OMB control number

Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)

OMB 2900-0747 · VA.

OMB 2900-0747

VA Form 21-526EZ is used to collect the information needed to process a claim for disability compensation and/or related compensation benefits. The form has evolved over time into a standard claim form to be used for any benefit associated with disability compensation; to include new or initial claims and claims for increase. Without this information, determination of entitlement would not be possible.

The latest form for Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ) expires 2029-01-31 and can be found here.