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About VA Form 21 4142aVeterans Affairs
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People also ask
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What is VA form 21 4192 used for?
Use VA Form 21-4192 if you're a Veteran and you need your most recent employer to send us information so you can apply for Individual Unemployability disability benefits. Your most recent employer must complete and submit this form.
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Why did the VA send me a Tdiu form?
IMPORTANT: This is a claim for compensation benefits based on unemployability. When you complete this form you are claiming total disability because of a service-connected disability(ies) which has/have prevented you from securing or following any substantially gainful occupation.
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Is VA unemployability the same as 100% disability?
Individual Unemployability allows VA to pay certain Veterans at the 100-percent disability rate even though their service-connected disabilities are not rated as 100-percent disabling.
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How long is a VA form 21 4142 good for?
The VA Form 21-4142 is valid for 12 months from the date signed. It is permissible to authorize release of, and disclose, information created after the consent is signed.
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Where do I send VA form 21 4142?
After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. NOTE: You may complete the form online or by hand.
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What is VA Form 21 4142a used for?
Use this form to provide the name of the provider or facility you have received treatment from to the VA.
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Is VA form 21 4192 necessary?
The form is not absolutely necessary to receive a favorable decision on your TDIU claim. Many veterans have succeeded with their TDIU claim without a 21-4192. However, without the form, the process could be delayed. The VA considers it your responsibility to get the required information.
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How do I prove unemployability to the VA?
You'll have to provide evidence (supporting documents like a doctor's report or medical test results) showing that your disability prevents you from holding down a steady job. We'll also review your work and education history.
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