VA Form 21-4138: Statement in Support of Claim | CCK Law (2024)

VA Form 21-4138: Statement in Support of Claim | CCK Law (1)

What Is VA Form 21-4138: Statement in Support of Claim?

When filing a claim with the Department of Veterans Affairs (VA) for service-connected disability compensation, veterans have the option to submit a Statement in Support of Claim, or VA Form 21-4138. Veterans and their families, friends, or other former service members can use this form to provide information to substantiate a disability benefits claim.

What Is VA Form 21-4138 Used For?

VA Form 21-4138 serves as an opportunity for veterans to submit a firsthand account of the in-service event or injury that led to their current disabling condition, and how their condition impacts their daily life. Additionally, the statement can include details about their symptoms, their severity, and their progression over time. The form is used to strengthen a veteran’s case and fill in the gaps if any information is missing from medical evidence or service records.

Friends, family, or coworkers can use VA Form 21-4138 to support the veteran’s claim and verify the physical or social limitations the veteran experiences due to their disability. Statements from other service members who served alongside the veteran (i.e., buddy statements) can also corroborate the events that led to the veteran’s disability.

How to Fill Out VA Form 21-4138

VA Form 21-4138 can be completed online or printed and filled out by hand. Veterans may also ask for assistance with filling out the form, such as from an accredited veterans’ representative.

First, you should provide identifying information in Section I, such as:

  • Full name
  • Social security number
  • VA file number
  • Date of birth
  • Service number (if applicable)
  • Telephone number
  • Email address (optional)
  • Mailing address

Section II is where you can provide a lay or witness statement in connection to your claim. If you need additional space for the statement, you can include an addendum. To do so, you must indicate on VA Form 21-4138 that an addendum is attached at the end of the application.

In Section III, the veteran or beneficiary must certify that the information provided is true and correct by signing and dating the form.

VA Form 21-4138: Statement in Support of Claim | CCK Law (2)

How to Write a Statement in Support of Claim

The content of the Statement in Support of Claim will depend on your specific claim, what you are trying to prove to VA, and who is writing the statement.

How to Write a Personal Statement

Generally, when writing a statement, veterans should incorporate as many details as possible regarding their specific symptoms. It is also a good idea to provide specific examples of how the symptoms affect day-to-day life. Additionally, it can be beneficial to show how certain symptoms lead to other symptoms. For example, if you have a condition that makes it difficult to walk, you can speak about how not moving for extended periods of time affects your mood.

It is important to note, however, that veterans cannot attribute a specific symptoms to a medical diagnosis. Rather, a medical professional must attribute the symptoms to the diagnosis.

How to Write a Buddy Statement

In a buddy statement, fellow service members may provide a detailed description of what they witnessed if they were involved in the veteran’s in-service event, or verification of when and where the injury or event occurred.

If the statement is more focused on the veteran’s symptoms, the statement should include information regarding how the veteran’s condition affects them, what the person writing the statement has witnessed, how the veteran has changed since service, and any other relevant details.

VA Form 21-4138: Statement in Support of Claim | CCK Law (3)

Tips for Writing a Competent and Credible Statement

For VA to consider a veteran’s Statement in Support of Claim when deciding service connection or a disability rating, it must be deemed competent and credible. Competency refers to the knowledge of the individual completing the statement. Anyone who prepares a statement for a veteran must have personal knowledge of what is being discussed. Credibility speaks to the reliability of what is being said in the statement.

It is also important to avoid inconsistencies within the statement. To avoid this, veterans can offer more general time frames (e.g., saying a certain event occurred in a certain summer or year instead of on a specific day). Veterans should also never exaggerate or downplay their symptoms within their statement. In short, truthfulness and consistency are key.

Other VA Forms for Lay Statements

Veterans can also submit lay evidence by using VA Form 21-10210. This form contains the following sections:

  • Identifying the veteran
  • Claimant information (if the claimant is not the veteran)
  • The written statement
  • The layperson’s contact information (e.g., phone number, email address, mailing address)
  • A section to certify and sign the statement

If more than one person is submitting lay evidence on a veteran’s behalf, each person will have to fill out a separate VA Form 21-10210.

Was Your VA Claim Denied?

If VA denied your claim for disability compensation, Chisholm Chisholm & Kilpatrick may be able to help. Reach out to CCK today for a free case review with a member of our team.

VA Form 21-4138: Statement in Support of Claim | CCK Law (2024)

FAQs

VA Form 21-4138: Statement in Support of Claim | CCK Law? ›

The form is used to strengthen a veteran's case and fill in the gaps if any information is missing from medical evidence or service records. Friends, family, or coworkers can use VA Form 21-4138 to support the veteran's claim and verify the physical or social limitations the veteran experiences due to their disability.

What is VA Form 21 4138 statement in support of claim? ›

What is VA Form 21 4138 Used For? Officially, this is the form that must be completed by someone who is familiar with your disability and able to offer information that can help your case. It is also referred to as a “buddy statement” or “buddy letter”.

How do you write a convincing VA statement in support of claim? ›

Shows the Impact: Explain how your disability impacts your life beyond just medical symptoms. Discuss day-to-day life, changes in your routines, challenges in physical and mental wellbeing, how it impacts your social relationships, etc. It's important to really emphasize to the VA how your life has been affected.

What is an example of a VA buddy statement in support of claim? ›

My name is John Doe, and I am the brother of veteran [Insert Veteran's Name]. I am writing this statement on behalf of [Insert Veteran's Name]. I have known [Insert Veteran's Name] for his entire life, and we currently live in the same town. I spend time with [Insert Veteran's Name] three to four times per week.

What is supporting evidence for a VA disability claim? ›

You can support your VA disability claim by providing these documents: VA medical records and hospital records. These could relate to your claimed illnesses or injuries or they could show that your rated disability has gotten worse. Private medical records and hospital reports.

What is an example of a spouse lay statement? ›

Here is an example a spouse might provide in a lay statement: “My husband was outgoing before his deployment. Since he came back, he doesn't want to spend time with our family or go out on dates with me.”

What are the three things for a successful VA claim? ›

To receive VA disability compensation, you must meet three criteria: an event in service that caused or aggravated a disability or illness; a current diagnosis of a medical disability or illness; and a medical opinion connecting the two (the latter as a result/because of the former).

How do I explain anxiety to a VA claim? ›

To prove your anxiety VA rating, you need to gather evidence that demonstrates that your current feelings of fear or anxiety are linked to your active service. This means showing that something happened in service and that your current anxiety diagnosis is linked to those events in service.

What is an example of a PTSD stressor statement? ›

From[date] to [date], I was stationed in [location] with the [name of unit]. My job was [specify]. Next, describe the stressful events in chronological order. For each event, give the date and place it occurred, and the name of the unit you were attached to.

How do you write a claim statement example? ›

claim - If you open by stating, "Every middle school student should have their own cell phone," this is a claim. This is not something that everyone agrees upon. Your paper will need to focus on supporting this claim with evidence.

What are statements that support claims? ›

Reasons are statements of support for claims, making those claims something more than mere assertions. Reasons are statements in an argument that pass two tests: Reasons are answers to the hypothetical challenge to your claim: “Why do you say that?”

What to write on VA form 21 4138? ›

If the statement is more focused on the veteran's symptoms, the statement should include information regarding how the veteran's condition affects them, what the person writing the statement has witnessed, how the veteran has changed since service, and any other relevant details.

Does the VA verify buddy statements? ›

Note: You can also choose to submit a lay witness statement (sometimes called a “buddy statement”) to support a VA claim. We'll review this statement along with the other evidence you submit.

What is a supporting lay statement for VA disability? ›

Lay statements help support your medical evidence. Since they are written by a lay person, not a medical professional, these statements give another side of the story, describing what the veteran's life is like with this disability.

What does a VA statement of the case mean? ›

A statement of the case (SOC) is an explanation of the decision made on the appellant's case. An SOC provides the appellant with a complete understanding of the decision so the appellant can prepare an effective substantive appeal with specific allegations of errors of fact or law.

What is a VA form 21 4142 used for? ›

Use this form to provide your written authorization to obtain your treatment records, so the VA can get the information required to process your claim. For more information, you can contact us online through Ask VA: https://ask.va.gov/ or call us toll-free at 1-800-827-1000 (TTY: 711).

What is VA form 21 0845 used for? ›

Use this form if you want us to release information from your VA records with a non-VA (third-party) individual or organization. This may include information about your VA claims or benefits.

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