VA Form 21P-8416B, Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death is a form published by the Department of Veterans Affairs (VA). It is used by veterans to provide information, in order to determine their eligibility for income-based benefits and the rate payable. This form is used to report received compensations for injury or death.
The latest version of the form was released by the VA in March 2018 with all previous editions obsolete. A fillable VA Form 21P-8416B is available for download below.
When a claimant is awarded compensation by another entity or government agency based on a personal injury or death, compensation is considered a countable income for VA purposes. The claimant should keep all receipts or other providing documentation of payments for at least 3 years after VA makes a decision on a medical expense claim.
This form is related to VA Form 21P-8416, Medical Expense Report. The VA 21P-8416 is used to report medical or dental expenses that are not or will not be reimbursed. The reported expenses can be paid to the veteran or a member of their family.