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Veterans: Understand the 8 Steps in Filing Disability Claims

Navigating veterans’ benefits can be confusing, at best. The best way to apply for disability compensation is by obtaining an eBenefits account and applying online at  https://www.ebenefits.va.gov/ebenefits/homepage.  When applying for compensation benefits, you must have access to the following information:

  • Discharge or separation papers (DD214 or equivalent)
  • Medical evidence (doctor and hospital reports)
  • Dependency records (marriage and children’s birth certificates)

Or, you may print and mail in VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits or call VA at 1-800-827-1000 to have the form mailed to you.

As with everything, it helps to be familiar with the process your application must go through. There are eight distinct steps that most claims for disability compensation follow. These phases may vary in time depending on the complexity of the claim, the amount of evidence that must be gathered to support the claims, and the type of evidence. You are strongly encouraged to submit as much evidence as possible with your claim to help minimize processing time. The eight steps of claims processing are as follows:

  1. Claim received: Your claim has been received by the VA. If you applied online with VONAPP Direct Connect, you should see receipt in your list of Open Claims within one hour. If you applied through the U.S. mail, please allow mailing time plus one week for us to process and record receipt of your claim.
  2. Under review: Your claim has been assigned to a Veterans Service Representative and is being reviewed to determine if additional evidence is needed. If we do not need any additional information, your claim will move directly to the Preparation for Decision phase.
  3. Gathering of evidence: The Veterans Service Representative will request evidence from the required sources. Requests for evidence may be made of you, a medical professional, a government agency, or another authority. It is common for claims to return to this phase, should additional evidence be required.
  4. Review of evidence: We have received all needed evidence. If, upon review, it is determined that more evidence is required, the claim will be sent back to the Gathering of Evidence phase.
  5. Preparation for decision: The Veterans Service Representative has recommended a decision, and is preparing required documents detailing that decision. If more evidence is required, the claim will be sent back in the process for more information or evidence.
  6. Pending decision approval: The recommended decision is reviewed, and a final award approval is made. If it is determined that more evidence or information is required, the claim will be sent back in the process for more information or evidence.
  7. Preparation for notification: Your entire claim decision packet is prepared for mailing.
  8. Completion of process: The VA has sent a decision packet to you by U.S. mail. The packet includes details of the decision or award. Please allow standard mailing time for your packet to arrive before contacting a VA call center.

How Long Will This Process Take?

The length of time it takes to complete a claim depends on several factors, such as the type of claim filed, complexity of your disability(ies), the number of disabilities you claim, and the availability of evidence needed to decide your claim.

You can track the status of your claim by registering for eBenefits at www.ebenefits.va.gov. You can also visit VA’s ASPIRE web site. Here you can find the average processing days for the regional office that is working on your claim. To find the average processing days for your state:

  • Find your state on the map, place your cursor within the state and click
  • This will open the Veterans Benefits Administration Aspire Benefits site.
  • Click “Enter”. You should see a split table.
  • On the left table click on “Compensation”. This will expand the table. Approximately five rows down is “Rating Claims Processing Time”
  • Follow that row to the right until you locate the cell located within the column of your regional office. The number you see is the average processing days to complete a claim that requires a disability rating. The average is based on completed claims since October 1 in a given fiscal year.

If you need legal help with Veterans’ Affairs, contact the Law Office of Scott C. Painter. We specialize in elder law issues ranging from nursing home planning, guardianship, wills, trusts, estates, veteran’s benefits, and other related legal matters. A call to us is free, and the best advice is to act now to educate yourself and your options. Waiting to seek legal counsel may limit your options and be costly. Call now for your free consultation 610-378-5140 or visit https://painterelderlawpc.com/ for more information.

 

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