VA Form 21-4138
Give VA a written statement to support your claim or benefit.
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About VA Form 21-4138
VA Form 21-4138, Statement in Support of Claim, is a general statement form used to give the Department of Veterans Affairs written information related to a claim or benefit. You can use it to explain your situation, add details, respond to a request, or provide an account of events in your own words. It is a flexible form used in many kinds of VA matters.
This page is a general guide and a fillable helper, not legal or medical advice. Always download and file the current official form from the Department of Veterans Affairs at https://www.va.gov/find-forms/ and confirm the fields and instructions match before you sign.
Who needs to complete it
- Veterans and claimants who need to give VA a written statement about a claim.
- People responding to a VA request for more information.
- Anyone who wants to describe events or details in their own words for the record.
- Claimants adding supporting information to an existing VA matter.
How to fill out VA Form 21-4138
- 1Enter your name and the file number or Social Security number VA uses for your records.
- 2Identify the claim or benefit your statement relates to.
- 3Write your statement in the space provided, giving the facts and details clearly.
- 4Continue on an additional sheet if you need more room, following the instructions.
- 5Review your statement for accuracy.
- 6Sign and date the form.
- 7Submit it to VA using the method described in the current instructions.
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Frequently asked questions
What is VA Form 21-4138 used for?
It is a general statement form for giving VA written information related to a claim or benefit. You can use it to explain your situation or respond to a request in your own words. This is a general guide, not legal advice.
Can I attach more pages?
If you need more space than the form provides, you can generally continue on an additional sheet. Follow the current instructions for how to label and attach extra pages.
How do I submit it?
VA accepts forms in several ways depending on the matter. Check the current VA instructions for how to file your statement.
Is this the official VA form?
This is a fillable helper to make completion easier. Always download and file the current official form from the Department of Veterans Affairs at https://www.va.gov/find-forms/ and confirm the fields match.