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VA Form 21-4138: Statement in support of claim

Use this form to put your own words on the record about your service, your symptoms, or how a condition affects your daily life. It is also the form your buddies, family, and coworkers use to back you up.

38 CFR 3.159

What it is

VA Form 21-4138 is the Statement in Support of Claim. It is a blank statement form the VA accepts as written evidence in any pending claim. You use it for your own narrative; a separate witness uses it (or VA Form 21-10210) to write a buddy statement on your behalf.

When you use it

File a 4138 when you need to explain something a checkbox form cannot capture: how a stressor unfolded, when symptoms first appeared, how a condition limits work or sleep, or why you are late returning evidence. Buddies, spouses, fellow service members, and supervisors use it to corroborate what they personally saw or heard.

What to gather before you fill it out

Your file number or SSN, the specific claim or condition the statement supports, dates and locations, names of units or providers, and any documents the statement refers to. For lay statements from others, the writer's full name, relationship to you, and signature.

How to submit

Upload through VA.gov, mail to the Evidence Intake Center in Janesville, WI, fax to the number listed on the form, or hand it to an accredited representative. Keep a copy.

Common pitfalls

Related forms

VA Form 21-10210 (Lay/Witness Statement), VA Form 21-0781 (PTSD stressor statement), VA Form 21-526EZ (disability claim).

Sources

The in-depth filing guides are Pro in VA Ready for iOS, Vet Ready for Android and VA Ready for Windows; the combined-rating calculator, claim list, exposure catalog, VSO finder and symptom tracker are free.

This guide is for general informational purposes only and is not legal or medical advice. VA Ready is not affiliated with, endorsed by, or connected to the U.S. Department of Veterans Affairs. Regulations and procedures change; always verify current requirements at VA.gov and consult a VA-accredited representative for help with your claim.