Va form 21-526ez instructions

Title 38, United States Code, allows us to ask for this information. You can provide this authorization by signing VA Form 21-4142. Federal law permits sources with information about you to release that information if you sign a single authorization to release all your information from all possible sources.

SPECIAL CIRCUMSTANCES VA FORM 21-526EZ, SEP 2019 Page 2 Under the special circumstances shown below, you must also submit along with your claim the following: • If you were treated at a Veterans Center, submit a completed VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) • If claiming …The other alternative is to obtain a wet signature from the Veteran on VA Form 21-526EZ Signature Page and submit that page as an uploaded document with the claim. ... and return them to the HRC as requested in the eQIP instructions. Next, you will be notified by your PIV Sponsor to make an appointment with the nearest PIV badge …VA FORM 21-526EZ, MAR 2018 Page 2 SPECIAL CIRCUMSTANCES Under the special circumstances shown below, you must also submit along with your claim the following: • If you were treated at a Veterans Center, submit a completed VA Form 21-4142 • If claiming dependents, submit a completed VA Form 21-686c, Declaration of Status of …please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ...Learn about filing a Supplemental Claim and adding new evidence to support your case. Get VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA). Use this form to give VA permission to obtain your personal information such as your medical treatment, hospitalizations, psychotherapy, or …We’ve never met a home that came with instructions — but fortunately for you, our form does! Expert Advice On Improving Your Home Videos Latest View All Guides Latest View All Radi...The VA Form 21-526EZ can be completed via pdfFiller, or on paper. The 2023 version of the form contains Sections I – XII. Here are the instructions for completing the form: Section I: Veteran’s Identification Information. In this initial section, provide essential details that identify you to the Department of Defense.SUPERSEDES VA FORM 21-526EZ, MAR 2018. Page 1. This notice provides information regarding the evidence necessary to substantiate a claim for: Compensation Claims Submitted Prior to Discharge Disability Service Connection. Benefits Based on a Veteran's Seriously Disabled Child Increased Disability Compensation.

1.8. VA Form 21-526EZ- Application for Disability Compensation Benefits. Veterans and Service Member should use this form to submit a claim for veteran's disability compensation and related compensation benefits. Use this form to expedite the process under the Fully Developed Claim Program (FDC) Effective date: November 2022. DownloadsForm 1040-SR is one of the results of efforts to simplify the process of filing taxes. It’s configured specifically to capture the unique forms of income and expenses that are comm...ÐÏ à¡± á> þÿ þÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿNote: Submit VA Form 21-686c in addition to VA Form 21-674 only if you have never received additional benefits for the child or children. you are entitled to Veterans Pension (instead of disability compensation based on service-connected disabilities), and. you are seeking additional benefits for a spouse only.VA Refinance Loans are available for both existing VA loans and conventional mortgages. Review the current guidelines and find out if it's a good idea. There are lots of good reaso...

SUPERSEDES VA FORM 21-526EZ, MAR 2018. Page 1. This notice provides information regarding the evidence necessary to substantiate a claim for: Compensation Claims Submitted Prior to Discharge Disability Service Connection. Benefits Based on a Veteran's Seriously Disabled Child Increased Disability Compensation.For increased compensation if you can ’ t work (Individual Unemployability) When you file a claim for disability compensation, you’ll also need to submit both of these forms: A Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940) Get VA Form 21-8940 to download. and. A Request for Employment ...Over the past years, we have seen the following changes: 1) A formal claim must be filed using VA Form 526ez. NOTE: As of February 14, 2019,*, both VA Form 21-526, Veterans Application for Compensation and/or Pension, and VA Form 21-526b, Veteran’s Supplemental Claim for Compensation, will be discontinued from use.May 6, 2024 · Or, notify us in person or by mail. If you want to submit by mail, download and fill out an Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966). Then mail your completed form to the address listed in the PDF. Get VA Form 21-0966 to download Abstract: VA Form 21–526EZ is used to collect the information needed to process a claim for disability compensation and related compensation benefits. Though, this form was initially created to be used to submit fully developed claims (FDC), it has evolved into a standard claim form to be used for any benefit associated with disability ...

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In this section. Upload evidence to support your disability claim. If you’ve filed a claim for disability compensation, you can continue uploading more evidence for up to one year to support your claim. Evidence may include supporting documents like medical test results, doctor’s reports, and other records. Upload your evidence online now.If you’re claiming non-service-connected pension with Housebound or Aid and Attendance benefits, you and your doctor will need to fill out a form called an Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680). Get VA Form 21-2680 to download Note: If you’re in a care facility, please also fill ...3. va file number. important: please read the privacy act notice and respondent burden information below before completing this form. va date stamp do not write in this space. 5. telephone number(s) € € 4. veteran's address (number, street or rural route, city or p.o., state and zip code) part i - veteran's identifying information. 6. e ...If you, or a loved one, have questions about completing Form 21-526EZ or another Department of Veteran Affairs request, please send Sean K. Kendall, Attorney at Law, a message online or call us toll-free at 877-629 …Jan 12, 2024 · DD Form 214 Member-4 or Service-2 Copy, for all periods of service to include current period of service once issued You can also fill out and mail in a VA Form 21-526EZ, “Application for Disability Compensation and Related Compensation Benefits.” If you are applying for a job or volunteer position that involves working with vulnerable populations, it is likely that you will be required to fill out a vulnerable sector check ...

VA Form 21-526EZ. NOTICE TO VETERAN/SERVICE MEMBER OF EVIDENCE NECESSARY TO SUBSTANTIATE A CLAIM FOR VETERANS DISABILITY COMPENSATION AND RELATED COMPENSATION BENEFITS. This notice provides information regarding the evidence necessary to substantiate a claim for:VA Form 21-526EZ. NOTICE TO VETERAN/SERVICE MEMBER OF EVIDENCE NECESSARY TO SUBSTANTIATE A CLAIM FOR VETERANS DISABILITY …VA form 21-526EZ Instructions. Step 1: Choose a claims process to file VA form 21-526EZ. Step 2: Choose how to file 2023 Toxic Exposure Section Update. Section IV: Exposure Information – VA Form 21-526EZ; How else does the Department of Veterans Affairs use VA form 21-526EZ? Do you have questions about your VA Disability Benefits?Visit: http://legal-forms.laws.com/military/form-va-21-526-veteran39s-application-for-compensation-andor-pensionTo download the VA Form 21 526 form in print...Key Fact #3 – There are multiple ways to file. If you’re not feeling comfortable submitting your VA Form 21-526EZ claim online using the VA’s eBenefits platform, you can submit the form through the mail. This will slow down the process, but it’s fine to use this option. Send to the Department of Veterans Affairs, Evidence Intake Center ...The VA Form 21-526EZ can be completed via pdfFiller, or on paper. The 2023 version of the form contains Sections I – XII. Here are the instructions for completing the form: Section I: Veteran’s Identification Information. In this initial section, provide essential details that identify you to the Department of Defense.VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online – using VA.gov. By mail – directed to the Department of Veterans …Nov 23, 2016 · Step-by-step instructions on how to complete this form from USVESAN VA FORM 21-4138, JUN 2021. ... We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is ... please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ... VA Form 21-526 Please read the attached "General Instructions"before you fill out this form. Evening ( ) (VA File Number) Tell us about you 3.Whatisyoursex? Compensation 4a.HaveyoueverfiledaclaimwithVA? Pension Yes 1.Whatisyourname? No First Middle Last Suffix(Ifapplicable) 6.Whatisyouraddress? City State ZIPCode Country

please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ...

including the Service Member’s entrance physical and VA Form . 21-526EZ, to the VA Military Services Coordinator (MSC). (2) Claim Development Stage. ... stage is from the date the PEBLO provides the Service Member’s complete service treatment record and VA Form 526EZ to the VA MSC to the date the MSC requests the Service … please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ... VA Form 21-0966, Intent to File. The 21-0966 establishes a “date of claim” even if you are not ready to submit the claim yet. It protects that date. Make sure that you select the right benefit whether it be compensation, pension, or DIC. Remember, you cannot use the 21-0966 for reopening issues, such as an appeal with a 21-0995 or 21-0996.Here’s what you’ll need to do for us to consider your claim fully developed: Submit your completed Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ), and. Submit all the evidence (supporting documents) you have along with your claim, and. Certify that there’s no more evidence we might need to ...Hill and Ponton, P.A. 74.6K subscribers. Subscribed. 654. 33K views 2 years ago. In our second episode of our new Quick Hit series, Attorney Rachel Cheek easily guides you on …VA FORM 21-4138, JUN 2021. ... We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is ...

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please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. please complete and submit VA Form 20-0995, Decision Review Request: Supplemental Claim**. ** You may also file a request for higher-level review or appeal to the Board of Veterans' Appeals.Handy tips for filling out Va form 21 526ez fillable online. Printing and scanning is no longer the best way to manage documents. Go digital and save time with airSlate SignNow, the best solution for electronic signatures.Use its powerful functionality with a simple-to-use intuitive interface to fill out 21 526ez online, design them, and quickly share them without …please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ... please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ... please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ...VA FORM 21-526EZ, MAR 2018 Page 2 SPECIAL CIRCUMSTANCES Under the special circumstances shown below, you must also submit along with your claim the following: • If you were treated at a Veterans Center, submit a completed VA Form 21-4142 • If claiming dependents, submit a completed VA Form 21-686c, Declaration of Status of …A completed Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940). Get VA Form 21-8940 to download; A completed Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192), completed by your last employer. Get VA Form 21-4192 to downloadDownload VA Form 20-0996 (PDF) Online tool. You can apply online instead of filling out and sending us the paper form. Go to the online tool Helpful links related to VA Form 20-0996 Learn how to ask for a higher-level reviewer to review your case. The legacy VA appeals process has changed. ...a completed VA Form 21-0779,€Request for Nursing Home Information in Connection with Claim for Aid and Attendance € FDC Criteria (Claim(s) for DIC, Survivors Pension, and/or Accrued Benefits) ... use VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you are claiming veterans Pension benefits ...please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ... ….

As with all VA forms, you should read the Form instructions carefully and get help if you are unsure of what is required. ... Compensation (VA Form 21-526EZ), Pension (VA Form 21P-527EZ), and Survivor's DIC/Death Pension/Accured Benefits (VA Form 21P-534EZ). The date that the VA receives your intent to file for each specific benefit will be ...If you haven’t yet filed a claim for a new condition or if you want to file a claim for increased compensation, you can file using the online 21-526EZ form. The PACT Act expands VA benefits to Veterans exposed to burn pits, Agent Orange, and other toxic exposures. Learn what this law means for you and your family members.Learn more and sign up at VA.gov/PACT Download the VA Health and Benefits App Call us at 1-800-MyVA411 (1-800-698-2411) Find a VA at VA.gov/find-locations/ vietnam gulf war post-9/11 The PACT Act is a new law that expands VA health care and benefits for Veterans exposed to burn pits and other toxic substances. This law helpsThe PACT Act is a law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. And starting March 5, 2024, we’re expanding VA health care to …Every May, we celebrate Military Caregivers Month. As our population continues to age, more people – including veterans – will need care. May 9, 2023 • By Rosalynn Carter Institute...What do I use VA Form 21-526 for? Use VA Form 21-526 to apply for compensation and/or pension benefits. ... Some parts of the form also contain notes or specific instructions for completing that part. 21-526. PAGE 1. VA€ FORM JUN 2014 . SUPERSEDES VA FORM 21-526, JAN 2014, WHICH WILL NOT BE USED.Jan 12, 2024 · Fill out an Application for DIC, Death Pension, and/or Accrued Benefits (VA Form 21-534EZ). Download VA Form 21-534EZ (PDF) Mail it to the pension management center (PMC) for your state. Find your PMC. In person. Bring your application to a VA regional office near you. Find a VA regional office near you. With the help of a trained professional VA Form 10-10EZ. Form name: Instrucciones y Solicitud de Beneficios Medicos. Para que los Veteranos soliciten su afiliación al sistema de atención médica de VA. la información proporcionada en este formulario será utilizada por VA para determinar si usted reúne los requisitos para recibir beneficios médicos. Descargar el formulario VA 10 ...We’ve never met a home that came with instructions — but fortunately for you, our form does! Expert Advice On Improving Your Home Videos Latest View All Guides Latest View All Radi... 1. Submit your claim on a signed and completed VA Form 21-526EZ,Application for Disability Compensation and Related Compensation Benefits (Attached). 2. Submit simultaneously with your claim: All, if any, relevant, private medical treatment records; AND. An identification of any relevant treatment records available at a Federal facility, such ... Va form 21-526ez instructions, Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits. Submit an online request to get your DD214 or other military service records through the milConnect website. Learn how to access your VA records, benefit letters, and …, VA FORM 21-526EZ, SEP 2019 Page 10 VA Form 21-2680 or, if based on nursing home attendance, VA Form 21-0779 22B. DATE OF ACTIVATION: (MM,DD,YYYY) 22A. ARE YOU CURRENTLY ACTIVATED ON FEDERAL ORDERS WITHIN THE NATIONAL GUARD OR RESERVES? 21D. CURRENT OR LAST ASSIGNED NAME AND ADDRESS OF UNIT: 21E. CURRENT OR ASSIGNED PHONE NUMBER OF UNIT (Include ..., Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, is a formal application for VA disability benefits. Veterans are required to submit this form to start the VA claims process for service-connected compensation. To learn more about how to fill out this form, including what information …, The VA Form 21-526EZ can be completed via pdfFiller, or on paper. The 2023 version of the form contains Sections I – XII. Here are the instructions for completing the form: Section I: Veteran’s Identification Information. In this initial section, provide essential details that identify you to the Department of Defense., SUPERSEDES VA FORM 21-526, MAR 1999, VA FORM 21-526(Test), JAN 1995 ANDGeneral Instructions page 1 VA FORM 21-526SF (Test), JUL 1996 WHICH WILL NOT BE USED. VA FORM SEP 1999 21-526 Section3:Findinganswerstootherquestions.This section tells you more about other issues that you may have questions about... , please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously ..., The form also includes clear instructions and explanations for each section, so veterans can feel confident they're filling it out correctly - without forgetting any details! Accessibility: Form 21-526EZ is super easy to find on the VA's official website. So, if you're a veteran looking to get disability compensation benefits, you can just hop ..., äûö 'œÏ “{ ¸‘SöÍWPJóGÌ+ sš¥…0Jb ÷«ê†‘Ŧ@ º 4¾A#Ÿ ¦îoVùz _wy¹D¿1 M0ª¢ü‚V Ì.T³SÉùM(´û¡Y–gJð‡ª‰7²~yùþeòÒ » ÅÙ¥~¥"GTÉ0Dðèˆä´šÀ˜ê 2ÿ¯Ý ̬\Û|¡ YÙ¤ìX9ð„.‘Œa¿X·; ÑlYí I VDŽ #VŽ¾‘WëÕö %«UµÎ™“ _ EÿŬ ‘h5 w{—/Vè0yÄa ..., VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online – using VA.gov. By mail – directed to the Department of Veterans …, The Act will help VA build a stronger, more skilled workforce to meet the growing demand for benefits . and services. The Act authorizes 31 new facilities. across the . country, providing greater access to VA health care. How can a Veteran file a claim? Veterans who would like to file a claim must complete . VA Form 21-526EZ. to apply for ..., Department of Veterans Affairs Forms ; VA Form 21-0966 Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC ; VA Form 21-526EZ ..., A completed VA Form 21-8940, "Veteran's Application for Increased Compensation Based on Unemployability" (download form), A completed VA Form 21-4192, "Request for Employment Information in Connection with Claim for Disability Benefits" (download form,) completed by your last employer, AND;, Form Approved: OMB No. 2900-0018 Exp. Date: March 31, 2026 Respondent Burden: 15 minutes. APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE: The information requested on this form is solicited under 38 U.S.C., Section 5902, which authorizes VA to recognize representatives of ... , The Department of Veterans Affairs (VA) offers a wide range of services and benefits to veterans and their families. One of the most important tools available to veterans is the VA..., If you, or a loved one, have questions about completing Form 21-526EZ or another Department of Veteran Affairs request, please send Sean K. Kendall, Attorney at Law, a message online or call us toll-free at 877-629-1712 to schedule your free, no-obligation consultation as soon as possible. Department of Veterans Affairs Form 21-526EZ is the ... , Use these instructions to help you complete VA Form 21-526 Parts A, B, C, and D to apply for compensation and/or pension. The "General Instructions" consist of the following …, A completed Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940). Get VA Form 21-8940 to download; A completed Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192), completed by your last employer. Get VA Form 21-4192 to download, By mail. File your claim by mail using an Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ). Get VA Form 21 ..., Jan 2, 2018 ... VA21-526EZ Application for Disability Compensation. Veterans Advice Hub ... [2022] How To File VA Form 21-526EZ. Hill and Ponton, P.A.•33K views., SUPERSEDES VA FORM 21-526EZ, MAR 2018. Page 1. This notice provides information regarding the evidence necessary to substantiate a claim for: Compensation Claims Submitted Prior to Discharge Disability Service Connection. Benefits Based on a Veteran's Seriously Disabled Child Increased Disability Compensation., Form Approved: OMB No. 2900-0018 Exp. Date: March 31, 2026 Respondent Burden: 15 minutes. APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE: The information requested on this form is solicited under 38 U.S.C., Section 5902, which authorizes VA to recognize representatives of ... , May 19, 2023 · VA Form 21-4192. Form name: Request for Employment Information in Connection with Claim for Disability Benefits. Use VA Form 21-4192 if you’re a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form. , Aug 13, 2019 ... Welcome to Section 1 of the tutorial series on the Department of Veterans Affairs' (VA) digital 526 disability compensation ..., Last updated: October 27, 2023. Feedback. Get VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. Use this VA claim form to apply for VA disability compensation (pay) or related benefits such as housing or compensation for your spouse., Traumatic Stress Disorder Secondary to Personal Assault (VA Form 21-0781a) or you can fill out VA Form 21-0781a when you file a disability claim online. Claiming Aid and Attendance because you are in a nursing home A Request for Nursing Home Information in Connection with Claim for Aid and Attendance (VA Form 21-0779). Claiming …, VA provides multiple ways for veterans to file initial claims using Form 21-526EZ, including the following: Online – using VA.gov. By mail – directed to the Department of Veterans …, May 19, 2023 · VA Form 21-4192. Form name: Request for Employment Information in Connection with Claim for Disability Benefits. Use VA Form 21-4192 if you’re a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form. , To file an initial claim, use VA Form 21-526EZ. (Note: If you want to file a ... In addition to these tips, we strongly encourage you to read the instructions included with the forms. VA’s Duty to Assist The VA has a duty to assist with your claim. This means they must help you gather the evidence you, please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits. If you disagree with an evaluation decided within the past year and have new and relevant evidence OR. If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit on the same or ..., VA Form 21-526EZ instructions are as follows: Start with selecting the claim program type. Include your name, Social Security Number (SSN), VA number if any, date of birth, veteran service number, and gender, as well as your contact details in Section I ("Identification Information"). If the form is used for Benefits Delivery at Discharge (BDD), …, The Social Security System (SSS) E4 form is an essential document for employees in the Philippines. It helps employers keep track of their employees’ monthly contributions and empl..., As with all VA forms, you should read the Form instructions carefully and get help if you are unsure of what is required. ... Compensation (VA Form 21-526EZ), Pension (VA Form 21P-527EZ), and Survivor's DIC/Death Pension/Accured Benefits (VA Form 21P-534EZ). The date that the VA receives your intent to file for each specific benefit will be ..., VA Form 21, APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. Form Approved: OMB No. 2900-0018 Exp. Date: March 31, 2026 Respondent Burden: 15 minutes. APPLICATION FOR ACCREDITATION AS SERVICE ORGANIZATION REPRESENTATIVE. PRIVACY ACT AND PAPERWORK …