📝 Step 1: Filing Your VA Claim
Your claim officially begins when you file VA Form 21-526EZ — but if you’re not quite ready, submit an Intent to File (VA Form 21-0966) to lock in your effective date.
🔗 File online or download the form
📬 How to File
- ✅ Online via VA.gov
- ✅ By mail (Form 21-526EZ)
- ✅ With a VA-accredited representative
🛠️ Optional: Fully Developed Claim
If you have all your evidence up front, consider the FDC route for a potentially faster decision.
📄 Intent to File (VA Form 21-0966)
🪖 DD214 or separation papers
🗂️ Service treatment records
📋 Medical records (VA and private)
🗣️ Lay evidence / buddy statements
🩺 Nexus letter from your doctor
🖊️ VA Form 21-526EZ
🤝 VSO or accredited rep
📎 Fully Developed Claim? Mark the checkbox
🔍 Step 2: The VA’s Duty to Assist
The VA is required by 38 U.S.C. § 5103A to help gather records and schedule exams, but they won’t build your case for you.
🧾 What the VA Must Do
- 📁 Retrieve federal and VA medical records
- 🩺 Schedule a C&P exam, if needed
- 📢 Notify you of what’s missing
📎 What You Must Submit
- Private doctor records
- Nexus letters
- Lay statements (family, friends, coworkers)
🩺 Step 3: Compensation & Pension (C&P) Exam
This exam helps the VA determine if your condition is service-connected and how severe it is.
📆 What to Expect
- Contact from QTC, LHI, or VES
- In-person, phone, or video exam
- Questions about symptoms, limitations, history
🛡️ How to Prepare
- Be honest and specific
- Describe your worst days
- Explain how your condition limits you
❓ C&P Exam FAQ
What if the examiner is rude? Stay calm. Document what happened.
Can I bring someone? Yes — especially someone who sees how it affects you.
Will they read my whole file? Not always. Speak clearly.
Didn’t get a notice? Call immediately. Missing the exam could mean denial.
Should I mention new issues? Yes. The form is not your only chance.
📂 Step 4: Claim Review and Decision Letter
After exams, a VA rater evaluates your file and decides your claim based on all evidence submitted and gathered.
📋 What They Review
- Your application (Form 21-526EZ)
- Service and VA medical records
- Private medical records
- Lay statements and buddy letters
- Your C&P exam results
You’ll receive a decision packet in the mail that includes:
- 🟢 What was granted or denied
- 📊 Your disability rating (per condition and combined)
- 📆 Effective dates for each condition
- 📄 “Reasons for Decision” explaining the outcome
- 📁 “Evidence Reviewed” — what the VA considered
📖 How to Read a VA Decision Letter
🔹 Cover Page: Lists your decisions, ratings, and payment info.
🔹 Rating Sheet: Diagnostic codes and percentage explanations.
🔹 “Reasons for Decision”: Understand why you were approved or denied.
🔹 “Evidence Reviewed”: Check that your submitted records are listed.
🔹 Effective Dates: Make sure they match your intent to file or claim date.
⚠️ Common Mistakes Veterans Make (and How to Avoid Them)
The VA claims process isn’t just about what you do — it’s about what you don’t do. These are the top errors veterans make, and how you can avoid them.
❌ 1. Waiting Too Long to File
You lose potential backpay with every day you delay.
✅ Fix: File an Intent to File now to protect your effective date.
❌ 2. Submitting Incomplete Evidence
Claims are often denied simply because the VA doesn’t have enough documentation to connect your condition to service.
✅ Fix: Include treatment records, buddy letters, and a Nexus Letter if needed.
❌ 3. Skipping the C&P Exam
Missing the exam may result in an automatic denial.
✅ Fix: Attend your exam, or call immediately to reschedule if you can’t make it. Document everything.
❌ 4. Trusting the VA to “Figure It Out”
The VA has a Duty to Assist, but they don’t build your argument. If it’s unclear, they’ll deny it.
✅ Fix: Be specific. Use lay statements. Submit clear, complete evidence that connects the dots.
❗ What Happens If You’re Denied?
A denial doesn’t mean the end — it means it’s time to respond strategically. You have multiple appeal options. Each one has a deadline and serves a different purpose.
🔍 Start by Reading Your Decision Letter
- 📄 Reasons for Decision – Understand the VA’s logic
- 📁 Evidence Reviewed – Make sure your records were considered
- 🧾 Effective Dates – Ensure backpay dates are accurate
📄 Supplemental Claim
If you have new and relevant evidence (records or statements the VA hasn’t seen):
- File within 1 year of the decision
- Use VA Form 20-0995
- 🔗 Submit a Supplemental Claim
📞 Higher-Level Review (HLR)
If you believe the VA made a clear error, but you don’t have new evidence:
- No new evidence allowed
- Optional: request a phone call with the reviewer
- Use VA Form 20-0996
- 🔗 Request HLR
⚖️ Appeal to the Board of Veterans’ Appeals
Take your case to a Veterans Law Judge (VLJ). Choose from:
- Direct Review (no new evidence)
- Evidence Submission (within 90 days)
- Hearing (with a VLJ)
- Use VA Form 10182
- 🔗 Appeal to the Board
🧭 How to Choose the Right Appeal Path
📄 Supplemental Claim:
✔ You have new evidence
✔ You want a faster decision
📞 Higher-Level Review:
✔ You believe the VA made a mistake
✔ You want a reviewer call
⚖️ Board Appeal:
✔ You want a judge to review your case
✔ You’re prepared for a longer wait
🤝 Getting Help with Your VA Claim
You don’t have to do this alone — but the help you get must be legal, ethical, and effective. Some people are trained and VA-accredited. Others are claim sharks out to profit off your pain.
✅ Who Can Help You
- ✔ VA-accredited attorneys
- ✔ Accredited claims agents
- ✔ Veterans Service Officers (VSOs) from groups like DAV, VFW, American Legion
🔗 Search VA-Accredited Representatives
⚠️ Watch Out for Claim Sharks
Some companies illegally charge fees or take a cut of your backpay. These are red flags:
- 🚩 They offer to file for a % of your retroactive pay
- 🚩 They’re not listed on the VA’s accreditation site
- 🚩 They pressure you to sign binding contracts without explanation
🔒 Protect yourself: You have the right to verify anyone’s credentials before sharing personal info.
🔗 OGC – Accreditation Search (va.gov)
🧭 When Should You Ask for Help?
- ❓ You’ve been denied and don’t understand why
- ❓ You’re appealing to the Board
- ❓ You need a Nexus Letter or IMO
- ❓ Your claim involves TDIU, secondary conditions, or SMC
✅ What to Do Next: Your VA Claim Game Plan
Whether you’re filing for the first time or trying to recover from a denial, this checklist will help you take confident action:
Submit an Intent to File (VA Form 21-0966)
✔️ Gather your evidence:
Medical records, buddy statements, nexus letter if needed
✔️ Prepare for your C&P exam:
Be specific and honest — explain how your condition limits your life
✔️ Read your decision letter carefully:
Focus on the “Reasons for Decision” and “Evidence Reviewed”
✔️ Appealing?
You have 1 year — choose the right review lane (Supplemental, HLR, or BVA)
✔️ Need help?
Use a VA-accredited representative
Search here
🔗 Related Resources
Filing guide and step-by-step instructions
📌 Claims Research Forum
Ask questions and learn from other veterans
📌 C&P Exam Guide
Know what to expect — and how to respond
📌 SMC Explained
Learn about additional monthly compensation
📌 Appeals & Reconsideration Forum
Join veterans sharing strategies on claims and appeals
📌 Request Your VA C-File
See what’s in your record — and what’s missing
 
															