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* Form name: Request for Employment Information in Connection with Claim for Disability Benefits Form revision date: August 2024 Related to: Disability WHEN TO USE THIS FORM Use VA Form
21-4192 if you’re a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must
complete and submit this form. DOWNLOAD FORM Download this PDF form and fill it out. Then submit your completed form on this page. Or you can print the form and mail it to the address listed
on the form. Download VA Form 21-4192 (PDF) VA FORM 21-8940 Form name: Veteran's Application for Increased Compensation Based on Unemployability Use VA Form 21-8940 if you want to
apply for Individual Unemployability disability benefits for a service-connected condition that prevents you from keeping a steady job. Download VA Form 21-8940 (PDF) * Find out if you
qualify for compensation for a presumptive disability or other service-connected conditions. * Find out how to file a claim for disability compensation or increased disability compensation.
* Find out if you need to complete additional forms for your disability claim. * Find out how to file for VA Individual Unemployability compensation if you're an unemployed Veteran who
can't work due to a service-connected disability.
