application for Disability Compensation. Veterans Advice Hub ... [2022] How To File VA Form 21-526EZ. Hill and Ponton, P.A.•33K views.Download Fillable Va Form 21-526ez In Pdf - The Latest Version Applicable For 2024. Fill Out The Veterans Disability Compensation And Related Compensation Benefits Online And Print It Out For Free. Va Form 21-526ez Is Often Used In Disability Compensation, U.s. Department Of Veterans Affairs, United States Federal Legal Forms, Legal And United States Legal Forms.Aug 13, 2019 ... Welcome to Section 1 of the tutorial series on the Department of Veterans Affairs' (VA) digital 526 disability compensation ... VA FORM 21-526EZ, SEP 2019 Page 10 VA Form 21-2680 or, if based on nursing home attendance, VA Form 21-0779 22B. DATE OF ACTIVATION: (MM,DD,YYYY) 22A. ARE YOU CURRENTLY ACTIVATED ON FEDERAL ORDERS WITHIN THE NATIONAL GUARD OR RESERVES? 21D. CURRENT OR LAST ASSIGNED NAME AND ADDRESS OF UNIT: 21E. CURRENT OR ASSIGNED PHONE NUMBER OF UNIT (Include ... Building a lamp for your home is probably much easier than you thought. Follow these simple instructions to learn how to build a lamp. Advertisement Lamps are simple but essential ...As with all VA forms, you should read the Form instructions carefully and get help if you are unsure of what is required. ... Compensation (VA Form 21-526EZ), Pension (VA Form 21P-527EZ), and Survivor's DIC/Death Pension/Accured Benefits (VA Form 21P-534EZ). The date that the VA receives your intent to file for each specific benefit will be ...A substantially complete claim must contain: (1) The claimant's name; (2) Sufficient service information for VA to verify the claimed service, if applicable; (3) The benefit sought and any medical condition(s) on which it is based; (4) The claimant's signature; (5) A statement of income, if applicable. VA FORM 21P-527EZ, FEB 2023.Click “File for Disability Compensation”. On the VA.gov homepage, click the link that says “File for disability compensation.”. You can also click the “My VA” link at the top right-hand side of the page and find any open claims you might have. Step #3. Begin the VA Form 21-526EZ Online for VA Disability Compensation.File your claim by mail using an Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ). Get VA Form 21-526EZ to download. Print the form, fill it out, and send it to this address: Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444.Veterans are required to submit this form to start the VA claims process for service-connected compensation. The form consists of 11 sections in total. On this episode of Veterans Legal Lowdown, the CCK team is providing step-by-step instructions on how to fill out VA Form 21-526EZ. We will also review what information you will need, where to ...Submit your completed Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ), and. Submit all the evidence (supporting documents) you …Department of Veterans Affairs Forms ; VA Form 21-0966 Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC ; VA Form 21-526EZ ...VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. Form Approved: OMB No. 2900-0018 Exp. Date: March 31, 2026 Respondent Burden: 15 minutes. APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. PRIVACY ACT AND PAPERWORK …Jan 12, 2024 · DD Form 214 Member-4 or Service-2 Copy, for all periods of service to include current period of service once issued You can also fill out and mail in a VA Form 21-526EZ, “Application for Disability Compensation and Related Compensation Benefits.” .