U.S. Department of Veterans Affairs (VA) · United States

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Statement in Support of Claim

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JustFill is not affiliated with U.S. Department of Veterans Affairs (VA). This is an independent third-party tool to help you complete VA Form 21-4138. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official VA Form 21-4138 from U.S. Department of Veterans Affairs (VA)

Quick answer

VA Form 21-4138, Statement in Support of Claim, is a U.S. Department of Veterans Affairs form veterans and claimants use to add written statements or extra details supporting a VA benefits claim. It is completed by the veteran or claimant (or an authorized representative). JustFill lets you fill it online for free, then download the finished PDF.

Form
VA Form 21-4138
Issued by
U.S. Department of Veterans Affairs (VA)
Country
United States
Cost to fill
Free

What is VA Form 21-4138?

VA Form 21-4138, the Statement in Support of Claim, is a flexible, free form from the U.S. Department of Veterans Affairs that lets a veteran or claimant submit a written statement backing up a VA benefits claim. It is used when another VA form or process asks for more information, or when you need more room than the original form allowed to explain your situation, finances, medical expenses, or the disability you are claiming. The form is short: it collects your identifying details (name, Social Security number, and VA file number), provides a large remarks area for your statement, and ends with a certification that the information is true plus your signature and date. The current edition is dated July 2024 (OMB 2900-0075, expires July 31, 2027). With JustFill, the AI detects each field on the PDF automatically, so you can type or dictate your statement, handle scanned or flattened copies, and finish without Adobe Acrobat.

Download the VA Form 21-4138 form PDF — free

The official VA Form 21-4138 PDF is free to download from the VA forms library at va.gov/find-forms. JustFill opens that same PDF directly in your browser so you can fill and download it with no Adobe Acrobat required.

Get the official VA Form 21-4138 PDF from U.S. Department of Veterans Affairs (VA)

Who fills out VA Form 21-4138?

  • A veteran adding details or context to a pending disability compensation or pension claim.
  • A surviving spouse or dependent submitting a statement to support a survivors benefits claim.
  • A claimant who ran out of space on another VA form and needs to continue their explanation.
  • A veteran reporting a change in finances, medical expenses, or living situation tied to a claim.
  • An accredited representative or VSO drafting a supporting statement on a claimant's behalf.

Field-by-field breakdown

What each section of VA Form 21-4138 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.

Veteran's/claimant's name

Your full legal name (first, middle, last) as it appears on your VA records.

Social Security number

The claimant's Social Security number used to match the statement to your file.

VA file number

Your VA claim/file number, if different from your SSN; helps VA route the statement.

Statement / remarks area

The large open box where you write the statement supporting your claim in your own words.

Certification

The pre-printed certification that the statements made are true and correct to the best of your knowledge.

Signature

Your handwritten or electronic signature attesting to the statement.

Date signed

The date you sign the form (mm/dd/yyyy).

Address and contact info

Your current mailing address, phone number, and email so VA can reach you about the claim.

Common mistakes to avoid

  • 1Leaving the VA file number blank when it differs from your SSN, which can slow matching the statement to your claim.
  • 2Writing past the remarks box without continuing on an attached sheet, so part of the statement is cut off.
  • 3Forgetting to sign and date the certification, which makes the statement unusable as evidence.

How JustFill helps you complete VA Form 21-4138

AI field detection

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Frequently asked questions

Yes. The form is a free public-domain document from the U.S. Department of Veterans Affairs, and filling it online with JustFill is free too.
Download the official PDF from va.gov/find-forms, or open it in JustFill, which loads the same form so you can fill it and save the completed copy.
Yes. JustFill's AI detects each field on the PDF, so you can type or dictate your statement online and download the finished form, no Adobe needed.
It is a Statement in Support of Claim used to give VA extra written information or details that back up a benefits claim, often when another form asks for more or you need more space.
Yes. You must sign and date the certification confirming your statement is true; JustFill lets you complete the fields and add your signature before downloading.
An accredited representative or VSO can prepare and submit the statement for you. JustFill makes it easy to draft the form online and download it for review or signing.

Official source: VA Form 21-4138 on U.S. Department of Veterans Affairs (VA)’s website

JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by U.S. Department of Veterans Affairs (VA) or any government agency. Always verify your completed form on the official version before signing or submitting.