Supplemental Claims

How do I file a Supplemental Claim?

File online for a disability compensation claim

At this time, a disability compensation claim is the only type of claim you can use our online Supplemental Claim form for.

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File a Supplemental Claim online

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Note: For other types of claims, you’ll need to file your Supplemental Claim by mail, in person, or with the help of a Veterans Service Organization (VSO).

File by mail, in person, or with the help of a VSO for any type of benefit claim

You’ll need to download and fill out a Decision Review Request: Supplemental Claim (VA Form 20-0995).

Get VA Form 20-0995 to download

If you want us to get medical records and information from your private health care provider, you’ll also need to fill out VA Form 21-4142. You can submit this form online. Or you can download it and submit by mail.

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Submit an authorization online for us to get your medical information (VA Form 21-4142)

Get VA Form 21-4142 to download

File by mail

Send your forms and any supporting documents to the address that matches the benefit type you’re filing for:

Disability compensation

Department of Veterans AffairsClaims Intake CenterPO Box 4444Janesville, WI 53547-4444

Life insurance

Department of Veterans AffairsAttention: Insurance CenterPO Box 5209Janesville, WI 53547

Pension and survivor benefits

Department of Veterans AffairsClaims Intake CenterPO Box 5365Janesville, WI 53547-5365

Program of Comprehensive Assistance for Family Caregivers (PCAFC)

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Department of Veterans AffairsEvidence Intake CenterPO Box 5154Janesville, WI 53547

Health care benefits and all other benefit types: Check the decision letter for your initial claim or application for instructions on how to submit the form.

File in person (only for claims that aren’t related to health care benefits)

Bring your completed forms and any supporting documents to a VA regional office for claims that aren’t related to health care benefits.

Find a VA regional office near you

Note: You can ask a VA regional office for copies of the forms to fill out. Or call us at 800-827-1000 (TTY: 711) to request forms. We’re here Monday through Friday, 8:00 a.m. to 9:00 p.m. ET.