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* Form name: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC Form revision date: February 2023 Related to: Disability, Family member benefits, Pension
WHEN TO USE THIS FORM Use VA Form 21-0966 if you’re still gathering information to support your claim, and want to start the filing process. Submitting an intent to file can secure the
earliest possible effective date for any retroactive payments you may be eligible to receive. DOWNLOADABLE PDF Download VA Form 21-0966 (PDF) ONLINE TOOL You can submit your intent to file
online instead of filling out and sending us the paper form. * Learn about the steps for filing a claim for disability compensation or increased disability compensation. Note: If you file
your disability claim online, you don’t need to submit a paper Intent to File form. * Find out how to apply for tax-free VA pension benefits as a Veteran. Note: If you apply online for
pension benefits, you still need to submit VA Form 21-0996 as your intent to file.
