OMB control number

Decision Review Request: Supplemental Claim (VA Form 20-0995)

OMB 2900-0886 · VA.

OMB 2900-0886

VA Form 20-0995 is used by a claimant and/or beneficiary to formally request a review of an initial VA decision, based on new and relevant evidence, in accordance with the Appeals Modernization Act. Without this information, VA would be unable to initiate a supplemental claim on behalf of the claimant or determine the issues for which the claimant seeks review.

The latest form for Decision Review Request: Supplemental Claim (VA Form 20-0995) expires 2027-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 20-0995 Decision Review Request: Supplemental Claim (VA Form 20-0995) Form
2024-08343 (2900-0886).pdf Supplementary Document
2024-02944, 60-Day FRN (VAF20-0995).pdf Supplementary Document
2900-0886, Supporting Statement (VAF20-0995).docx Supporting Statement A
Decision Review Request: Supplemental Claim (VA Form 20-0995) Form

All Historical Document Collections

202402-2900-006 Approved without change	Revision of a currently approved collection	2024-04-22
202208-2900-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-08-19
202011-2900-001 Approved without change	New collection (Request for a new OMB Control Number)	2021-02-25