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How to Complete VA Form 21-0781: Traumatic Event Statement
Welcome to our channel!
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In this video, we'll walk you through the process of completing VA Form 21-0781, also known as the Statement in Support of Claim for Service Connection for Mental Health Claims. This form is crucial for veterans seeking to document traumatic events they experienced during their military service. No longer for PTSD only!
In this video, you'll learn:
The purpose of VA Form 21-0781
Step-by-step instructions on filling out each section of the form
Tips for providing detailed and accurate information
Common mistakes to avoid
Additional resources for support and guidance
Why is this form important?
VA Form 21-0781 helps the Department of Veterans Affairs (VA) understand the traumatic events that contributed to your Mental Health. A well-completed form can significantly impact the outcome of your claim for benefits.
Helpful Links:
Download VA Form 21-0781
www.vba.va.gov/pubs/forms/VBA-21-0781-ARE.pdf
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Stay updated with more guides and tips by subscribing to our channel and hitting the notification bell.
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Disclaimer:
This video is for informational purposes only and does not constitute legal advice. Please consult with a qualified professional for specific guidance on your situation.
zhlédnutí: 237

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I haven't been doing videos for a couple of reasons. I just got a new camera and mic and am learning to use them and going through the VA process myself. I want to tell you all that I understand what you are going through. If you are my client, please come to live training with me! If you are not a current client- check me out here: www.victoryveteranpro.com/
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Komentáře

  • @1corycar
    @1corycar Před 7 dny

    Go ASH!!!

  • @shellyberwald836
    @shellyberwald836 Před 9 dny

    I went online and saw a process. I saw a process for opening a supplemental claim. Do I go through the process and upload this form?

  • @StephenRicket
    @StephenRicket Před 18 dny

    I don't know if this would be helpful for your clients complaining of toxic exposures in Okinawa but here it is: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/patriotcabincommunity.com/index_html_files/Agent%20Orange%20Okinawa.pdf

  • @jaimevalles5727
    @jaimevalles5727 Před 19 dny

    if we're not faxing them, we send them through mail?

    • @VictoryforVets
      @VictoryforVets Před 19 dny

      Yes, that is correct. Be sure to get tracking to ensure you know they received it and keep it for your records.

  • @StephenRicket
    @StephenRicket Před 23 dny

    I received a CLEANED portion of my records that limited my ability to seek legal action against them for a fraudulent discharge.

    • @VictoryforVets
      @VictoryforVets Před 19 dny

      I am so sorry to hear that. I would gather any evidence that you have personally and/or find people you served with to help assist in telling your story.

    • @StephenRicket
      @StephenRicket Před 18 dny

      @@VictoryforVets I have the original documents (on microfiche) but where can you get that printed today? Ironically the VA and the records center will still send you either microfiche or micro copies of your records instead of sending them on CD or thumb drive. I remember we are supposed to be saving trees from the 1990s climate agenda.

  • @Panchitobear
    @Panchitobear Před 25 dny

    I do have 4 different disability claims, do I need 4 separate form 21-4138 for each claim? Thank you if anyone can help

    • @VictoryforVets
      @VictoryforVets Před 22 dny

      @Panchitobear it is best to talk about each condition separately, if they are different. Example, migraines are very different from knee injury.... but maybe your knee injury is bad and also causing back issues. I hope this helps! Good luck

    • @Panchitobear
      @Panchitobear Před 21 dnem

      Thanks for your quick response, one more question , on Va 21-4138 , do I need to put in statement for example Insomniac or depression , a words “ this is a secondary condition due to tinnitus” for each form ( insomniac and depression?

  • @waltermcnameejr6626
    @waltermcnameejr6626 Před 29 dny

    Thank You for the update

  • @stevenwilkins1492
    @stevenwilkins1492 Před měsícem

    yes very useful

  • @RonaldMarcotte-hs7qn
    @RonaldMarcotte-hs7qn Před měsícem

    Can you help me fill out the grant for housing like walk-in showers improvements around the house?. can you help me fill out the car?. clothing allowance online.

  • @rayraymartineziii
    @rayraymartineziii Před měsícem

    Thank you.

  • @nobudgetcharlie7753
    @nobudgetcharlie7753 Před měsícem

    Is it mandatory that my friend/family member put their SS# on this form?

    • @VictoryforVets
      @VictoryforVets Před měsícem

      Your buddy info goes on page 3 not page 1. Watch the video again for more information

  • @tazcountry4828
    @tazcountry4828 Před 2 měsíci

    As a veteran and as a CSO for DAV, I hope that you do not charge any veteran for what you do if you do, you are dishonoring them and our VETERANS get it right don’t take a dime from them. They’ve already paid their dues.

    • @VictoryforVets
      @VictoryforVets Před měsícem

      I want you to remember this: As a veteran, I went over 20 years without assistance from any organization and was even turned away by DAV, despite having active duty records of my physical injuries and proof of my MST. I spent two decades fighting without receiving help, missing out on benefits, and dealing with my PTSD alone because the VA wouldn't see me unless I was rated. It was a battle I fought alone, and I wish I had WSDV back then. I wish someone had been there to help me through the process instead of throwing papers at me and wishing me good luck. I reached out to so many people who were supposed to help me but only found myself in complete frustration and lack of any community or support. Many of my clients had been denied for years. One of my clients, a Vietnam veteran, fought for his ratings for 15 years and was desperate for help, but no one assisted him. However, in just 3 months, he was able to secure a 100% rating. Another veteran was turned away by the local chapter because he didn't deploy, and they refused to consider him a veteran and help him. While there are bad actors in every industry, I know that many veterans need more help than most companies can offer. I am thankful to the DAV for assisting my husband, a combat veteran, in reaching a 100% rating after 10 years, despite his broken back, 13 concussions, multiple stomach and knee surgeries, and migraines that landed him in the hospital. All these were the reasons he was unable to reenlist after 10 years of service. I appreciate the help in getting him to 100% after 10 years of struggle, despite not being well-informed about the process. I want to emphasize that I appreciate the efforts of all organizations that help us and will NOT speak ill of anyone. Each organization provides assistance in different ways. My clients have direct access to me and can attend live training sessions over 10 times a week, where they can get direct assistance with questions, concerns, or anything they need. They also have my phone number, and I strive to respond to them within 24 hours. I work 6 days a week, with an average of 70-80 hours a week. I call them when they are facing life challenges or simply need someone to talk to. They also receive motivation from a community of veterans. I cover all the necessary steps to help them obtain what they legally, ethically, and morally deserve through a well-informed process using the VA regulations to help them understand what they must provide and how to advocate for themselves.

    • @Journey1369
      @Journey1369 Před měsícem

      The DAV? The same DAV that failed me in 2009 and then said there was nothing else they could do? The same DAV who refused to assist on a supplemental claim? No thanks. I have worked with Ash for several months and I just got 50% for my PTSD. She’s still working with me to increase it. Any payment she receives is well worth getting my rating. So, take a look at how she does it and MAYBE the DAV will do something correct.

  • @terrylantz2831
    @terrylantz2831 Před 2 měsíci

    Would I also use this form if I havn't been diagnosed with PTSD yet? I have an in stressor service, also documented in my STR, but I havn't been diagnosed but I am putting a claim in for it.

    • @jb.8992
      @jb.8992 Před měsícem

      Get diagnosed first

    • @VictoryforVets
      @VictoryforVets Před měsícem

      If you are submitting a claim for PTSD, then yes, you will need to complete this form. I highly recommend getting a diagnosis for your exact condition first. Also, please be sure to complete the correct form, as there are two types of PTSD forms. Good luck!

    • @terrylantz2831
      @terrylantz2831 Před měsícem

      @@VictoryforVets my form is VA Form 21-0781a PTSD secondary to Personal Assault. I’ll get the diagnosis before submitting. It is documented in my service record also so the stressor is there. I’ll get there one way or another.

    • @VictoryforVets
      @VictoryforVets Před měsícem

      @@terrylantz2831 Yes, you deserve the rating you deserve! Good luck!

  • @rickkane8043
    @rickkane8043 Před 2 měsíci

    who gonna sign on 22A? Veteran? or the buddy?

  • @rickkane8043
    @rickkane8043 Před 2 měsíci

    how you fill it out like that? It dont let me to input some info there.

    • @VictoryforVets
      @VictoryforVets Před měsícem

      Use the online form found here: www.vba.va.gov/pubs/forms/VBA-21-4138-ARE.pdf

  • @rickkane8043
    @rickkane8043 Před 2 měsíci

    Do you need personnal statement to increase my rating in migraine form 30 to 50 percent?

    • @VictoryforVets
      @VictoryforVets Před měsícem

      You should ALWAYS have a personal statement. This is your voice to the VA rater to advocate for your claim!

  • @timgreen6709
    @timgreen6709 Před 2 měsíci

    Fillable PDF

  • @timgreen6709
    @timgreen6709 Před 2 měsíci

    What about the big X across the signature line on the tillable pdf

    • @VictoryforVets
      @VictoryforVets Před 2 měsíci

      Great question. Make sure all of your software is up to date; it could also be the difference between using Adobe Reader and Adobe Pro. If those don't work, try printing it as an image. Let me know if that helps.

  • @bigcravesmith6729
    @bigcravesmith6729 Před 2 měsíci

    Shalom Thanks Ash for the great information!! This is a superior service!!!

    • @VictoryforVets
      @VictoryforVets Před měsícem

      Thank you for your support and being an amazing client

  • @funhouse4715
    @funhouse4715 Před 2 měsíci

    I hope my suggestion will get to the secretary, Mr. McDonough. It would be nice if veterans could go to a; Patience First, Urgent Care, Community Care or a Doctor that he/ she chooses. It seems like the deck is stacked against veterans walking through the door. I think this way would save time and money. The Disability Benefits Questionnaire (DBQ) could run though a database and tell the rater within minutes whether a veteran claims are denied or granted and it would be coming from a neutral party. Optum Serve/LHI gets paid from the VA and then they subcontract to a Nurse Practitioner, who then gets paid. I have one more thing to add, how much is a C&P exam? I’m curious as to how much money is being spent weekly, monthly and yearly, because someone is getting rich off C&P exams whether it’s Optum Serve/LHI or Nurse Practitioner or both. Sincerely yours,

    • @VictoryforVets
      @VictoryforVets Před měsícem

      Great suggestions and questions. I am sure we could dig up the info, but the money has been passed along. However, it is our job as veterans to know how to advocate for ourselves and to put in exactly what the VA wants to see in a winning claim. I wish it were easier and more streamlined, but let us pray that is the future for us all!

  • @joerocha2250
    @joerocha2250 Před 2 měsíci

    Very interested in your help

    • @VictoryforVets
      @VictoryforVets Před 2 měsíci

      If you are not a current client- you can set up an appointment with me here. calendly.com/ash-wsdv/referral

  • @BearInThePhillipines
    @BearInThePhillipines Před 2 měsíci

    Thank you making this and every video helping veterans

  • @BearInThePhillipines
    @BearInThePhillipines Před 2 měsíci

    THANK YOU SO MUCH for helping veterans

  • @robertburbach
    @robertburbach Před 3 měsíci

    I like this one better than21-526.Was denied in 2011 for A.O. saying there was nothing wrong with me. turns out the people that did the test lied. 12 years later had heart attack, while at hospital, they found I also had an AORTIC ANEURYSM that was 23CM that could burst at anytime. Dr stated It would take way over 30 year+ to get that big.

    • @VictoryforVets
      @VictoryforVets Před 2 měsíci

      Oh my, I am so, so sorry to hear that you have gone through that! You DESERVE better!

  • @jorgerodriguez-ku4fw
    @jorgerodriguez-ku4fw Před 3 měsíci

    Awesome thanks your a saint

  • @Mojotown69
    @Mojotown69 Před 3 měsíci

    Where do I put the new information? I have 24 pages from service records. I need the VA to see them. They denied my last claim for saying not service connected, but I have service records showing it is! They must get them.

    • @VictoryforVets
      @VictoryforVets Před 3 měsíci

      You will add it to your claim. You can add it to a personal or witness statement or attach it to your claim when you file it.

  • @ronniewilliams3691
    @ronniewilliams3691 Před 4 měsíci

    Finally, Thank you so much!!!

  • @FrequentVirtue
    @FrequentVirtue Před 4 měsíci

    Thanks for sharing Ash. Sorry to hear about your struggles!

  • @MM-sq5pf
    @MM-sq5pf Před 5 měsíci

    I've just been denied Migraines secondary to tinnitus, also used my hlr, but to no avail. I was just diagnosed and granted compensation for TMJ and this seems more of what is actually causing my migraines because of pain location. Do I use this form to resubmit? And will it hinders my ability to hire representation if denied again? (Since I'll be using my one supplemental claim) TIA

    • @VictoryforVets
      @VictoryforVets Před 3 měsíci

      Yes, this form is used for denials when you want to add more information. No, if denied again, you can keep fighting it. You can do supplemental at any time. If you do an HLR, then you can not do another one right after; you must do a supplemental to break it up. Good Luck!!

  • @looneylenny87
    @looneylenny87 Před 5 měsíci

    Thank you Ash, very helpful

  • @Salute_vet22
    @Salute_vet22 Před 5 měsíci

    hi, i got denied for pes planar but it was only because I didn't have evidence when filing a claim. Do i fill out a supplemental claim with my evidence to reopen the claim? thanks

    • @VictoryforVets
      @VictoryforVets Před 4 měsíci

      Sorry for the delay. Yes, if denied, use the supplement claim process and complete a supplemental form

    • @Salute_vet22
      @Salute_vet22 Před 4 měsíci

      @@VictoryforVets thanks for the response.

  • @myobmyob2215
    @myobmyob2215 Před 6 měsíci

    Telehealth appt T BI Mon what do we need to do not do After that will contact you for more non urgent process stuff. Thanks to both of you for going through forms here.

    • @VictoryforVets
      @VictoryforVets Před měsícem

      I am so sorry I missed this message! How did it go? Was this a C&P exam?

  • @revacaldwell980
    @revacaldwell980 Před 6 měsíci

    Thank you Ash

  • @CitiNites
    @CitiNites Před 6 měsíci

    What if the medical evidence is in your C-file but on the rating decision letter it doesn’t mention that evidence they have in there possession was used. Thank you

    • @VictoryforVets
      @VictoryforVets Před 4 měsíci

      Call the VA to see if they have the C-file and if they do, then I would start with a supplemental claim, asking them to use it part of your claim evidence and give you a fair chance. If they do not have it, then do a supplemental and add it. Lastly, I would HLR and ask for someone with more experience to evaluate.

  • @greeniris17
    @greeniris17 Před 6 měsíci

    Besides the description of the incident, where is the appropriate place to include the symptoms and impact? Do you put that Remarks section?

  • @mruofacat
    @mruofacat Před 6 měsíci

    So, you basically read the instructions to us.

  • @notforever2778
    @notforever2778 Před 7 měsíci

    I have 2 denials, should I use separate forms? Or put them on the same?

  • @phototec
    @phototec Před 7 měsíci

    I have watched several different veteran disability help videos on CZcams, and I must tell you that your videos are the hardest to understand, the voice is not very clear, I am not sure why but you might want to invest in a better microphone or use software to make your voice clearer.

    • @VictoryforVets
      @VictoryforVets Před 7 měsíci

      Thank you. Yes, I have just bought new equipment and am working on redoing all the videos. Thank you for your support.

    • @phototec
      @phototec Před 7 měsíci

      @@VictoryforVets I appreciate all you do, however it was very hard to understand what you were saying.

  • @j.c.vanhandel7907
    @j.c.vanhandel7907 Před 7 měsíci

    Thank you! This is better info than the DAV provided!

    • @VictoryforVets
      @VictoryforVets Před 7 měsíci

      Thank you so much for your support. I will make many more videos soon with a better camera.

    • @akeemmills4301
      @akeemmills4301 Před měsícem

      Do I file the denied claim and increase on the same exact form, or 2 seperate form?

  • @philthornton2172
    @philthornton2172 Před 7 měsíci

    Hello, I want to submit intent to file for cervical strain and cervical radiculopathy. In addition I want to submit an intent to file for sleep apnea. Are separate intent to file submissions required for each condition? Lastly, can the cervical strain and radiculopathy be covered with one intent to file?

    • @VictoryforVets
      @VictoryforVets Před 7 měsíci

      Hi! When you submit online, you will not put any conditions. The first claim to win will be backdated until the intent to file is dated. I recommend doing one or two claims at a time. Putting in a great claim will move faster and yield faster results. If you 'spray and pray,' which is submitting a bunch of claims that are not fully developed, can cause a lower rating than you actually deserve and can take longer to process. I hope this helps!

    • @philthornton2172
      @philthornton2172 Před 7 měsíci

      @VictoryforVets Thank. I am thinking of dropping the OSA as they are getting chicken shit about it. Will just stay with cervical spine sprain.

    • @VictoryforVets
      @VictoryforVets Před 7 měsíci

      @@philthornton2172Yes, there are some changes. I will be discussing that in a future video. I hope you get the rating you deserve! Thank you for your service and your support!

  • @normandoughty8737
    @normandoughty8737 Před 8 měsíci

    Please speak clearly

  • @user-ic2nb1jc8o
    @user-ic2nb1jc8o Před 8 měsíci

    Thank you

  • @averagedudeusa9722
    @averagedudeusa9722 Před 9 měsíci

    thank you so much! I gave you the first like! :)

  • @user-ic2nb1jc8o
    @user-ic2nb1jc8o Před 10 měsíci

    Can I ask you a question please I was locked in a torpedo tube will I need to fill out both the 21-0781 and 21-0781a ??

    • @VictoryforVets
      @VictoryforVets Před 10 měsíci

      Hi! 21-0781a is for MST- Military Sexual Trauma claims. I am sorry to hear you had that event.

  • @user-gx8uw2sn8e
    @user-gx8uw2sn8e Před 10 měsíci

    Where does this form get mailed?

    • @VictoryforVets
      @VictoryforVets Před 10 měsíci

      It can be submitted with your claim package. You can do it by fax, email, or online. The quickest way is to upload it online.