VA Form 21-526EZ

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Get your VA Form 21-526EZ in 3 easy steps

  • 01 Fill and edit template Fill VA Form 21-526EZ
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  • 03 Export or print immediately Export VA Form 21-526EZ

VA Form 21-526EZ, which is less formally known as Application for Disability Compensation and Related Compensation Benefits, is an official document used by the U.S. veterans to apply for service-connected compensation for disabilities. 

To support a claim for military service connection, a veteran must attach evidence of their serious injuries and/or mental disabilities connected to their service. Filing your VA Form 21-526EZ online is really convenient.

What You Need VA 21-526EZ Form For

VA Form 21-526EZ is an important document that (despite being uncomfortably invasive at times) helps veterans with the following:

  • Collection of extensive personal, medical, and military service details for compensation;
  • Proper procession of their claims by the Department of Veterans Affairs;
  • Obtaining pension benefits/disability compensation.

How to Fill out VA 21-526EZ Form

VA Form 21-526EZ Screenshot

The following major data must be specified in the VA 21-526EZ form:

  • ID and claim details: your (veteran’s) name, SSN, date of birth, mailing address, and telephone number;
  • Claim details: current disabilities, along with the list of healthcare facilities where you’ve been treated;
  • Service information: branch of service, the names you served under, dates of confinement, and the like;
  • Service Pay;
  • Claim certification and signature;
  • POA signature.

VA Form 21-526EZ Screenshot 2

Bear in mind that you must file the VA 21-526EZ form within one year after the VA 21-0966 was filed. In addition to this, the form is accompanied by all the necessary records in order to support evidence proving the veteran’s disabilities.  

Organizations that Work with VA 21-526EZ

The U.S. Department of Veterans Affairs

Form Versions

2014 Fillable VA Form 21-526EZ (2014) Fill Out Form
Fillable online VA Form 21-526EZ
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