VA Form 20-0995 PDF

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VA Form 20-0995
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VA Form 20-0995

Use this form, VA Form 20-0995, Decision Review Request: Supplemental Claim, to submit a supplemental claim of the decision you received that you disagree with. Note: A supplemental claim is a new review of an issue(s) previously decided by the Department of Veterans Affairs (VA) based on submission of new and relevant evidence.

For additional information on the supplemental claim process or other decision review options such as a higher-level review and appeal to the Board of Veterans’ Appeals (BVA), visit www.va.gov/decision-reviews/. This form should only be used if you DISAGREE with a decision you received.

Where to Submit This Form:

Submit your supplemental claim to one of the addresses shown below that corresponds to your benefit type. It is important that you keep a copy of all completed forms and materials you give to VA. This form has several key components, which, when filled out completely and accurately, will decrease the amount of time it takes to process your supplemental claim. This form may only be submitted for review of an issue(s) related to one benefit type (Compensation, Pension and Survivors Benefits, Fiduciary, Life Insurance, Education, Loan Guaranty (LGY), Veteran Readiness and Employment (VR&E), Veterans Health Administration (VHA) or National Cemetery Administration (NCA)).

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