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A VA Form 21-0781 is used by the United States Department of Veterans Affairs. This form is known as a Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD). This form will be completed by a veteran who has been diagnosed with Post-Traumatic Stress Disorder. They will need to document the stressful events that contributed to the disorder during their military service.
This form has room for two stressful incidents, although more can be included if necessary. For each event, the filer will need to include the date it occurred, where it occurred, what unit the soldier was assigned to, and a detailed description of the event. If a serviceperson was killed or injured during the stressful incident, this information should be included as well. This allows the Department of Veterans Affairs to assess the situation and understand what happened.
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