VA Form 21-0966 will be used by
claimants and/or their authorized representatives to indicate an
intent to file a claim for compensation and/or pension, or
survivors pension and/or DIC, to establish an effective date for an
award granted in association with a complete claim filed within 1
year of such form.
USC 5102 Name of Law: Application forms furnished upon request;
notice to claimants of incomplete applications