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How do I fill this out?
To fill out this form, start by reading the instructions carefully. Make sure to use clear and legible handwriting if completing by hand. Provide complete and accurate information in each section to avoid delays.

How to fill out the Veteran's Application for Increased Compensation?
1
Read the entire form and instructions thoroughly.
2
Fill in all required personal information accurately.
3
Detail any service-connected disabilities affecting your ability to work.
4
Include employment history for the past five years.
5
Review all entries for accuracy before submitting.
Who needs the Veteran's Application for Increased Compensation?
1
Veterans seeking disability benefits due to service-related issues.
2
Disabled veterans who have been unable to secure gainful employment.
3
Individuals applying for Social Security benefits related to their service-connected disabilities.
4
Veterans requiring documentation of their employment history.
5
Those appealing a previous denial of disability compensations due to failure to provide adequate information.
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What are the instructions for submitting this form?
To submit the form, mail it to the address specified on the VA's website or your local veterans office. For online submission, consult the VA's digital claims portal for specific instructions. Ensure that all sections are filled out completely before sending to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
This form is valid until June 30, 2024. Make sure to complete it before this expiration date for timely processing of your claim.

What is the purpose of this form?
The purpose of this form is to allow veterans to claim increased compensation due to conditions that limit their ability to work. It serves as an official document required by the Department of Veterans Affairs to assess claims based on unemployability. Veterans must provide information about their disabilities, employment history, and medical treatments to support their claims.

Tell me about this form and its components and fields line-by-line.

- 1. Veteran's Name: The full name of the veteran applying.
- 2. Social Security Number: The veteran's social security number.
- 3. VA File Number: The veteran's unique identifier used by the VA.
- 4. Date of Birth: The veteran's birth date.
- 5. Mailing Address: The veteran's current address.
- 6. Email Address: The veteran's email for correspondence.
- 7. Telephone Number: Contact number for acknowledgment or questions.
- 8. Service-Connected Disabilities: List of disabilities affecting the veteran's ability to work.
- 9. Medical Treatment: Information on recent medical treatments and healthcare providers.
- 10. Employment History: Details of all employment experiences for the past five years.
What happens if I fail to submit this form?
If the form is not submitted correctly, the claim process may be delayed or denied altogether. Ensuring that all fields are filled out accurately helps avoid these issues. Claims may require additional documentation or re-submission if initially incomplete.
- Incomplete Information: Incomplete forms could lead to delays in processing your claim.
- Incorrect Details: Providing incorrect information may result in denial or delay.
- Missing Signatures: Failure to sign where required could invalidate the application.
How do I know when to use this form?

- 1. Applying for Compensation: When seeking compensation for a disability that prevents gainful employment.
- 2. Updating Information: To report changes in health or employment status affecting disability.
- 3. Appealing a Denial: To provide further evidence of unemployability if a previous claim was denied.
Frequently Asked Questions
What is the purpose of this form?
This form is used by veterans to apply for increased compensation due to unemployability.
How do I fill out the sections?
Make sure to provide detailed and accurate information in each section for processing.
Can I save my edits?
You can download the edited PDF to retain your changes.
Is this form necessary for veterans?
Yes, it's essential for obtaining compensations linked to disabilities.
How can I share my completed form?
You can share it easily via email or social platforms after editing.
What kind of information do I need for this form?
Personal, employment, and medical history related to your disabilities.
Can I edit this form on PrintFriendly?
Yes, PrintFriendly provides tools to edit your PDF easily.
How do I submit this form?
You can submit it via mail or through online channels provided in the instructions.
Who can assist me with filling this out?
Veterans Affairs representatives can help guide you through the process.
What happens if I provide incomplete information?
Incomplete information may lead to delays or denials in processing your claim.
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