VA Form 21-0966, Intent to File A Claim for Compensation and/or Pension, or Survivors Pension and/or DIC is a document notifying the Department of Veterans Affairs (VA) of the intention to file a claim for the VA compensation and pension benefits, including the Dependency and Indemnity Compensation (DIC) - a monetary benefit paid to survivors of service members who died from a service-related disease or injury or died in the line of duty.
When the VA 21-0966 is filed, it gives the future claimant more time to gather information in support of the claim. Additionally, it protects the earliest effective date for benefits resulting from the claim. The date when the VA receives this form is considered the effective date. However, the form must be submitted within a year.
The latest version of the form was released by the VA in August 2018 with all previous editions obsolete. A fillable VA Form 21-0966 is available for digital filing and download below.