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File Additional Forms For Your Disability Claim | Veterans Affairs
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Unemployability)</strong></h2><p><strong>When you file a claim for disability compensation, you’ll also need to submit both of these forms:</strong></p><p>A Veteran’s Application for Increased Compensation Based on Unemployability (VA Form 21-8940)</p><p><a href="/find-forms/about-form-21-8940" data-entity-type="node" data-entity-uuid="e1d407d3-126a-4390-a397-8aeb6734fd98" data-entity-substitution="canonical" title="About VA Form 21-8940">Get VA Form 21-8940 to download</a></p><p><strong>and</strong></p><p>A Request for Employment Information in Connection with Claim for Disability Benefits (VA Form 21-4192)</p><p><a href="/find-forms/about-form-21-4192" data-entity-type="node" data-entity-uuid="0513cede-6008-47ea-8142-a6a3ef1a7998" data-entity-substitution="canonical" title="About VA Form 21-4192">Get VA Form 21-4192 to download</a></p><p><a href="/disability/eligibility/special-claims/unemployability" data-entity-type="node" data-entity-uuid="3c31ad57-6362-4861-b62f-01f4cc6715b4" data-entity-substitution="canonical" hreflang="en" title="VA Individual Unemployability if you can’t work">Learn more about special claims based on Individual Unemployability</a></p><p><strong>If you’re filing a claim for disability compensation online,</strong> you don’t need to submit this PDF form.<strong> </strong>We’ll ask you questions about your claim for increased compensation based on Individual Unemployability when you fill out your online claim.</p><h2 id="for-disability-compensation-re">For disability compensation related to posttraumatic stress disorder (PTSD) or another mental health condition</h2><p><strong>When you file a claim for disability compensation, you’ll also need to submit this form:</strong></p><p>A Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s) (VA Form 21-0781)</p><p><a href="/find-forms/about-form-21-0781" data-entity-type="node" data-entity-uuid="13dcf2b1-92f3-4296-9b8b-6b4b13e16c7b" data-entity-substitution="canonical" title="About VA Form 21-0781">Get VA Form 21-0781 to download</a></p><p><a href="/disability/eligibility/ptsd" data-entity-type="node" data-entity-uuid="7f8022fc-73bb-454c-906a-602724682ea5" data-entity-substitution="canonical" title="Disability compensation for PTSD">Learn more about VA disability compensation for PTSD</a></p><h2 id="for-an-automobile-allowance">For an automobile allowance</h2><p><strong>When you file a claim for disability compensation, you’ll also need to submit this form:</strong></p><p>An Application for Automobile or Other Conveyance and Adaptive Equipment (VA Form 21-4502)</p><p><a href="/find-forms/about-form-21-4502" data-entity-type="node" data-entity-uuid="0e8e3378-9dc1-4b5f-85e7-fdc4de0fa477" data-entity-substitution="canonical" title="About VA Form 21-4502">Get VA Form 21-4502 to download</a></p><p><a href="/disability/eligibility/special-claims/automobile-allowance-adaptive-equipment" data-entity-type="node" data-entity-uuid="639cd4e7-16b8-47ce-ac38-9b96faab0620" data-entity-substitution="canonical" hreflang="en" title="VA automobile allowance and adaptive equipment">Learn more about special claims to get an automobile allowance</a></p><h2 id="for-an-adaptive-equipment-gran">For an adaptive-equipment grant for your automobile</h2><p><strong>When you file a claim for disability compensation, you’ll also need to submit this form:</strong></p><p>An Application for Adaptive Equipment—Motor Vehicle (VA Form 10-1394)</p><p><a href="/find-forms/about-form-10-1394" data-entity-type="node" data-entity-uuid="5fbab059-a9e2-4e32-9fb3-ea5a4284ab38" data-entity-substitution="canonical" title="About VA Form 10-1394">Get VA Form 10-1394 to download</a></p><p><a href="/disability/eligibility/special-claims/automobile-allowance-adaptive-equipment" data-entity-type="node" data-entity-uuid="639cd4e7-16b8-47ce-ac38-9b96faab0620" data-entity-substitution="canonical" hreflang="en" title="VA automobile allowance and adaptive equipment">Learn more about special claims to get adaptive equipment for your vehicle</a></p><h2 id="for-a-clothing-allowance">For a clothing allowance</h2><p><strong>When you file a claim for disability compensation, you’ll also need to submit this form:</strong></p><p>An Application for Annual Clothing Allowance (VA Form 10-8678)</p><p><a href="/find-forms/about-form-10-8678" data-entity-type="node" data-entity-uuid="aea2bd5b-8595-453a-9dd9-1191a03d6984" data-entity-substitution="canonical" target="_blank" title="About VA Form 10-8678">Get VA Form 10-8678 to download</a></p><p><a href="/disability/eligibility/special-claims/clothing-allowance" data-entity-type="node" data-entity-uuid="78aa4a36-406e-4ad3-a45d-59fe5c2db6de" data-entity-substitution="canonical" title="VA clothing allowance">Learn more about special claims to get a clothing allowance</a></p> </div> </div> <div class="row"> <div class="usa-content"> <aside class="va-nav-linkslist va-nav-linkslist--related"> <section data-template="paragraphs/list_of_link_teasers" data-entity-id="133430" class="field_related_links"> <h2 id="more-helpful-information" class="va-nav-linkslist-heading" tabindex="-1"> More helpful information </h2> <ul class="va-nav-linkslist-list"> <li data-template="paragraphs/linkTeaser" data-entity-id="133429" data-links-list-header="Supporting forms for VA claims" data-links-list-section-header="More helpful information"> <h3 class="va-nav-linkslist-title vads-u-font-size--h4" id> <va-link href="/supporting-forms-for-claims" text="Supporting forms for VA claims"> </va-link></h3> <p class="va-nav-linkslist-description">Find other forms that you may need to submit to support your claim. You can download a lay witness statement (or "buddy statement"), an intent to file, and other supporting forms.</p> </li> <li data-template="paragraphs/linkTeaser" data-entity-id="140524" data-links-list-header="View or change dependents on your VA disability benefits" data-links-list-section-header="More helpful information"> <h3 class="va-nav-linkslist-title vads-u-font-size--h4" id="-1"> <va-link href="/view-change-dependents" text="View or change dependents on your VA disability benefits"> </va-link></h3> <p class="va-nav-linkslist-description">Find out if you’re eligible and how to add a dependent spouse, child, or parent to your VA disability benefits for additional compensation.</p> </li> <li data-template="paragraphs/linkTeaser" data-entity-id="140525" data-links-list-header="How to apply for an adapted housing grant" data-links-list-section-header="More helpful information"> <h3 class="va-nav-linkslist-title vads-u-font-size--h4" id="-2"> <va-link href="/housing-assistance/disability-housing-grants/how-to-apply" text="How to apply for an adapted housing grant"> </va-link></h3> <p class="va-nav-linkslist-description">Find out how to apply for a Specially Adapted Housing (SAH) or Special Home Adaptation (SHA) grant.</p> </li> <li data-template="paragraphs/linkTeaser" data-entity-id="140526" data-links-list-header="VA Aid and Attendance benefits and Housebound allowance" data-links-list-section-header="More helpful information"> <h3 class="va-nav-linkslist-title vads-u-font-size--h4" id="-3"> <va-link href="/pension/aid-attendance-housebound" text="VA Aid and Attendance benefits and Housebound allowance"> </va-link></h3> <p class="va-nav-linkslist-description">VA Aid and Attendance or Housebound benefits provide monthly payments added to the amount of a monthly VA pension for qualified Veterans and survivors. If you need help with daily activities, or you’re housebound, find out if you qualify.</p> </li> <li data-template="paragraphs/linkTeaser" data-entity-id="140527" data-links-list-header="Birth defects linked to Agent Orange" data-links-list-section-header="More helpful information"> <h3 class="va-nav-linkslist-title vads-u-font-size--h4" id="-4"> <va-link href="/disability/eligibility/special-claims/birth-defects" text="Birth defects linked to Agent Orange"> </va-link></h3> <p class="va-nav-linkslist-description">If you served in Vietnam or Thailand, or in or near the Korean Demilitarized Zone (DMZ)—and your child has spina bifida or certain other birth defects—your child may be eligible for VA disability compensation and other benefits.</p> </li> </ul> </section> </aside> </div> </div> <va-back-to-top></va-back-to-top> <!-- Last updated & feedback button--> <div class="last-updated usa-content vads-u-padding-x--1 desktop-lg:vads-u-padding-x--0"> <div class="mobile-lg:vads-u-display--flex above-footer-elements-container"> <div class="vads-u-flex--auto"> <span class="vads-u-text-align--justify"> <p>Last updated: <time datetime="2024-07-08">July 8, 2024</time></p> </span> </div> <div class="vads-u-flex--1 vads-u-text-align--right"> <span class="vads-u-text-align--right"> <button type="button" class="feedback-button usa-button" id="mdFormButton" aria-label="give feedback"> Feedback </button> </span> </div> </div> </div> </article> </div> </div></main> </div> </div> <!-- src url from https://docs.datadoghq.com/real_user_monitoring/browser/setup/#cdn-sync --> <script nonce="bS1kcgluDa6ceHcAYEJdxgg7TqRJdOUr" type="text/javascript" defer src="https://www.datadoghq-browser-agent.com/datadog-rum-v5.js"></script> <script nonce="bS1kcgluDa6ceHcAYEJdxgg7TqRJdOUr" type="text/javascript"> window.addEventListener('load', () => { // All of the page urls we want to monitor include www.va.gov (production only) if (window.DD_RUM && window.location?.hostname === 'www.va.gov') { /** * Unauthenticated Static pages may be crawled by bots, so we won't initialize * RUM sessions. 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