Veterans Affairs

VA Form 21-0966 — Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966)

Form 21-0966

Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966)

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Last checked Aug 18, 2026

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