Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) (VA Form 21-0781)

VA Forms 21-0781 and 21-0781a are used to gather information about stressful incidents in service from veterans claiming compensation for PTSD. The forms request the information that is necessary for VA to conduct meaningful research of records in order to assist claimants in obtaining credible supporting evidence supporting evidence that the incidents occurred. Without this collection of information, VA would not fulfill its statutory duty to assist claimants and would be unable to properly authorize benefits.

The latest form for Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) (VA Form 21-0781) expires 2020-07-31 and can be found here.