VA Form 21-526EZ

Application for Disability Compensation and Related Compensation Benefits

Primary form for filing a VA disability claim — the standard "Fully Developed Claim" application. Use for original claims, increases, secondary conditions, and PACT Act presumptive claims.

Who files

Any veteran with a service-connected condition seeking compensation.

Next step

Take this form (with your DD-214 and any private medical records) to a CVSO — free claims help.

Related VA Disability Claim forms

• VA Form 21-0966 — Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DICFiles an "intent to file" date with VA — locks in your effective date so back-pay starts from when you filed t…
• VA Form 21-0781 — Statement in Support of Claim for Service Connection for PTSDCompanion form for a PTSD claim. Documents the in-service stressor (combat, MST, accident). Required for non-p…
• VA Form 21-0781a — Statement in Support of Claim for Service Connection for PTSD Secondary to Personal AssaultSpecial MST-related variant of 21-0781. VA can use "markers" (medical-record changes, pregnancy tests, transfe…

About this form catalog

This is part of a 22-form catalog covering disability claims, appeals, representation, education benefits, healthcare, housing, pension, and records access — maintained by Wounded Warriors. Every entry includes the official VA download URL, plain-English description, who-files-it, and next-step routing to free claims help (CVSOs and VSOs). Free to use under CC-BY 4.0. Browse all forms → · Find a free CVSO →

This page is informational only and is not a VA-affiliated source. The official form is hosted at va.gov.