HomeVeterans Guide to VA BenefitsVA Pension Non-Service Connected DisabilitySubmitting a Claim for Non-Service Connected Pension

8.10. Submitting a Claim for Non-Service Connected Pension

Submitting a Claim for Non-Service Connected Pension

To submit a claim for the wartime or non-service connected pension, you will need:

  1. The proper VA application Form

    1. If the Veteran believes that he or she is unsure as to whether or not they qualify for service connected disability compensation or a non-service connected pension, the Veteran should apply using VA Form 21-526 Application for Compensations and/or Pension. The fillable form can be obtained by going to: http://www.vba.va.gov/pubs/forms/VBA-21-526-ARE.pdf.

    2. If the Veteran believes that he or she is only eligible for non-service connected pension, then the Veteran should apply using VA Form 21-527EZ Application for pension. This fillable form can be obtained by going to: http://www.vba.va.gov/pubs/forms/VBA-21-527EZ-ARE.pdf

  2. All income and net worth information and supporting documents.

  3. Medical Evidence of the Claim: To support your claim, submit all medical treatment records and documents from private Practitioners, private facilities, testing centers and VA medical centers. For each source of medical information, complete VA Form 21-4142, Authorization to disclose information to the Department of Veteran Affairs, http://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf. VA medical centers do not need a VA Form 21-4142.

  4. Extra Benefit applications

    1. Application for Aid and Attendance or housebound benefits will require:

      1. If the Veteran resides at home, complete VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance,   http://www.vba.va.gov/pubs/forms/VBA-21-2680-ARE.pdf or

      2. If the Veteran is in a Nursing Home, complete VA Form 21-0779 Request for Nursing Home Information in Connection with Claim for Aid and Attendance, http://www.vba.va.gov/pubs/forms/VBA-21-0779-ARE.pdf

    2. Claim application for a dependent child in school between 18 and 23 with the pension requires completing VA Form 21-674, Request for Approval of School Attendance http://www.vba.va.gov/pubs/forms/VBA-21-674-ARE.pdf

    3. Claim application for helpless (disabled) child benefits, will require you to declare the child a dependent, using VA Form 21-686c, Declaration of Status of Dependents, http://www.vba.va.gov/pubs/forms/VBA-21-686c-ARE.pdf and submission of all relevant medical treatment records for the child's disabilities using VA Form 21-4138, Statement in Support of Claim, http://www.vba.va.gov/pubs/forms/VBA-21-4138-ARE.pdf.  

For a brief overview of the pension, go to the VA Fact Sheet on Live Pension: http://benefits.va.gov/BENEFITS/factsheets/limitedincome/livepension.pdf.

Or, the VA Fact Sheet on Survivors Pension: http://www.benefits.va.gov/BENEFITS/factsheets/survivors/Survivorspension.pdf

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