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Get VA Form 20-0995, Decision Review Request: Supplemental Claim. Use this VA form if you disagree with a VA decision and want to provide new evidence to support your claim.
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.
Contact your local VA office for assistance with appointing a representative or visit www.ebenefits.va.gov. You can also ask VA to help you fill out the form by contacting us at the number provided on your decision notification letter or at 1-800-827-1000.
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To file an appeal in one of the three appeal lanes, veterans must fill out and submit one of the following forms: Higher-Level Review: VA Form 20-0996. Supplemental Claim: VA Form 20-0995. Notice of Disagreement: VA Form 10182. Each form corresponds to a review option, or lane, within the new appeals system.
What can VA Form 20-0995 be used for? If you disagree with a VA decision (commonly, a denial) and want to provide new evidence to support your claim, then Decision Review Request: Supplemental Claim (VA Form 20-0995) is the form to use.
VA Form 20-0995 can be used to apply for any service-connected disability you believe the VA has underrated or denied. This includes physical disabilities, such as amputations or chronic pain, and mental health conditions, such as post-traumatic stress disorder (PTSD) or traumatic brain injury (TBI).
If you are filing a supplemental claim (a claim after an initial claim for the same or similar benefit was previously decided) and have new and relevant evidence ... please complete and submit VA Form 20-0995, Decision Review Request: Supplemental Claim**.
The supplemental review process broadly allows Veterans to challenge an unfavorable decision without petitioning the Board of Veterans’ Appeals. You may need to file VA Form 20-0995 if: You omitted important information that could have led to a more favorable benefits determination.
Use this form to request a SUPPLEMENTAL CLAIM of the decision you received that you disagree with. 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.