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VA claim forms are the primary gateway for veterans and their families to access essential benefits earned through military service. This category encompasses a wide range of documentation required by the Department of Veterans Affairs (VA) to process disability compensation, pension claims, and housing assistance. Whether you are filing an initial application or requesting a decision review for a supplemental claim using Form 20-0995, these documents ensure that the VA has the necessary evidence to evaluate your eligibility for healthcare, financial support, and specialized programs.

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About VA claim forms

Typically, these forms are used by active-duty service members transitioning to civilian life, retired veterans, and eligible survivors. Common scenarios include applying for a Certificate of Eligibility (COE) for a VA home loan or submitting a Statement in Support of Claim (Form 21-4138) to provide personal testimony regarding a service-connected condition. Accurate completion is vital, as errors or missing information can lead to significant delays in receiving benefits or even the denial of a claim during the intent-to-file process.

Navigating the complexities of government paperwork can be a daunting task during an already stressful time. Tools like Instafill.ai use AI to fill these VA forms in under 30 seconds, handling your data accurately and securely to simplify the process. This allows veterans and their families to focus on their health and transition rather than the technicalities of manual data entry.

Forms in This Category

Form Name Pages
1. Form OWCP-915, Claim for Medical Reimbursement 3
2. Form 8862, Information To Claim Certain Credits 4
3. Form CA-7, Claim for Compensation 4
4. Form CA-5, Claim for Compensation 5
5. Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court 6
6. Form 20-0995, Decision Review Request: Supplemental Claim -
7. Form 104, List of Creditors 20 Largest Unsecured Claims 5
8. VA Form 20-0995, Decision Review Request: Supplemental Claim 7
9. Form 941-X (Rev. April 2023), Adjusted Employer’s QUARTERLY Federal Tax Return or Claim for Refund 6
10. Judicial Council of California Form SC-104, Proof of Service (Small Claims) 2
11. Immigration and Refugee Board of Canada (IRB) – Refugee Protection Division (RPD) Basis of Claim Form (for persons claiming refugee protection in Canada) (RPD.02.01) 12
12. SC-108, Request to Correct or Cancel Judgment and Answer (Small Claims) 2
13. Judicial Council of California Form SC-105, Request for Court Order and Answer (Small Claims) 2
14. SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court (Small Claims) 3
15. Judicial Council of California Form SC-104, Proof of Service (Small Claims) 2
16. Continental American Insurance Company (CAIC) / Aflac Group Critical Illness Claim Form (with Attending Physician’s Statement, HIPAA Authorization to Obtain Information, and Electronic Funds Transaction Authorization) 8
17. Judicial Council of California Form SC-108, Request to Correct or Cancel Judgment and Answer (Small Claims) 2
18. SC-105, Request for Court Order and Answer (Small Claims) 2
19. Judicial Council of California Form SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court (Small Claims) 3
20. Small Claim and Notice of Small Claim (ORS 46.425) (OJD Official) (Jan 2026) 3
21. VA Form 21-4138, Statement in Support of Claim 2
22. Form SSA-795, Statement of Claimant or Other Person 2
23. Assurity Life Insurance Company Disability Claim Form — Attending Physician’s Statement 3
24. Commonwealth of Massachusetts Department of Industrial Accidents Form 110, Employee’s Claim 1
25. Commonwealth of Massachusetts Department of Industrial Accidents (DIA) Form 110, Employee’s Claim 1
26. Income Protection Claim Form (AIA New Zealand Limited) 5
27. Income Protection Claim Form (AIA New Zealand) 6
28. Form DE-160/GC-040, Inventory and Appraisal (Declaration of Representative/Guardian/Conservator or Small Estate Claimant and Declaration of Probate Referee) 2
29. Form SC-100, Plaintiff’s Claim and ORDER to Go to Small Claims Court 6
30. Standard Form 95 (Rev. 2/2007), Claim for Damage, Injury, or Death 2
31. VA Form 10-7959f-2, Foreign Medical Program (FMP) Claim Cover Sheet 1
32. Meritain Health Claim Form (Health Claim Form) 2
33. VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault 7
34. Ohio Department of Commerce Table of Heirship (Division of Unclaimed Funds) 1
35. VA Form 29-357, Claim for Disability Insurance Benefits (Government Life Insurance) 3
36. Certificate of Service (Civil Court Claim) 2
37. CMS-1500 (02-12), Health Insurance Claim Form (NUCC Approved) (OMB 0938-1197) 1
38. Standard Form 95 (Rev. 2/2007), Claim for Damage, Injury, or Death 2
39. Meritain Health Claim Form (Health Claim Form) 2
40. VA Form 21-0781, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) 7
41. Ohio Department of Commerce – Table of Heirship (Unclaimed Funds Claim, Claims Less Than $3,000) 3
42. Claim for Special Employment Advance (SU514) 5
43. Form N161, Appellant’s notice (All appeals except small claims track appeals and appeals to the Family Division of the High Court) 11
44. ACT Interstate Patient Travel Assistance Scheme (ACT IPTAS) Claim Form (Reviewed: July 2023) 6
45. VA Form 29-357, Claim for Disability Insurance Benefits (Government Life Insurance) 3
46. Plaintiff's Claim and ORDER to Go to Small Claims Court (SC-100) 6
47. Form N161, Appellant's Notice (All appeals except small claims track appeals and appeals to the Family Division of the High Court) 11
48. Form SC-100A, Other Plaintiffs or Defendants (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court) 1
49. Form N294, Claimant’s application for a variation order (without hearing) 1
50. Empower Death Benefit Claim Request Form 1
51. United Kingdom (UK) State Pension claim form 14
52. Standard Health Insurance Claim Form - Part B 8
53. Mid America Pet Food Settlement Claim Form, Filardi v. Mid-America Pet Food, LLC, Case No. 23-cv-11170-NSR 6
54. Form A, Claim Form, European Small Claims Procedure 9
55. Medicaid of Alaska Provider Electronic Remittance (835) Authorization and Claims Enrollment Form 1
56. Bajaj Allianz Overseas Travel Insurance Claim Form 3
57. Official Form 106E/F, Schedule E/F: Creditors Who Have Unsecured Claims 6
58. Official Form 106D, Schedule D: Creditors Who Have Claims Secured by Property 3
59. Form HW027, Online Claiming Provider Agreement 4
60. VA Form 10-320, Veteran Reimbursement Claim Form 2
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How to Choose the Right Form

Navigating the paperwork for Veterans Affairs or legal claims can be complex. To find the correct document, first identify the specific agency or legal jurisdiction you are dealing with, then select the form that matches your current stage in the process.

Veterans Affairs (VA) Claims and Appeals

If you are dealing directly with the Department of Veterans Affairs, your choice depends on whether you are filing a new statement or challenging a previous decision:

  • To provide evidence or context: Use VA Form 21-4138, Statement in Support of Claim for general narratives. For specific mental health claims, use VA Form 21-0781 (Traumatic Events) or VA Form 21-0781a (Personal Assault).
  • To appeal a decision: If you have new and relevant evidence to add to a closed claim, use VA Form 20-0995, Decision Review Request: Supplemental Claim.
  • Medical & Insurance: Use VA Form 10-7959f-2 for the Foreign Medical Program or VA Form 29-357 to claim disability benefits related to Government Life Insurance.

Small Claims Court (California & Oregon)

If your claim involves a civil dispute rather than a government benefit, look for court-specific forms:

  • Starting a Case: Use Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court in California or the Small Claim and Notice of Small Claim (ORS 46.425) in Oregon.
  • Responding or Countering: If you are the defendant and want to sue the plaintiff back, use Form SC-120. To prove you notified the other party, file Form SC-104, Proof of Service.
  • Post-Judgment: Use Form SC-108 if you need to correct a clerical error in a judge's decision.

Federal Tort and Employment Claims

  • Federal Damage: If a federal employee caused property damage or injury, you must file Standard Form 95 (SF 95) to initiate an administrative tort claim.
  • Workers' Compensation: For workplace injuries in Massachusetts, use Form 110, Employee’s Claim.
  • Social Security: Use Form SSA-795 for signed statements regarding Social Security or SSI eligibility.

Form Comparison

Form Purpose Key Requirements Primary User
VA Form 20-0995, Decision Review Request: Supplemental Claim Request a review of a denied claim using new and relevant evidence. Must include new evidence not previously considered by the VA. Veterans disagreeing with a prior VA decision.
VA Form 21-4138, Statement in Support of Claim Provide a personal statement or narrative context for a benefits claim. Signed statement detailing specific circumstances or symptoms related to the claim. Veterans or beneficiaries adding context to their file.
VA Form 10-7959f-2, Foreign Medical Program (FMP) Claim Cover Sheet Submit reimbursement requests for medical care received outside the United States. Itemized provider billing statements and proof of payment are required. Veterans enrolled in the Foreign Medical Program.
VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault Document traumatic events related to personal assault for PTSD claims. Detailed description of stressors, dates, locations, and subsequent behavioral changes. Veterans claiming PTSD secondary to personal assault or MST.
VA Form 29-357, Claim for Disability Insurance Benefits (Government Life Insurance) Claim disability benefits or premium waivers for Government Life Insurance policies. Medical report from a licensed practitioner substantiating total disability. Policyholders of VA Government Life Insurance.
VA Form 21-0781, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) Identify traumatic stressors for mental health claims excluding personal assault. Specific details of in-service events to help VA corroborate the stressor. Veterans claiming service connection for mental health disorders.
Standard Form 95 (Rev. 2/2007), Claim for Damage, Injury, or Death File an administrative tort claim for damages caused by federal activity. Must state a specific 'sum certain' dollar amount for total damages. Individuals alleging harm by a federal agency or employee.
Form OWCP-915, Claim for Medical Reimbursement Request reimbursement for medical expenses incurred for covered federal conditions. Accurate records of medical treatment and expenses for a covered condition. Federal employees or veterans with covered medical conditions.
Form CA-7, Claim for Compensation Request compensation for federal employees injured during the performance of duties. Documentation of injury and evidence of work-related performance during incident. Federal employees seeking benefits under the FECA.
Form CA-5, Claim for Compensation Application for compensation benefits by surviving dependents of federal employees. Proof of relationship and evidence that the employee's death was work-related. Surviving spouses or children of deceased federal employees.

Tips for VA claim forms

Use an Intent to File to Protect Your Effective Date

Before completing complex VA forms, submit an 'Intent to File' to set a placeholder for your benefits. This ensures that if your claim is approved, your back pay is calculated from this earlier date rather than the day you finish the paperwork.

Gather All Medical Evidence and Service Records Beforehand

To avoid delays or denials, ensure you have your service treatment records and any private medical evidence ready to upload. Having these documents organized allows you to accurately reference specific dates and diagnoses required on forms like the DBQ or Supplemental Claim.

Ensure Consistency Across Multiple Benefit and Claim Forms

When filing for multiple benefits, double-check that your personal details and injury descriptions match across every document. Discrepancies in dates or symptoms between a Statement in Support of Claim and a medical evaluation can lead to lengthy requests for clarification.

Verify Signatures and Dates to Prevent Immediate Rejection

One of the most common reasons for VA claim rejection is a missing signature or an incorrect date format. Always review the final page of your PDF to ensure every required signature field is completed before mailing or uploading.

Provide New and Relevant Evidence for Supplemental Claims

If you are filing a Decision Review Request (Form 20-0995), you must provide evidence that the VA has not previously considered. Simply resubmitting the same information will likely result in the same decision, so focus on fresh medical nexus letters or updated treatment notes.

Use AI to Complete VA Forms in Seconds

AI-powered tools like Instafill.ai can complete these forms in under 30 seconds with high accuracy, which is a real time-saver for people dealing with multiple forms. Your data stays secure during the process, allowing you to focus on your health rather than manual data entry.

Keep Digital Copies of Every Submitted Form

Always save a time-stamped digital copy of every form you submit to the VA or a private insurer. This makes it much easier to resubmit information if a file is lost or to provide a quick reference during a C&P exam or appeal hearing.

Frequently Asked Questions

What are VA claim forms used for?

VA claim forms are official documents used by veterans, service members, and their families to apply for various benefits through the Department of Veterans Affairs. These benefits include disability compensation, healthcare, education assistance, and home loan guarantees.

Which form should I use if I disagree with a previous VA decision?

If you have new and relevant evidence to support a claim that was previously denied, you should use VA Form 20-0995, Decision Review Request: Supplemental Claim. This form allows the VA to conduct a new review of your case based on the additional information provided to support your eligibility.

What is the purpose of VA Form 21-4138, Statement in Support of Claim?

This is a versatile form used to provide a personal statement or narrative to support your benefits claim. It allows you to explain specific circumstances, describe symptoms, or provide context that may not be fully captured in the standard data fields of other application forms.

How do I get a Certificate of Eligibility (COE) for a VA home loan?

To prove you qualify for a VA-backed home loan or a loan assumption, you typically need to file a request for a Certificate of Eligibility. This document confirms to lenders that you meet the service requirements necessary to access VA loan benefits.

Can I fill out VA claim forms using AI?

Yes, you can use AI tools like Instafill.ai to complete various VA forms quickly and accurately. These tools can extract data from your source documents and automatically place it into the correct fields, ensuring your information is consistent and reducing the risk of manual entry errors.

How long does it take to fill these forms online?

Using traditional methods, complex VA forms can take a significant amount of time to research and complete manually. However, with AI-powered services like Instafill.ai, many of these forms can be filled in under 30 seconds by accurately extracting information from your existing records.

What is a DBQ form and when is it required?

A Disability Benefits Questionnaire (DBQ) is a form used by medical professionals to provide specific clinical information for a disability evaluation. These forms help ensure that the VA has the exact medical data needed to rate a veteran's service-connected condition correctly during the adjudication process.

Where should I submit my completed VA forms?

Most VA forms can be submitted online through the official VA.gov portal, mailed to a centralized claims intake center, or delivered in person to a regional VA office. It is important to check the specific instructions on each form to ensure it is sent to the correct department for processing.

Who is eligible to file for the Foreign Medical Program (FMP)?

Veterans with service-connected disabilities who are living or traveling outside the United States may use FMP forms, such as VA Form 10-7959f-2. This program allows for the reimbursement of medical expenses related to treated service-connected conditions while abroad.

What does it mean to file an 'Intent to File' for VA benefits?

An Intent to File allows you to set an effective date for your benefits before you have finished gathering all the evidence for a formal claim. This process gives you up to one year to complete the full application while potentially preserving an earlier start date for back pay if the claim is approved.

Glossary

Service Connection
A formal determination by the VA that a veteran's current disability or illness was caused or aggravated by their military service, which is required to receive disability compensation.
Certificate of Eligibility (COE)
An official document issued by the VA that proves a veteran meets the minimum service requirements to qualify for a VA-backed home loan.
Intent to File
A formal notification sent to the VA that protects a veteran's 'effective date,' allowing them to receive back pay from that date if their eventual claim is approved.
Supplemental Claim
A request for a new review of a previously denied issue based on the submission of new and relevant evidence that the VA did not have during the initial decision.
Disability Benefits Questionnaire (DBQ)
Standardized medical forms used by healthcare providers during an evaluation to provide the VA with specific clinical information needed to rate a veteran's disability.
Stressor
A specific traumatic event or incident that occurred during military service which a veteran identifies as the cause of a mental health condition, such as PTSD.
Military Sexual Trauma (MST)
The term used by the VA to refer to experiences of sexual assault or repeated sexual harassment that occurred during a veteran's military service.
Foreign Medical Program (FMP)
A VA health care program that provides reimbursement for medical services received outside of the United States for veterans with service-connected disabilities.