VA 21-8940 2004 free printable template

Name: 2004 Form VA 21-8940 Fill Online, Printable, Fillable, Blank - pdfFiller
Brand: pdfFiller
Rating: 4.3 (43 reviews)

Get Form

Show details

OMB Approved No. 2900-0404 Respondent Burden: 45 minutes VETERAN'S APPLICATION FOR INCREASED COMPENSATION BASED ON EMPLOYABILITY NOTE: This is a claim for compensation benefits based on employability.

pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign

Edit your va form 21 8940 form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your va form 21 8940 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing va form 21 8940 online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

To use the professional PDF editor, follow these steps:

1

Check your account. It's time to start your free trial.

2

Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.

3

Edit va form 21 8940. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.

4

Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.

It's easier to work with documents with pdfFiller than you can have believed. Sign up for a free account to view.

VA 21-8940 Form Versions

Version

Form Popularity

Fillable & printabley

VA 21-8940 2021

4.9 Satisfied (55 Votes)

VA 21-8940 2017

4.2 Satisfied (86 Votes)

VA 21-8940 2011

4.4 Satisfied (94 Votes)

VA 21-8940 2007

4.0 Satisfied (51 Votes)

VA 21-8940 2004

4.3 Satisfied (43 Votes)

How to fill out va form 21 8940

01

To fill out VA Form 21-8940, start by downloading the form from the official website of the Department of Veterans Affairs (VA).

02

Once you have the form, carefully read through the instructions provided on the first page. This will give you an overview of the purpose of the form and the information it requires.

03

Gather all the necessary documentation and information before starting to fill out the form. This may include details about your disabilities, medical conditions, income, and expenses.

04

Begin by entering your personal information in Section I of the form. This includes your name, Social Security Number, address, and contact information.

05

In Section II, provide details about the disabilities or medical conditions that you believe make you eligible for the VA program you are applying for.

06

Complete Section III by answering questions related to your employment history and current employment status. This information helps the VA assess your financial situation.

07

If applicable, fill in Section IV to report any expenses related to your medical conditions or disabilities. This can include payments for medical treatments, medications, or assistive devices.

08

In Section V, disclose your sources of income, such as employment, retirement benefits, or disability benefits.

09

Complete Section VI by providing information about any assets you own, including properties, vehicles, or investments.

10

If you need to include additional information or have any remarks, you can do so in Section VII.

11

Finally, review the completed form to ensure accuracy and completeness. Make sure all required sections are filled out and that you have attached any necessary supporting documentation.

12

Sign and date the form at the bottom of the last page.

Who needs VA Form 21-8940?

01

VA Form 21-8940 is typically required by veterans or servicemembers who are applying for various VA disability benefits programs.

02

It is used to gather information about the applicant's disabilities, medical conditions, employment, income, and expenses in order to determine their eligibility and the amount of benefits they may be entitled to.

03

It is important to consult with a VA representative or an accredited veterans service organization to determine if you need to fill out VA Form 21-8940 and how it fits into your specific situation.

Who needs a VA 21-8940 form?

The Department of Veterans Affairs (VA) gives benefits to all military personnel who have work limitations associated with the service in the army. A veteran must go through the VA Disability Process to obtain the status of a disabled person. After applying for VA Disability, military needs to go through the process of Compensation and Pension examination to determine the adequacy of the stated limits for the disability status.

What is the VA 21-8940 form for?

The VA 21-8940 is a claim for compensation benefits based on unemployability where you are claiming total disability because of service-connected physical limitations which are preventing you from securing or following any substantially gainful occupation. After the VA receives your VA 21-8940 application, they will verify your employment history by sending your past employers the VA 21-4192 form to fill out. The VA will ask the employer to verify the dates of employment and indicate why you stopped working for the company.

Is the VA 21-8940 form accompanied by other forms?

This form is used along with VA 21-4192 form to claim Unemployability for VA Disability. Usually, the VA 21-8940 form is sent to your employer by the VA, but if they have not received a response to their request from the employer, they can force you to make a request yourself.

Ask your doctors to provide statements that your service-connected disabilities prevent you from working. The more documents you get from them, the better chance you have for your claim to be satisfied.

When is VA 21-8940 form due?

There are no specific deadlines for submission of the VA 21-8940 form. The form is valid for a calendar year. Information from the form is recognized as valid for the calendar year from the date of its submitting.

How do I fill out VA 21-8940 form?

You should fill out such blocks from the form: 1) personal information; 2) disability and medical treatment; 3) employment statement; 4) personal information of the employers; 5) schooling and other training. In the end, you should certify and authorize the document.

Where do I send VA 21-8940 form?

The completed and signed document should be sent to the nearest Department of Veterans Affairs office.

Fill form : Try Risk Free

Rate free

4.3

Satisfied

43 Votes

Our user reviews speak for themselves

Read more or give pdfFiller a try to experience the benefits for yourself

4

I had to try several times to get the hang of it, at the end it worked.

Maria M

5

Very convenient and easy to use.Highly recommended

Rema

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

What is va form 21 8940?

VA Form 21-8940, Application for Increased Compensation Based on Unemployability, is a form used by veterans to apply for increased disability compensation. It is specifically used to apply for Total Disability Individual Unemployability (TDIU) benefits, which provide additional compensation to veterans who are unable to maintain substantial gainful employment due to their service-connected disabilities. The form collects information on the veteran's employment history, disabilities, and medical treatment to determine eligibility for increased compensation.

Who is required to file va form 21 8940?

The VA Form 21-8940, also known as the Veterans Application for Increased Compensation Based on Unemployability, is required to be filed by veterans who are seeking increased compensation due to their inability to secure and maintain gainful employment because of service connected disabilities.

How to fill out va form 21 8940?

To fill out VA Form 21-8940, you need the following information and documents: 1. Part I - Identifying Information: - Your full name, Social Security number, and VA file number (if applicable). - Your current mailing address and phone number. 2. Part II - Current Employment Information: - Provide information about your current employment status, including the name and address of your employer, job title, hours worked per week, and monthly earnings. - If you are not employed, indicate whether you are currently seeking employment and provide any other relevant information. 3. Part III - Other Sources of Income: - Provide information about any other sources of income you receive, such as retirement benefits, disability benefits, rental income, etc. - Specify the source of income, the amount received per month, and provide any necessary additional details. 4. Part IV - Monthly Expenses: - List your monthly recurring expenses, such as rent/mortgage, utilities, insurance, groceries, medical expenses, transportation costs, and any other significant expenses. - Provide the amount for each expense and specify whether it is paid by you or someone else (e.g., family member, government program). 5. Part V - Previous Employment Information: - If you have recently left a job or have been unemployed, provide information about your previous employment, including the name and address of the employer, job title, dates of employment, and reason for leaving. 6. Part VI - Previous Training or Education: - If you have received any training or education related to your current employment or seeking employment, provide information about the program, school, dates attended, and any certifications or degrees earned. 7. Part VII - Remarks: - Use this section to provide any additional information that may be relevant to your employment and financial situation. 8. Certification and Signature: - Read the certification statement carefully and sign and date the form. Remember to gather any necessary supporting documents, such as pay stubs, bank statements, or documentation of other sources of income or expenses, and submit those along with the completed form. It is recommended to consult with a veterans service officer or the VA directly if you have any specific questions or need assistance in completing the form accurately.

What is the purpose of va form 21 8940?

The purpose of VA Form 21-8940 is to apply for increased benefits based on the need for Aid and Attendance (A&A) or Housebound assistance. This form is used by veterans, surviving spouses, and dependent children to request additional financial assistance for daily activities such as bathing, dressing, eating, or managing medication. The form collects information about the veteran's disability or medical condition that necessitates the need for additional aid or attendance.

What information must be reported on va form 21 8940?

VA Form 21-8940, Veteran's Application for Increased Compensation Based on Unemployability, must include the following information: 1. Personal information: This includes the veteran's full name, Social Security number, address, and contact information. 2. VA claims information: The form requires the veteran to indicate their VA claim number, if applicable, and the date they filed the claim. 3. Employment information: The veteran must provide details about their employment history, including current and past occupations, dates of employment, and reasons for any periods of unemployment. 4. Education and training information: The form requests information about the veteran's education, vocational or technical training, and any certifications or licenses they possess. 5. Medical information: The veteran is required to list all current physical or mental health conditions, as well as any medications and treatments they are currently undergoing. Additionally, they must provide details of any hospitalizations or surgeries they have had. 6. Statement in Support of Claim: The applicant needs to provide a statement explaining why they believe they are unable to maintain substantially gainful employment as a result of their service-connected disabilities. 7. Supporting documentation: The veteran must attach any relevant medical records, employment records, or other documents that support their claim. It is important to note that the specific requirements may vary depending on the specific version and edition date of the VA Form 21-8940. Therefore, it is crucial to refer to the most recent version of the form and carefully follow the instructions provided.

What is the penalty for the late filing of va form 21 8940?

There is no specific penalty outlined for the late filing of VA Form 21-8940. However, it is generally recommended to file any necessary forms in a timely manner to ensure you receive the benefits you are entitled to. Delays in filing may result in delays in processing and potential setbacks in receiving benefits. It is always best to contact the Department of Veterans Affairs directly to inquire about any specific consequences that may apply in your situation.

Can I create an electronic signature for the va form 21 8940 in Chrome?

Yes. By adding the solution to your Chrome browser, you may use pdfFiller to eSign documents while also enjoying all of the PDF editor's capabilities in one spot. Create a legally enforceable eSignature by sketching, typing, or uploading a photo of your handwritten signature using the extension. Whatever option you select, you'll be able to eSign your va form 21 8940 in seconds.

How do I fill out va form 21 8940 using my mobile device?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign va form 21 8940 and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.

How can I fill out va form 21 8940 on an iOS device?

Install the pdfFiller app on your iOS device to fill out papers. If you have a subscription to the service, create an account or log in to an existing one. After completing the registration process, upload your va form 21 8940. You may now use pdfFiller's advanced features, such as adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.

Fill out your va form 21 8940 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now