Chapter Twenty Two
Examples Forms Completed
The Forms in this Chapter are located at the below links. Most Forms are jpg scans. The jpg’s
have been reduced as small a size as possible for reasonable viewing. However, some will be slow
loading if you use a slow modem connection. Some Blank Form Links are links to Forms available for
viewing and downloading from the VA web site. (where applicable)
SF 180 Request Pertaining to Military Records (Front page view)
SF 180 (View of back page)
NA Form 13075 Questionnaire about Military Service
VA Form 21-526 Veteran’s Application for Compensation or Pension (Page #1 View)
VA Form 21-526 Veteran’s Application for Compensation or Pension (Page #2 View)
VA Form 21-526 Veteran’s Application for Compensation or Pension (Page #3 View)
VA Form 21-526 Veteran’s Application for Compensation or Pension (Page #4 View)
Attached Sheet 21-256 Attached sheet with more detailed information from
questions on Form 21-256
Form 21-686c Declaration of Status of Dependents
Form 70-3288 Request for and Consent to Release of Information Form
Claimant’s Records
The below listed Links will take you to pages where you will find blank Forms downloadable in the PDF format;
Form SF 180
Form 21-256
Form 21-686c
VA Forms Page