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-21-526EZ-ARE.pdf
Form number
21-526EZ
Row ID
4909
Form title
Application for Disability Compensation and Related Compensation Benefits (Fillable)
Issue date
Revision date
Form administration
VBA
Number of pages
15
Deleted
False
Form name
Application for Disability Compensation and Related Compensation Benefits
Form Language
English
Related to
Benefits
VA disability compensation
When to use

Use VA Form 21-526EZ when you want to apply for VA disability compensation (pay) and related benefits.

Online tool
You can apply online instead of filling out and sending us the paper form.
https://www.va.gov/disability/how-to-file-claim/
Helpful links
Eligibility for VA disability
Review VA disability benefits eligibility criteria to find out if you can get disability compensation for an illness or injury that was caused by—or got worse because of—your active military service.
How to file a VA disability claim
Find out how to file a claim for disability compensation or increased disability compensation.
Additional disability forms
Find out if you need to complete additional forms for your disability claim.