VA 21-0781 (2021)


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What is Form VA 21-0781?

The VA form 21 0781 is also called the statement in support of a claim for service connection for post-traumatic stress disorder. This template was created and released by the Department of Veterans Affairs. If you want to receive help, and you are a veteran who suffers from Post-Traumatic Stress Disorder or PTSD, it is better to fill out the document and send it to the Department of Veterans Affairs in advance. Veterans Crisis Line specialists will help you. There is a hotline that allows you to call any time of the day and night and consult professionals once you feel that you are in crisis. You may call for help on behalf of another veteran who suffers from PTSD.  The department offers help to the deaf or people with hearing problems too.

To fill out the VA form 21 0781 PDF you have to make sure that your case matches the description. If you are not sure, you can contact the hotline in advance. You have to remember stressful incidents that happened to you and describe them in the fillable VA form 21 0781 to receive help.

VA 21-0781 on PDFLiner

What I need the Form VA 21-0781 for?

  • Those veterans who suffer from PTSD can try the VA form 21 0781 PDF download option offered by VA Department in order to receive professional help with their problems. The template is a request to provide help to the veteran. Once the form is filled, the official representative of the VA Department contacts the veteran;

  • Veterans can fill out printable VA form 21 0781 on behalf of the other person that suffers from PTSD. Moreover, relatives of veterans can complete the document on behalf of veterans to receive help. The form must contain details of traumatic experience;

  • VA department needs VA form 21 0781 fillable version from the veteran to record the PTSD case and provide help.

How to fill out Form VA 21-0781?

You have to learn how to fill out VA form 21 0781 before you begin to complete it. Make sure you feel comfortable sharing details of the incident that triggers your PTSD. If you can’t handle it by yourself, ask your relatives or friends to help you. You may simply contact the hotline for veterans and ask for help if you feel that your PTSD progresses. The VA 21 0781 fillable form is available on the official website of the VA Department, as well as on PDFLiner. Enter the form on PDFLiner to fill it out online without any extra moves. Once you are done, use the VA website to send the form or use regular mail to do it. You can also hand the paper version you print to their office. Here is what you need to include there:

  1. Provide information on the veteran, including the name, Social Security Number, file number, date of birth, service number, phone, and email;

  2. Provide information on the incidents that call for PTSD. Name the dates of incidents, share the description, unit’s assignment, injuries, and medals;

  3. Share remarks if you want;

  4. Put your signature and the current date.

Organizations that work with Form VA 21-0781

  • Department of Veterans Affairs in the United States.

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Fillable online VA 21-0781 (2021)
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