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📝 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.

✅ VA Claim Filing Checklist

📄 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)

🔗 How to Request Your VA C-File

🩺 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 Guide

❓ 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):

📞 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:

✔️ Haven’t filed yet?
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

📌 Start Your VA Claim
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

author avatar
Theresa "Tbird" Aldrich