forms. The table below provides guidance on the correct VA form to use for a Complete Claim Received based on the type of benefit sought by the claimant. on or After March 24, 2015 If the benefit sought is ... Then the prescribed form is VA Form... service connection (original) 21-526 for Benefits Delivery at 21-526c Discharge (BDD) or Quick Start (QS) claims or 21-526EZ, for IDES claims. 21-0819 service connection (new or 21-526 reopen) 21-526b, Veterans Supplemental Claim for Compensation for BDD or QS claims 21-526c or 21-526EZ, for IDES claims. 21-0819 increased evaluation 21-526 21-526b for BDD or QS claims 21-526c or 21-526EZ, for IDES claims. 21-0819 temporary total disability rating 21-526 (paragraph 29 and 30 benefits) or 21-526b, 21-526EZ. Hospitalization reports from VA or Note: military treatment facilities will be accepted as a prescribed form for paragraph 29 and 30 benefits. total disability rating based on 21-8940, Application for Veteran’s individual unemployability Increased Compensation Based on (TDIU) Unemployability. TDIU can also be claimed on any of the following VA Forms 21-526 21-526b for BDD or QS claims, or 21-526c 21-526EZ. is required for Note: VA Form 21-8940 the award of TDIU benefits. child incapable of self-support 21-526 benefits 21-526b
for a Complete Claim Received on or After March 24, 2015 forms. The table below provides guidance on the correct VA form to use based on the type of benefit sought by the claimant. If the benefit sought is ... Then the prescribed form is VA Form... service connection (original) 21-526 21-526c for Benefits Delivery at Discharge (BDD) or Quick Start (QS) claims 21-526EZ, or 21-0819 for IDES claims. service connection (new or reopen) 21-526 21-526b, Veterans Supplemental Claim for Compensation 21-526c for BDD or QS claims 21-526EZ, or 21-0819 for IDES claims. increased evaluation 21-526 21-526b 21-526c for BDD or QS claims 21-526EZ, or 21-0819 for IDES claims. temporary total disability rating (paragraph 29 and 30 benefits) 21-526 21-526b, or 21-526EZ. Note: Hospitalization reports from VA or military treatment facilities will be accepted as a prescribed form for paragraph 29 and 30 benefits. total disability rating based on individual unemployability (TDIU) 21-8940, Veteran’s Application for Increased Compensation Based on Unemployability. TDIU can also be claimed on any of the following VA Forms 21-526 21-526b 21-526c for BDD or QS claims, or 21-526EZ. Note: VA Form 21-8940 is required for the award of TDIU benefits. child incapable of self-support benefits 21-526 21-526b