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-21-4138-ARE.pdf
Form number
21-4138
Row ID
2427
Form title
Statement in Support of Claim (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
2
Deleted
False
Form name
Statement in Support of Claim
Form Language
English
Related to
Benefits
Careers and employment
VA disability compensation
VA education and training benefits
VA health care
VA housing assistance
VA life insurance
VA pension benefits
When to use

Use VA Form 21-4138 when you want to submit a VA “buddy statement” or other statement from someone with firsthand knowledge of information you believe will help support your request for VA benefits.

Online tool
You can submit your statement in support of claim online instead of filling out and sending us the paper form.
https://www.va.gov/disability/upload-supporting-evidence/
Helpful links
How to apply for VA health care
Find out how to apply for VA health care as a Veteran or service member.
How to file a VA disability claim
Find out how to file a claim for disability compensation or increased disability compensation.