The following information about this VA form comes from the VA forms database, and any changes are updated here nightly. Contact the form administration for further information.
Link to form
http://www.vba.va.gov/pubs/forms/VBA-20-0996-ARE.pdf
Form number
20-0996
Row ID
10549
Form title
DECISION REVIEW REQUEST: HIGHER-LEVEL REVIEW (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
5
Deleted
False
Form name
Decision Review Request: Higher-Level Review
Form Language
English
Related to
Benefits
VA decision reviews and appeals
When to use

Use this form to request a Higher-Level review of the decision you received by the Department of Veterans Affairs based on the evidence of record at the time VA issued of the prior decision.

Online tool
You can apply online instead of filling out and sending us the paper form.
https://www.va.gov/decision-reviews/higher-level-review/request-higher-level-re…
Helpful links
Higher-Level Reviews
Learn about how you can request to have a senior reviewer take a new look at your case.
VA decision reviews and appeals
The legacy VA appeals process has changed. Learn about the new decision review process and the 3 options available for disagreeing with a VA claim decision.
Check your VA claim or appeal status
You can check the status of a VA claim or appeal online.