Va Form 21 8940

Formally known as a VA Form 21-8940, this document is used by a veteran who claims that they have a permanent disability and are unable to work. More commonly known as a Veteran’s Application for Increased Compensation Based on Unemployability is a form used by the VA (Department of Veterans Affairs), this document is used by a veteran who claims that they have a permanent disability and are unable to work. In this document, the veteran will be required to provide personal information, along with information pertaining to the disability that is preventing him or her from working. Along with employment history, which is the longest part of the section, the veteran will be required to provide information about their education. Those who have an eligible disability and meet medical criteria may also qualify for Social Security disability compensation.

What is a VA Form 21 8940?

This is a form that is used by the Department of Veterans Affairs in the United States. The VA Form 21-8940 is known as a Veteran’s Application for Increased Compensation Based on Unemployability. This form will be used by veterans who are claiming they have a total and permanent disability that keeps them from working.
This form must be filled out completely in order to receive VA benefits. The first section will require personal information, such as name and address. The second section is for information related to your disability and medical condition. The next section will ask for information about your employment history. This is the longest section on the form. The last section will ask about your education. After you have included all this information, you can sign and submit the form.
Individuals who have a disability and meet medical criteria may also qualify for Social Security disability compensation.

Most Common Uses

This form is commonly used by veterans to apply for increased compensation based on individual unemployability with the U.S. Department of Veterans Affairs.

Components of a VA Form 21 8940

A VA 21-8940 form contains the following sections:

  • Veteran Identification Information
  • Disability and Medical Treatment
  • Employment Statement
  • Schooling and Other Training
  • Authorization, Certification, and Signature
  • Where to Send Correspondence

How to complete a VA Form 21 8940 (Step by Step)

To complete a VA Form 21-8940, you will need to provide the following information:

  • Veteran Identification Information
    • Name of veteran
    • Veterans social security number
    • VA file number
    • Date of birth
    • Mailing address of veteran
    • Email address
    • Telephone number
  • Disability and Medical Treatment
    • Indicate what service-connected disability prevents you from securing or following a substantially gainful occupation
    • Whether you have been under a doctor’s care and/or hospitalized within the past 12 months
    • Date(s) of treatment by the doctor(s)
    • Name and address of doctor(s)
    • Name and address of hospital
    • Date(s) of hospitalization

VA Form 21 8940 and TDIU Effective Dates

When the VA grants you your TDIU benefits, you should verify that the effective date is correct.  If you have filed a VA Form 21-8940 more than once, the VA might incorrectly use a date of one of those VA claims as the effective date of your claim.  A TDIU claim’s effective date should be the date that the claim is received.  A TDIU’s effective date can alternatively be established by a veteran alleging that he or she is unemployable or the VA receives evidence of unemployability or the VA obtains evidence of unemployability in the course of developing a claim for an increased rating and VA grants the veteran a rating that makes the veteran eligible for IU.

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Sample Va Form 21 8940

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Sample Va Form 21 8940

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