Enter your name exactly as it appears on your military service records and DD-214. If your legal name has changed (e.g., after marriage), enter your current legal name and attach documentation of the change (marriage certificate, court order). Inconsistencies between the claim and your service records can cause delays.
526EZ Navigator — Your Claim, Built Right
Veteran Claim Builder guides you step by step through VA Form 526EZ — plain language, 38 CFR-aligned templates, and strategy built for veterans, by veterans.
VA Form 526EZ — the Veteran's Application for Disability Compensation and/or Pension — is the form you file to ask the VA to establish that a current health condition (physical or mental) is related to your military service, and to receive monthly tax-free compensation based on the severity of that condition.
Once the VA approves your claim and assigns a disability rating (0%–100%), you will receive monthly, tax-free compensation. Higher ratings mean higher payments. You may also gain access to VA health care, adaptive housing, vocational rehabilitation, and other benefits.
File as early as possible — even if your evidence is incomplete. Under 38 CFR, your effective date (when payments begin) is typically the date VA receives your claim. Gathering more evidence later does not change your start date if you already have a claim on file. File first; perfect your claim afterward.
- Veterans with at least one day of active-duty military service who have a current disability that may be related to service
- Veterans filing a new claim for a condition never before rated
- Veterans filing a claim for increase — seeking a higher rating for an existing service-connected condition that has worsened
- Veterans filing secondary claims — new conditions caused or aggravated by an already service-connected condition
- Veterans claiming presumptive conditions (Agent Orange, burn pits, Gulf War illness, etc.)
Your discharge must generally be "Under Honorable Conditions" (Honorable or General). Some veterans with Other-Than-Honorable (OTH) discharges may still qualify for certain benefits. If this applies to you, contact a Veterans Service Organization (VSO) or VA-accredited attorney before filing.
This guide walks you through every section of Form 526EZ in the exact order the form presents it. For each section you will find:
- Plain-language explanations of what the VA is asking and why
- Strategic tips to strengthen your claim
- 38 CFR legal standards that VA adjudicators must apply to your claim
- Statement templates you can copy, adapt, and submit with your claim
- Common mistakes to avoid
The most important section is Step 5: Writing Your Personal Statement, which explains how to use the legal language required to meet the VA's burden of proof standard. Do not skip it.
Accredited Veterans Service Organizations (VSOs) provide free claim assistance and are often essential to getting the best outcome. DAV, VFW, American Legion, and others have accredited claims agents at no cost to you. This guide prepares you to work with a VSO or to file on your own — your choice.
| Claim Type | What It Means | 38 CFR Basis |
|---|---|---|
| Direct Service Connection | A condition caused by something that happened during active duty | § 3.303 |
| Aggravation | A pre-existing condition worsened beyond its natural progression by military service | § 3.306 |
| Presumptive | Conditions the VA automatically links to certain exposures or service (no nexus letter needed) | §§ 3.307–3.309 |
| Secondary Service Connection | A new condition caused or worsened by an already service-connected condition | § 3.310 |
| Claim for Increase | Requesting a higher rating because a service-connected condition has worsened | § 3.105(a) |
Gather Your Documents Before You Start
Having the right records before you fill out the 526EZ will dramatically improve your claim. Check off each item as you locate it — your progress is saved automatically.
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DD-214 (Certificate of Release or Discharge from Active Duty) Your most essential document. Shows service dates, branch, MOS/AFSC, and character of discharge. If lost, request via the National Personnel Records Center (NPRC) at archives.gov/veterans.
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Social Security Number (SSN) / VA File Number Required to identify your VA records. Have your SSN card or a document showing your full SSN on hand.
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Service Treatment Records (STRs) In-service medical records documenting injuries, illnesses, and treatments while on active duty. Request from NPRC if you don't have copies. VA will also attempt to retrieve these.
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Current Medical Records / Diagnosis Documentation Records from your current treating physician confirming your diagnosis. A current diagnosis is a required element of every service-connection claim under 38 CFR 3.303.
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VA Medical Records (if you use VA health care) VA will automatically retrieve its own records if you authorize it (VA Form 21-4142). List the specific VA facilities you've attended and approximate dates of treatment.
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Private Medical Records (non-VA doctors, hospitals, specialists) Provide copies or complete VA Form 21-4142/4142a to authorize release. Private records showing diagnosis and treatment history are powerful supporting evidence.
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Nexus Letter (if obtainable) A letter from a doctor, preferably a specialist, stating that your current condition is "at least as likely as not" related to your military service. Not required, but extremely helpful for direct service connection claims.
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Buddy Statements / Lay Witness Statements Written statements from fellow service members, family, or friends who can attest to your in-service incident or continuity of symptoms since service. Use VA Form 21-10210 or plain paper (signed/dated).
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Deployment / Assignment Records Orders, unit histories, or deployment documentation showing you were in a specific theater or location (e.g., Southwest Asia, Vietnam, Korea). Especially important for presumptive claims.
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PTSD Stressor Documentation (if claiming PTSD) For combat PTSD, your DD-214 showing deployment is often sufficient. For non-combat PTSD or MST, you may need additional documentation (see Step 6).
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Direct Deposit Information Routing number and account number (checking or savings) for your bank or credit union. VA pays compensation via direct deposit.
| Record Type | Where to Request | Method |
|---|---|---|
| DD-214 & Service Records | National Personnel Records Center (NPRC) | Online: archives.gov/veterans — Form SF-180 |
| VA Medical Records | Your regional VA Medical Center (VAMC) | Request in-person, by mail, or through MyHealtheVet |
| Private Medical Records | Your private doctor / hospital | Submit VA Form 21-4142 to authorize VA to request them for you |
| Claims File (C-File) | VA Regional Office | Submit FOIA/Privacy Act request — allows you to review your complete VA file |
| Personnel Records / Orders | NPRC or branch-specific archive | SF-180 or branch personnel command |
Before you even have all your documents, you can submit a VA Form 21-0966 (Intent to File) online at VA.gov or by calling 1-800-827-1000. This locks in today's date as your potential effective date. You then have 12 months to submit the complete 526EZ and your evidence. This is one of the most valuable strategic moves available to you.
Under the Veterans Claims Assistance Act (VCAA) and 38 CFR 3.159, the VA has a legal duty to assist you — but only after you file a complete claim. VA must:
- Notify you of the information and evidence needed to substantiate your claim
- Assist in obtaining evidence, including VA medical records and service records
- Schedule a Compensation & Pension (C&P) examination if it is necessary to decide your claim
However, private medical records require your authorization — VA cannot obtain those without your Form 21-4142 release. Submitting records yourself is always faster than waiting for VA to request them.
Personal & Contact Information
These sections identify who you are and where VA will send correspondence, decisions, and payments. Accuracy here prevents delays and misdirected mail.
Enter your SSN. If you have been assigned a VA file number different from your SSN (common for veterans who filed claims before SSNs were used as VA identifiers), enter that number in the VA File Number field. When in doubt, enter your SSN — VA will resolve any discrepancy.
Enter in MM/DD/YYYY format. Used to verify identity and to determine eligibility for age-based presumptive conditions (e.g., some veterans over age 65 qualify for pension rather than compensation).
Enter city and state (or country if born outside the U.S.). This is an identity verification field — it does not affect your eligibility or rating.
Optional fields used for statistical and research purposes only. Your answers (or non-answers) have no effect on your claim decision or rating.
Use your current mailing address — this is where VA will send your rating decision, correspondence, and any checks if you do not have direct deposit set up. If you are homeless or have an unstable address, speak with a VSO about using their address, or call VA at 1-800-827-1000.
If you move after filing, immediately update your address with VA online (VA.gov), by phone, or by mail. A missed rating decision can trigger an appeal deadline you did not know about. You have only one year from a decision notice to file a notice of disagreement.
Provide your primary and alternate phone numbers. VA may call to schedule a Compensation & Pension (C&P) examination — missing that call can delay your claim significantly. Ensure the number you list is active and you check voicemail regularly.
Optional but strongly recommended. VA uses email for status updates if you have a VA.gov account. You can also track your claim status online at VA.gov under "Check Your Claim or Appeal Status."
If you file online at VA.gov, you can verify your identity using Login.gov or ID.me. This gives you a verified account and allows you to track your claim in real time, upload documents, and receive secure messages from VA.
Military Service History
Section IV establishes the foundation of your claim — it proves you served and helps VA identify which service periods may be relevant to your claimed conditions.
List all periods of active duty service, including periods of National Guard or Reserve service that included federal activation (e.g., deployment orders under Title 10). Include:
- Entry date (first day of active duty)
- Separation date (last day of active duty)
- Branch of service (Army, Navy, Marine Corps, Air Force, Coast Guard, Space Force)
- Character of discharge (Honorable, General Under Honorable Conditions, etc.)
If you served multiple separate enlistments, list each period separately. Conditions from a first enlistment that were not addressed before a second enlistment may be claimed in a later filing. Each service period is independently reviewed.
Copy dates directly from your DD-214, Block 12 (Dates of Entry and Release). Use exact dates — approximate dates can cause records-matching issues. For Reserve/Guard service, your NGB-22 or other separation document shows your activation period.
If you served in the National Guard or Reserves with federal activation (Title 10 orders — typically for overseas deployments or declared national emergencies), that period of service is treated as active duty for VA disability purposes. Indicate the dates of any such activation.
Inactive duty for training (weekend drills, annual training) may still give rise to VA claims if an injury occurred during that training.
Copy exactly from your DD-214, Block 24. Common characterizations:
- Honorable — Full VA benefit eligibility
- General (Under Honorable Conditions) — Full VA benefit eligibility
- Other Than Honorable (OTH) — May limit eligibility; consult a VSO
- Bad Conduct Discharge (BCD) — Typically ineligible; consult legal counsel
- Dishonorable — Ineligible for VA benefits
If you received an OTH or other adverse discharge related to PTSD, MST, TBI, or other service-connected conditions, you may be eligible for a discharge upgrade through the Discharge Review Board (DRB) or Board for Correction of Military Records (BCMR/BCNR). Upgraded discharges can open access to VA benefits retroactively. Contact a Veterans Service Organization for help.
The following designations may qualify you for additional benefits or simplified evidence requirements:
| Designation | Significance | Where Shown on DD-214 |
|---|---|---|
| Purple Heart Recipient | Fast-tracked for claims processing; combat service conceded for PTSD | Block 13 (Decorations) |
| Combat Service / CIB / CMB / CAB | Concedes combat exposure for PTSD stressor verification | Block 13 or 11 |
| Prisoner of War (POW) | Large list of presumptive conditions; no nexus required for many | Block 18 or separate POW documentation |
| Medal of Honor | Special pension supplement; priority processing | Block 13 |
| Hazardous Duty Pay | May establish exposure to hazardous conditions (burn pits, radiation, etc.) | Block 26 or LES records |
VA uses your duty locations and unit assignments to verify:
- Whether you were in a presumptive exposure area (Vietnam for Agent Orange, Southwest Asia for burn pit/Gulf War, etc.)
- Whether your claimed in-service event is consistent with your unit's history (corroboration for PTSD stressor)
- Whether you were exposed to specific hazards (radiation, chemical agents, contaminated water)
Note your primary duty stations, overseas deployments, and MOS/AFSC/Rating on a separate sheet — you will reference these in your personal statement (Step 5).
38 CFR 3.304(d) — Combat service concession: "If a veteran engaged in combat with the enemy and the claimed stressor is related to that combat, the veteran's lay testimony alone may establish the occurrence of the claimed in-service stressor, provided the claimed stressor is consistent with the circumstances, conditions, or hardships of the veteran's service."
Conditions You Are Claiming
This section is where you list every disability you want VA to evaluate. How you name, describe, and categorize your conditions significantly impacts your rating. Do not rush this step.
List every condition you believe is related to service — even if you are unsure. You can always withdraw a claim, but you cannot get an earlier effective date for a condition you did not list. An unrated condition stays unrated. List them all.
Use specific, medically accurate names where possible. VA's rating system (38 CFR Part 4, the "VASRD") organizes conditions by diagnostic code — using the correct medical term helps VA find the right rating criteria for your condition.
"Bad back," "knee problems," "I can't sleep," "ringing in ears," "mood problems"
"Lumbar disc herniation with radiculopathy, right lower extremity," "Right knee medial meniscus tear with DJD," "Obstructive sleep apnea," "Bilateral tinnitus," "Major depressive disorder"
If you do not know the medical term, write the best description you can — VA will often interpret it broadly in your favor. But ask your doctor for the formal diagnosis before submitting.
Condition caused by something that happened during active duty service. Requires: current diagnosis + in-service event + nexus linking them.
New condition caused or aggravated by an already service-connected condition. Example: knee arthritis secondary to service-connected gait alteration from a back condition.
Your existing service-connected condition has gotten worse and you want VA to assign a higher rating. Note: current rating and the worsened condition on the form.
VA automatically connects certain conditions to specific service exposures. No nexus letter needed. Examples: Agent Orange cancers, burn pit respiratory conditions, Gulf War illness.
For a direct service connection claim, 38 CFR 3.303(a) requires three elements: (1) the existence of a present disability; (2) in-service incurrence or aggravation of a disease or injury; and (3) a causal relationship (nexus) between the present disability and the disease or injury incurred or aggravated during service. Your personal statement and medical evidence must address all three.
For each condition you claim, mentally verify that you have evidence addressing all three elements:
A doctor has formally diagnosed you with the condition now. Lay testimony of symptoms may help, but a medical diagnosis is strongest.
Something happened during your military service — an injury, illness, exposure, or stressor. You will describe this in your personal statement.
A medical or lay-evidence bridge connecting the in-service event to your current diagnosis. "At least as likely as not" is the legal threshold.
| Condition You Experience | Use This Medical Name on the Form | Rated Under |
|---|---|---|
| Ringing in ears | Tinnitus (bilateral or unilateral) | 38 CFR 4.87, DC 6260 |
| Hearing loss | Sensorineural hearing loss, bilateral | 38 CFR 4.85, DC 6100 |
| Lower back pain | Lumbar spine DDD / disc herniation / lumbosacral strain | 38 CFR 4.71a, DC 5237 |
| Knee pain | Left/Right knee DJD / patellofemoral syndrome / meniscus tear | 38 CFR 4.71a, DC 5257/5258 |
| Shoulder pain | Left/Right shoulder rotator cuff tear / impingement syndrome | 38 CFR 4.71a, DC 5201/5203 |
| PTSD | Post-Traumatic Stress Disorder (PTSD) | 38 CFR 4.130, DC 9411 |
| Depression / Anxiety | Major Depressive Disorder / Generalized Anxiety Disorder | 38 CFR 4.130, DC 9434 |
| Sleep disorder | Obstructive Sleep Apnea (OSA) | 38 CFR 4.97, DC 6847 |
| Diabetes (Agent Orange) | Diabetes Mellitus, Type 2 | 38 CFR 4.119, DC 7913 |
| High blood pressure | Hypertension | 38 CFR 4.104, DC 7101 |
| Foot pain / flat feet | Bilateral pes planus / plantar fasciitis / hallux valgus | 38 CFR 4.71a, DC 5276 |
| Neck pain | Cervical spine DDD / cervical spondylosis / cervical strain | 38 CFR 4.71a, DC 5237 |
| Numbness / tingling in limbs | Peripheral neuropathy, upper/lower extremity | 38 CFR 4.124a, DC 8520/8620 |
| Skin rash / eczema | Dermatitis / eczema / psoriasis (specify location) | 38 CFR 4.118, DC 7806 |
| Migraines | Migraines (with or without aura) | 38 CFR 4.124a, DC 8100 |
| TBI | Traumatic Brain Injury (mild/moderate/severe) | 38 CFR 4.124a, DC 8045 |
This is the date you first noticed symptoms — not necessarily the date of diagnosis. For injuries, this is often the date of the incident. For chronic conditions that developed gradually, provide your best estimate and note it is approximate. Use the format: Month/Year is acceptable if you do not know the exact date.
If your condition has been continuous since service, note: "Symptoms began in-service, approximately [MONTH/YEAR], and have continued to present." This supports continuity of symptomatology under 38 CFR 3.303(b).
If you are claiming an increase for an already-rated condition, note approximately when the condition worsened beyond its previous rating level. If it has been progressively worsening, indicate "continuous worsening since [DATE]."
Writing Your Personal Statement
Your personal statement — typically submitted on VA Form 21-4138 (Statement in Support of Claim) — is often the most powerful piece of evidence in your file. This step teaches you the legal standards VA must apply and gives you attorney-quality templates to use.
The Magic Phrase Under 38 CFR
“at least as likely as not”This phrase means a 50% or greater probability that your condition is related to your military service. Under 38 U.S.C. § 5107(b) and 38 CFR 3.102, when evidence is in approximate balance, the VA must resolve the doubt in your favor.
"The Secretary shall consider all information and lay and medical evidence of record in a case before the Secretary with respect to benefits under laws administered by the Secretary. When there is an approximate balance of positive and negative evidence regarding any issue material to the determination of a matter, the Secretary shall give the benefit of the doubt to the claimant."
This means you do not need to prove your claim beyond a doubt — you just need to tip the scales to 50/50 or better. Your personal statement, combined with any supporting medical evidence, can create that balance. Use the phrase "at least as likely as not" explicitly in your statement.
| Phrase | Probability | Effect on Claim |
|---|---|---|
| "at least as likely as not" | ≥ 50% | ✓ Triggers benefit of the doubt — wins the nexus element |
| "more likely than not" | > 50% | ✓ Strong nexus statement |
| "highly likely" / "highly probable" | > 75% | ✓ Very strong nexus |
| "possibly" / "could be related" | < 50% | ✗ Insufficient — does NOT meet the legal threshold |
| "unlikely" / "not related" | < 50% | ✗ Negative evidence — harms claim |
Never use language like "possibly," "might be," "could be related," or "I think it might be from service" — these imply less than 50% probability and do NOT meet the nexus standard. Use "at least as likely as not" — it is the exact legal phrase VA adjudicators and courts recognize.
A well-crafted personal statement addresses all five of these elements. Click each accordion to learn what to include.
Describe specifically what happened during your service that caused or contributed to your condition. Include:
- When it occurred (approximate date or time frame — month/year is fine)
- Where it occurred (duty station, deployment location, country/base)
- What happened (the specific event, injury, exposure, or stressor)
- Your unit and MOS/AFSC/Rating at the time
- Witnesses if any (names if known, or "fellow soldiers whose names I do not recall")
- Any immediate treatment received (sick call, medical facility, field medic)
You do not need written records of the in-service event. Under 38 CFR 3.303, your own sworn statement (certification on the form) is competent lay evidence. For combat veterans, 38 CFR 3.304(d) allows lay testimony alone to establish a stressor consistent with combat service.
If you received any medical treatment during service, describe it here — even if it was informal (sick call, a medic's evaluation, etc.).
- Name of the medical facility or unit medic
- Approximate date of treatment
- What you were told (diagnosis, prognosis, return-to-duty status)
- Any medications prescribed, light duty, or profile (P-3, etc.)
If you did not receive treatment during service (common — many veterans "tough it out"), state that explicitly: "I did not seek medical treatment at the time due to [unit culture / mission requirements / fear of medical flagging] but symptoms were present."
"Continuity of symptomatology is required where the condition noted during service is not, in fact, shown to be chronic or where the diagnosis of chronicity may be legitimately questioned. When the fact of chronicity in service is not adequately supported, then a showing of continuity after discharge is required to support the claim."
Continuity of symptomatology means showing that your symptoms have been present, in some form, from service to present day. This is a powerful alternative or supplement to a nexus letter — if you can show unbroken symptoms, you may not need a doctor to prove the connection.
In your statement, describe:
- When symptoms first appeared (in service)
- How symptoms manifested after discharge (immediately, within weeks/months)
- How symptoms have persisted or changed over the years
- How symptoms currently affect your daily life, work, and relationships
- Any treatments you have sought over the years (even non-VA, even alternative)
State your current diagnosis clearly. The VA requires a current diagnosis for a service connection claim — symptoms alone are generally not sufficient unless accompanied by a clinical diagnosis.
- Full medical name of the diagnosis (as given by your doctor)
- Name of the diagnosing physician and facility
- Date of diagnosis (or approximate)
- Current treatment regimen (medications, therapy, physical therapy, etc.)
- Most recent appointment date
If you do not yet have a formal diagnosis, note: "I am currently seeking medical evaluation for these symptoms and will supplement this claim with medical records upon receipt."
Describe how your condition limits your daily life — this affects the rating VA assigns (how much you are compensated), not just whether service connection is granted. Be honest and specific:
- Activities you cannot perform or can only perform with difficulty or pain
- Impact on work (how many days missed, inability to stand/sit/lift/concentrate)
- Impact on relationships and social functioning
- Impact on sleep, self-care, and daily activities
- Number of flare-ups per month, duration, and severity
Then conclude with the nexus statement — the explicit legal connection:
"Based on the foregoing, I believe my [CONDITION] is at least as likely as not (50 percent or greater probability) directly related to [the in-service event/injury/exposure described above] that occurred during my military service."
Use this template for a condition directly caused by something that happened during your military service. Replace all HIGHLIGHTED PLACEHOLDERS with your specific information.
Use this template when you are claiming a new condition that was caused or made worse by an already service-connected condition. Under 38 CFR 3.310, this is a strong and often overlooked basis for claims.
"Disability which is proximately due to or the result of a service-connected disease or injury shall be service connected. When service connection is thus established for a secondary condition, the secondary condition shall be considered a part of the original condition."
Common secondary connections: Sleep apnea secondary to PTSD • Knee condition secondary to service-connected hip/back (altered gait) • Erectile dysfunction secondary to diabetes or PTSD • Peripheral neuropathy secondary to diabetes • Depression/anxiety secondary to chronic pain condition • GERD secondary to medications for service-connected condition
Use this when you had a condition before service, and military service made it permanently worse beyond its natural progression. Under 38 CFR 3.306, the VA must presume aggravation unless it can clearly show the worsening was due to the natural course of the condition.
"A pre-existing injury or disease will be considered to have been aggravated by active military, naval, or air service, where there is an increase in disability during such service, unless there is a specific finding that the increase in disability is due to the natural progress of the disease."
Example: Lower Back Condition
"I hurt my back in the Army. My back still hurts and I think it is related to my service."
"On or about March 2003, while serving as an 11B Infantryman with 3rd ID at Fort Stewart, GA, I injured my lower back during a prolonged forced ruck march of approximately 18 miles carrying a 90-lb rucksack. I experienced immediate sharp pain in my lumbar spine and was seen at sick call the following morning. I was placed on a profile and given Motrin. Since discharge in 2005, I have continuously experienced daily lower back pain, muscle spasms, and radiation down my right leg. I am currently diagnosed with lumbar disc herniation at L4-L5 with right-sided radiculopathy by Dr. Jane Smith at the Memphis VAMC as of January 2024. I believe my lumbar condition is at least as likely as not directly related to the in-service ruck march injury described above."
Example: Knee Condition
"My knees were fine before the Army. Now they hurt. Possibly from service."
"During my six years as an 0311 Marine Rifleman at Camp Lejeune (2008–2014), I conducted hundreds of hours of patrol, physical training, and combat operations in Afghanistan (2010 and 2012 deployments). The repetitive strain of patrolling with full combat load, frequent kneeling in defensive positions, and multiple helicopter fast-rope insertions caused progressive deterioration of both knees. I began experiencing knee pain and swelling in 2011 and was seen at Camp Lejeune Naval Hospital. Since discharge, my bilateral knee pain has been constant and has required two arthroscopic surgeries (2016 and 2019). I am currently rated 30% for my right knee and am now claiming service connection for my left knee condition, which has been diagnosed as medial compartment osteoarthritis by Dr. Robert Jones, orthopedic surgeon, at the Durham VAMC in February 2024. My left knee condition is at least as likely as not directly related to my military service."
- Write in first person. "I experienced…" "I was treated at…" "I believe…"
- Be specific with dates, locations, and units. Vagueness invites denial. Even "approximately summer 2004" is better than no date.
- Use medical terms for your diagnosis, plain language for your symptoms. "I was diagnosed with lumbar disc herniation (lower back disc damage)" covers both bases.
- Always include the nexus phrase "at least as likely as not" — this is not optional language. It is the legal threshold.
- Describe functional impact. Rating levels (0%, 10%, 30%, etc.) depend on how your condition limits your ability to function. Document it explicitly.
- Be honest but thorough. Do not exaggerate — VA C&P examiners are skilled at identifying inconsistencies. But do not minimize your symptoms either. Describe your worst days, not your best.
- Address flare-ups. Many conditions are rated based on frequency and severity of flare-ups. Note how often they occur, how long they last, and what symptoms appear during a flare.
- Sign and date every statement. Unsigned statements may not be considered.
PTSD, MST, TBI & Special Claims
Certain conditions have unique legal rules and dedicated VA forms. PTSD, Military Sexual Trauma (MST), and Traumatic Brain Injury require special handling — this step walks you through each one.
PTSD requires: (1) a confirmed medical diagnosis of PTSD; (2) credible supporting evidence that the claimed in-service stressor occurred; and (3) medical evidence establishing a link between the current PTSD and the in-service stressor. However, the evidence threshold varies by stressor type — combat veterans face a lower bar.
Special Stressor Categories
| Stressor Type | Evidence Required | Legal Basis |
|---|---|---|
| Combat / Fear of Hostile Military Activity | Lay testimony alone sufficient if consistent with service; DD-214 showing combat deployment typically satisfies stressor verification | 38 CFR 3.304(f)(2) |
| Military Sexual Trauma (MST) | VA must accept alternative evidence: behavioral changes, medical records from the period, statements from peers, performance evaluations, law enforcement records. No formal report is required. | 38 CFR 3.304(f)(5) |
| Non-Combat Stressor (POW, death threats, accidents, etc.) | Credible supporting evidence — may include service records, buddy statements, news reports, unit histories, or any other corroborating evidence | 38 CFR 3.304(f)(3) |
| Personal Assault (Non-MST) | Similar to MST — alternative evidence accepted; behavioral changes after the event are given significant weight | 38 CFR 3.304(f)(4) |
Required Additional Form: VA Form 21-0781
For PTSD claims, you should complete VA Form 21-0781 (Statement in Support of Claim for PTSD) in addition to the 526EZ. This form asks you to describe your in-service stressor(s). You are not required to provide excessive detail — you may describe the nature of the event without graphic specifics if doing so would be retraumatizing.
For MST-related PTSD, use VA Form 21-0781a instead. MST survivors are not required to identify the perpetrator, report the incident to law enforcement, or provide any specific type of evidence.
TBI claims are rated under 38 CFR 4.124a, Diagnostic Code 8045. TBI is evaluated based on its residual symptoms — meaning you may be able to claim both the TBI itself and specific residuals (headaches, cognitive impairment, PTSD, sleep problems, etc.) separately.
Many veterans with combat-related TBI also have PTSD. These conditions are frequently rated together but may also be rated separately if the residual symptoms differ. Work with a VSO or VA clinician to ensure you are claiming all residual conditions from your TBI.
Common TBI Residuals to Claim Separately:
- Chronic headaches / migraines (DC 8100)
- Cognitive impairment — memory, attention, processing speed (DC 8045)
- Sleep disturbance / insomnia
- Sensory deficits — visual, auditory, vestibular
- Emotional/behavioral changes (irritability, depression, anxiety)
- Seizure disorder (post-traumatic epilepsy)
Under 38 CFR 4.14, the VA cannot "pyramid" — it cannot rate the same symptom twice under two different diagnostic codes. If you have both TBI and PTSD with overlapping symptoms, VA must evaluate which rating most fully reflects your combined disability. Ensure your C&P exam clearly distinguishes TBI residuals from PTSD symptoms.
Toxic Exposures & the PACT Act
The PACT Act of 2022 dramatically expanded VA presumptive service connection for veterans exposed to toxic substances. Section VI of the 526EZ now captures this information. If you served in certain locations or were exposed to specific substances, you may qualify for presumptive service connection — meaning you do not need a nexus letter.
A "presumptive" service connection means VA automatically accepts that a specific condition is related to your service if you meet the service criteria — no nexus letter, no personal statement establishing causation required. You still need a current medical diagnosis.
38 CFR 3.307 sets the chronological requirements (e.g., how long after service a condition must manifest) and 38 CFR 3.309 lists the specific diseases presumptively associated with various exposures, including Agent Orange, radiation, Gulf War service, and conditions related to former POW status.
If you served in Vietnam, Thailand, certain Pacific Islands, the Korean DMZ, or other locations where herbicides were sprayed, you may qualify for Agent Orange presumptives.
- Republic of Vietnam — any service between January 9, 1962 and May 7, 1975 (including offshore and "Blue Water Navy")
- Korean DMZ — service between September 1, 1967 and August 31, 1971
- Thailand military bases — service between January 9, 1962 and May 7, 1975 (specific base requirements)
- Johnston Atoll — service on Johnston Atoll or on a ship calling at Johnston Atoll between January 1, 1972 and September 30, 1977
- Guam, American Samoa, or their territorial waters — service between January 9, 1962 and July 31, 1980
- Laos and Cambodia — certain documented missions
- Veterans who served in C-123 aircraft used to spray Agent Orange post-Vietnam
- Veterans who handled or were exposed to herbicides in other locations (non-presumptive, but may still claim direct service connection)
The following conditions are presumptively service connected for veterans with qualifying Agent Orange exposure:
- AL amyloidosis
- Bladder cancer (PACT Act addition)
- Chloracne (or similar acneform disease)
- Chronic B-cell leukemias (including hairy-cell leukemia and others)
- Diabetes mellitus, type 2
- Hodgkin's disease
- Hypertension (PACT Act addition)
- Hypothyroidism (PACT Act addition)
- Ischemic heart disease
- Monoclonal gammopathy of undetermined significance (MGUS)
- Multiple myeloma
- Non-Hodgkin's lymphoma
- Parkinson's disease
- Parkinsonism
- Peripheral neuropathy (early-onset, acute/subacute — manifested within 1 year of exposure)
- Porphyria cutanea tarda
- Prostate cancer
- Respiratory cancers (lung, bronchus, larynx, trachea)
- Soft tissue sarcoma (specific types listed in 38 CFR 3.309(e))
For these conditions: You only need to show (1) qualifying exposure service + (2) current diagnosis. No nexus letter required.
The Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act of 2022 established presumptive service connection for veterans exposed to burn pits, particulate matter, and other airborne hazards during post-9/11 service.
Service on or after August 2, 1990 in any of the following locations qualifies: Southwest Asia theater of operations (Iraq, Kuwait, Saudi Arabia, Red Sea, Gulf of Aden, Gulf of Oman, waters of Persian Gulf, Arabian Sea, Bahrain, Qatar, UAE, Djibouti), Afghanistan, Syria, Egypt (Sinai Peninsula), Jordan, Lebanon, Somalia, Uzbekistan, and other locations specified by the Secretary.
PACT Act Presumptive Respiratory & Other Conditions
The following conditions are presumptively connected for veterans with qualifying burn pit/airborne hazard exposure:
- Constrictive bronchiolitis / obliterative bronchiolitis
- Constrictive/obliterative bronchiolitis
- Head cancer (skull, face)
- Neck cancer
- Respiratory cancers (larynx, trachea, bronchus, lung)
- Reproductive cancers (male and female)
- Melanoma
- Pancreatic cancer
- Kidney cancer
- Other specified cancers under PACT Act expansion
- Glioblastoma and other malignant brain tumors
- Gastrointestinal cancers (esophageal, stomach, small intestine, colon)
- Lymphatic cancer (including Non-Hodgkin's lymphoma)
- Urinary cancer (including bladder cancer)
- Endocrine cancer (thyroid)
Register at the VA Airborne Hazards and Open Burn Pit Registry (va.gov/airborne-hazards-open-burn-pit-registry) to document your exposure. This registry creates a documented record of your burn pit exposure that can support your claim, even if no other records exist.
Veterans who served in the Southwest Asia theater of operations from August 2, 1990 to present may qualify for presumptive service connection for "medically unexplained chronic multisymptom illness" — known as Gulf War illness or Gulf War syndrome.
Qualifying veterans with a medically unexplained chronic multisymptom illness that has been present for at least 6 months since service, manifested to a degree of 10% or more, may receive presumptive service connection — even without a specific diagnosis or nexus link.
Common Gulf War Illness Symptoms Cluster
- Chronic fatigue (Chronic Fatigue Syndrome)
- Functional gastrointestinal disorders (irritable bowel syndrome, functional dyspepsia)
- Fibromyalgia
- Undiagnosed illness with symptoms in specific organ systems
- Neurological conditions (headaches, cognitive impairment, peripheral neuropathy)
Veterans (and their family members) who resided or worked at Marine Corps Base Camp Lejeune for at least 30 days between August 1, 1953 and December 31, 1987 may be eligible for presumptive service connection for any of 15 specified conditions related to contaminated drinking water.
Qualifying conditions include: Bladder cancer, Kidney cancer, Non-Hodgkin's lymphoma, Leukemia, Multiple myeloma, Parkinson's disease, Aplastic anemia, Neurobehavioral effects, Hepatic steatosis, Miscarriage, Female infertility, Scleroderma, Esophageal cancer, Breast cancer, Lung cancer, and others.
File using the 526EZ and indicate Camp Lejeune contaminated water exposure in Section VI. No nexus letter is required for the listed conditions.
Evidence & Supporting Documents
Strong evidence is the backbone of a successful claim. This step covers how to gather, submit, and authorize the right evidence — including the critical difference between what VA will gather for you vs. what you must provide yourself.
| Evidence Type | Examples | Strength |
|---|---|---|
| Medical Evidence | Diagnosis records, treatment notes, lab results, imaging, specialist opinions | Very Strong |
| Nexus Letter | Doctor's written opinion connecting current diagnosis to service using "at least as likely as not" language | Very Strong |
| Personal Statement (your own) | VA Form 21-4138 — your first-hand account of in-service event and symptoms | Strong |
| Buddy / Lay Statements | Statements from fellow service members, family, or friends | Strong |
| Service Treatment Records | In-service medical records, sick call notes, disability separation records | Very Strong |
| Deployment Orders / Unit Records | Orders showing service location (for presumptive claims), unit histories | Strong |
| Social Media / Photos / Journals | Contemporary documentation of in-service events or symptoms | Supplemental |
VA cannot obtain your private medical records (non-VA doctors, private hospitals, specialists) without your written authorization. Complete VA Form 21-4142 (Authorization to Disclose Information to the VA) and list each private provider.
Also complete VA Form 21-4142a (General Release for Medical Provider Information) for any additional providers. Submit with your 526EZ.
Even if you authorize VA to request records via 21-4142, VA may take months to receive them. Submitting copies of your records directly with your claim is always faster and gives you control over what evidence is in your file. Request your records from each provider and include copies when you file.
Fellow service members, family members, and friends who can attest to your in-service incident or the continuous nature of your symptoms are valuable lay witnesses. Their written statements are legitimate evidence under 38 CFR 3.303.
What a Good Buddy Statement Includes:
- The writer's relationship to you and how long they have known you
- Their direct, first-hand knowledge of your in-service event (if they witnessed it), or of your symptoms since service
- Specific observations — "I observed [Name] limping after ruck marches," "He/she declined social invitations due to pain," "I noticed personality changes upon return from deployment"
- The statement must be signed, dated, and include the writer's contact information
When filing the 526EZ, you choose between two tracks:
| Claim Type | What It Means | Processing Time |
|---|---|---|
| Fully Developed Claim (FDC) | You certify that you have submitted all relevant evidence and identified all evidence sources. VA can proceed without waiting to gather more. Fastest path to a decision. | Faster — typically 60–125 days |
| Standard Claim | VA assists in gathering evidence. You have more time to submit additional records. VA must request records you authorize via 21-4142 before deciding. | Slower — VA awaits evidence |
Only certify as a Fully Developed Claim if you are confident you have submitted (or authorized retrieval of) all relevant evidence. If you certify FDC and then realize you have outstanding records, VA may process your claim before those records arrive, potentially resulting in a denial that could have been avoided.
TDIU — Individual Unemployability
If your service-connected disabilities prevent you from obtaining and maintaining substantially gainful employment, you may qualify for a 100% effective rating through Total Disability based on Individual Unemployability (TDIU) — even if your combined rating is below 100%.
"Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation." VA will grant TDIU when a veteran is unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities.
Qualifying Ratings for TDIU
| Situation | Qualifying Combined Rating |
|---|---|
| Single service-connected disability | Rated at 60% or higher |
| Multiple service-connected disabilities | Combined rating of 70% or higher, with at least one disability rated at 40% or higher |
| Extra-schedular TDIU (38 CFR 4.16(b)) | Below the schedular thresholds but VA determines unemployability is clearly due to service-connected conditions — referred to the Director of Compensation Service |
A veteran granted TDIU receives compensation at the same monthly rate as a 100% schedular disability rating — even if their combined rating is only 70% or 80%. TDIU is one of the most valuable benefits available and is frequently underutilized.
File VA Form 21-8940 (Veteran's Application for Increased Compensation Based on Unemployability) along with your 526EZ (or separately if you are already service connected). On the 526EZ itself, check the box indicating you are unable to work due to service-connected conditions.
Information VA Will Request on Form 21-8940:
- Work history for the past 5 years
- Date you last worked full-time
- Why you stopped working (which conditions, specific limitations)
- Employer information (current or most recent)
- Education level
Under 38 CFR 4.16(a), employment in a "sheltered environment" (e.g., a family business that accommodates your condition) or earnings below the federal poverty threshold is considered "marginal employment" and does not disqualify you from TDIU. You may still qualify even if you earn some income, as long as it falls below substantially gainful employment thresholds.
Direct Deposit, Priority Processing & Submission
The final steps of the 526EZ cover how you will receive your payments, whether you qualify for expedited processing, how to submit your claim, and what to expect after you file.
VA pays all compensation by direct deposit (electronic funds transfer). Have your bank information ready:
- Account type — Checking or Savings
- Routing number — 9-digit number found at the bottom left of a check
- Account number — Your bank account number (not debit card number)
Only provide your banking information directly on VA.gov or in person at a VA Regional Office. Never provide banking details to third parties claiming to assist with your claim. Legitimate VSOs do not need your banking information.
Certain situations qualify your claim for priority processing — expedited handling by VA. Check all that apply on Section VIII of the form:
| Priority Situation | What VA Requires |
|---|---|
| Homeless or at risk of homelessness | Self-certification or VSO/shelter documentation. Contact the National Call Center for Homeless Veterans: 1-877-4AID-VET. |
| Extremely serious or terminal illness | Medical documentation of terminal or very serious condition. Claims processed within days. |
| Financial hardship | Documentation of severe financial distress (eviction notice, utility shutoff, etc.) |
| Former Prisoner of War (POW) | JPAC/DoD POW confirmation or service records establishing POW status |
| ALS (Amyotrophic Lateral Sclerosis) | Medical diagnosis — ALS is presumptively service connected for all veterans; claims are expedited |
| Medal of Honor recipient | DoD confirmation |
The fastest and most trackable submission method. Go to VA.gov and navigate to "File for Disability Compensation." You will need a verified account (Login.gov or ID.me). Benefits of filing online:
- Immediate confirmation with a claim number
- Ability to upload supporting documents directly
- Real-time claim status tracking
- Electronic notification of decisions
- Your effective date is protected the moment you submit
Accredited Veterans Service Organizations file claims on your behalf at no cost. VSO representatives are trained claim agents who can review your claim for errors, suggest additional claims you may have missed, and represent you if your claim is denied. Major VSOs include:
- DAV (Disabled American Veterans) — dav.org
- VFW (Veterans of Foreign Wars) — vfw.org
- American Legion — legion.org
- Veterans Service Organizations at your local VA Regional Office (VARO)
- Find accredited VSO representatives at: va.gov/ogc/apps/accreditation/index.asp
Mail your completed 526EZ and supporting documents to:
VA Claims Intake Center
PO Box 4444
Janesville, WI 53547-4444
Send via certified mail with return receipt to document the date of receipt (which becomes your effective date). Keep copies of everything you mail.
You may hand-deliver your claim to your local VA Regional Office (VARO). Ask for a date-stamped receipt copy at the time of submission. Find your VARO at va.gov/find-locations.
- Claim Received (Day 1): VA assigns a claim number and sends written acknowledgment.
- Initial Review: VA verifies your service and determines what evidence is needed.
- Evidence Gathering: VA requests records it is responsible for (STRs, VA medical records); you submit private records via 21-4142.
- Compensation & Pension (C&P) Exam: VA may schedule an independent medical examination to evaluate your claimed conditions. Attending is critical — missing a C&P exam without rescheduling can result in a claim denial.
- Rating Decision: A VA rater reviews all evidence and issues a rating decision letter. Processing typically takes 3–6 months but can vary widely.
- Notification: VA sends you a rating decision explaining each claimed condition, the assigned rating, and the reasons for the decision.
At your C&P exam: Describe your condition at its worst, not your average day. Do not minimize symptoms — the examiner records what you report. Bring your personal statement and point to specific symptoms. If the examiner's report contains errors, you may submit a rebuttal statement or request a new exam.
A denial is not the end. Most veterans who pursue appeals ultimately receive benefits. You have several paths:
| Appeal Path | What It Is | When to Use |
|---|---|---|
| Supplemental Claim | Submit new and relevant evidence not previously considered | When you have new medical records, a nexus letter, or buddy statements to add |
| Higher-Level Review | A senior VA rater reviews the same record for clear error; no new evidence | When you believe the rater made a legal or factual error on the existing evidence |
| Board of Veterans' Appeals | Appeal to a Veterans Law Judge; may include a hearing | For complex issues or when other appeals have failed; can take 1–5+ years |
You have one year from the date of a rating decision to file any appeal without losing your original effective date. After one year, a new claim may be filed but your effective date resets to the new filing date.
- VA.gov: va.gov — file claims, check status, manage benefits
- VA Benefits Hotline: 1-800-827-1000 (Mon–Fri, 8 AM – 9 PM ET)
- National Call Center for Homeless Veterans: 1-877-4AID-VET (1-877-424-3838)
- Veterans Crisis Line: Dial 988, then Press 1 (24/7)
- eBenefits: ebenefits.va.gov — access to many VA services
- MyHealtheVet: myhealth.va.gov — VA medical records and appointments
- National Personnel Records Center: archives.gov/veterans — request service records
- Calumet County Claims Assistance: Contact your state Veterans Affairs office for local help
Veteran Claim Builder is an independent educational resource designed to help veterans understand the VA claims process and prepare strong 526EZ applications. It is not affiliated with the U.S. Department of Veterans Affairs and does not constitute legal advice. For complex claims, denied claims, or high-stakes appeals, consider working with a VA-accredited attorney or claims agent. Visit VeteranClaimBuilder.com for additional resources.
Thank you for your service. You deserve these benefits.