21-0781

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

Agency
VA
Revision
2024-03-18
Fillable fields
124
Fill 21-0781 online
21-0781

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

Use VA Form 21-0781 if you’ve been diagnosed with a mental health condition related to a traumatic event during your military service and want to apply for related benefits or services. This form is optional. But if you submitted a disability compensation claim related to a mental health condition, this form could help with your claim. We’ll use the information you provide to help identify records and other evidence to support your claim.

How to fill out Form 21-0781 online

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