Fill and Sign VA 21-0781 Forms

What Is VA Form 21-0781 Series?

The VA 21-0781 Forms is a set of PTSD claim-related forms released by the U.S. Department of Veterans Affairs (VA). This series includes two forms:

1. VA Form 21-0781, Statement in Support of Claim for Service Connection for PTSD, is an application form that should be filled out by every veteran filing a claim for service-related PTSD. The form is submitted to the VA explaining and describing the traumatic circumstances surrounding an in-service incident that lead to the current condition.
2. VA Form 21-0781A, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault, is a similar form used by veterans whose diagnosis was determined to have been caused by a personal assault.

Both forms will ask the applicant to describe the event or events that caused the current condition along with the exact dates, time frames, and locations of the incident. Additional requested information includes your unit assignment and the dates of the assignment along with the names and other details about the participants of the event.

VA Disability Compensation for PTSD

Post-Traumatic Stress Disorder - or PTSD - is a medical condition that may occur when a person underwent a particularly traumatic event in their past or was subjected to the risk of injury or death to themselves or someone close to them. The common symptoms of PTSD include:

• Continuous memories of the event along with nightmares, flashbacks, and difficulties with sleeping;
• Refusing to discuss the event, avoiding any situation that may generate bad memories;
• Feeling numbness and detachment, depression and disinterest in normal daily activities;
• Feeling constantly on edge, expecting an attack, uneasiness.

The disorder is most common among veterans and military personnel. If a veteran has a Purple Heart award, a Combat Infantryman Badge, or a Combat Action Ribbon an account of what happened during the incident does not need to be provided. The VA will concede that a stressful event happened when making a decision on the PTSD claim. All other cases required following a specific set of steps needed for establishing a direct service connection with PTSD. The required information includes:

1. A current diagnosis of post-traumatic stress disorder.
2. A statement from the veteran about the "stressor" (the traumatic event) that occurred during their service.
3. Evidence that the stressor was caused by circumstances of the military service.
4. No strong evidence that the stressor didn’t take place.
5. A medical opinion from a VA psychologist or psychiatrist or of the same specialist that is under contract with the VA.