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General · VA Form 21-526EZ

Fill VA Form 21-526EZ online — free, on your device

VA Form 21-526EZ is the form veterans use to apply for VA disability compensation — monthly, tax-free payments for a condition connected to active military service — plus related benefits like Individual Unemployability. It is issued by the Department of Veterans Affairs (Veterans Benefits Administration) and, if filed on paper, goes to the VA Claims Intake Center. Because a disability claim carries sensitive medical and service history, filling it privately matters. Bring the official blank VA PDF (we link the current edition below); AttachKit auto-fills common fields — your name, VA file or Social Security number, date of birth, and service dates — from your saved profile, entirely on your device, so the file itself is never uploaded. AttachKit does not submit the form to the VA and does not provide legal, medical, or benefits advice. It is a private way to prepare the PDF; you review it and file it yourself.

Your PDF never leaves your browser — open DevTools → Network and watch: the file is never uploaded.

Who needs it: Any veteran who has a current illness or injury they believe was caused or worsened by active service and wants to claim disability compensation uses this form. It also covers first-time claims, new conditions added to an existing rating, and requests for related benefits such as Individual Unemployability. It is filed by the veteran (or an accredited representative acting for them), not by surviving family members.

Need a blank VA Form 21-526EZ? Download from the source, then drop it in below.

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Save your name, address, and other common fields once. Then open the blank VA Form 21-526EZ in the form filler below — AttachKit maps what it can from your saved profile, right in your browser with nothing uploaded.

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Why fill it here

  • Your medical and service details stay on your device — the PDF is filled in the browser and never uploaded to a server, which matters for a form that carries your VA file number and health history.
  • Repeated identity fields (name, VA file or SSN, date of birth, service dates) auto-fill once from your saved profile, so you fill them consistently across every page of the claim.
  • Download a clean, print-ready PDF you can mail to the Claims Intake Center, hand to an accredited representative, or keep for your records.
  • Free to fill unlimited forms (10 signed PDFs/mo on the free tier).

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VA Form 21-526EZ questions, answered

Does AttachKit submit VA Form 21-526EZ to the VA for me?
No. AttachKit only fills the PDF in your browser. You file it yourself — either by uploading it through your account at VA.gov, mailing the printed form to the Department of Veterans Affairs Claims Intake Center (PO Box 4444, Janesville, WI 53547-4444), or bringing it to a VA regional office.
Should I submit an Intent to File first?
Often yes. Filing VA Form 21-0966 (Intent to File) sets an effective date and gives you up to one year to complete and submit the 21-526EZ, which can protect the start date of your benefits. If you start a claim online at VA.gov, the effective date is captured automatically. This is general information, not benefits advice — confirm your situation with the VA or an accredited representative.
What evidence do I file with the 21-526EZ?
Common supporting items include medical records showing your current condition, evidence linking it to service, and, for private records, an authorization such as VA Form 21-4142. Some conditions need extra forms (for example a mental-health or PTSD statement). Submitting your evidence up front through the Fully Developed Claim path can speed processing. AttachKit fills the 21-526EZ itself; gather the supporting documents separately.
Is this the same as filing for a VA pension?
No. Form 21-526EZ is for disability compensation, based on a service-connected condition. VA pension for wartime veterans with limited income is a different program and uses a different application (VA Form 21P-527EZ). Make sure you are on the compensation form if your claim is service-connected.

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AttachKit is a private, independent tool for filling and signing PDFs on your own device. It is not a government agency, law firm, or filing service, and is not affiliated with or endorsed by the IRS, USCIS, the U.S. Department of State, or any government body. Forms are provided for convenience — always download the current version and instructions from the official .gov website, and your completed document never leaves your browser.