Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966)

Documents and Forms

Document Name Document Type
Form VA Form 21-0966 Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966) Form
VA Form 21-0966 Intent to File a Claim for Compensation and/or Pension or Survivors Pension and/or DIC 21-0966(1-11-23).pdf www.va.gov/vaforms Form

Information Collection (IC) Details