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Build your first VA claim around the evidence that decides it.
Answer a few questions about each condition. You get VA Form 21-526EZ filled in, a letter that tells your doctor exactly what VA needs, and a plan for the evidence that decides most claims.
Your kit is built on this device. Nothing you type is sent to ClaimScope. Your answers (never your Social Security number) are saved in this browser so you can come back.
Step 1
What you're claiming
One card per condition or symptom. Use your own words; a diagnosis name is helpful but not required.
Step 2
About you
These fill in VA Form 21-526EZ. VA requires your Social Security number on its forms; it stays on this device and isn't saved.
Step 3
Your service
Step 4
Where you've been treated
VA gets records from VA and military facilities on its own. For private doctors, the kit fills in VA Forms 21-4142 and 21-4142a so VA can request them.
VA or military facilities after discharge
Private doctors and hospitals
Step 5
Download your kit
- VA Form 21-526EZ filled in with your answers (you sign it and fill in the parts left blank)
- A Letter for my doctor for each condition that needs a medical opinion (Word and PDF)
- VA Forms 21-4142 and 21-4142a, if you listed private doctors
- Your claim guide: what VA needs for each condition, what you have, what to do next, statement templates and exam tips
Direct deposit, signatures, and Guard, Reserve and service-pay details are left for you to complete. ClaimScope never asks for bank information.