Information Received

Thank you for submitting your service connected disability information. We will be in contact with you over the next 24-48 hours. You will receive a call from a Veteran Adviser staff member, that will give you a FREE no-obligation estimation of potential benefits.

Intent to File

The Intent to File form, VA Form 21-0966, is an important single-page form, that should be submitted if you intend to file a VA compensation claim. Once this form has been received by the VA, your effective date is locked-in for 12 months. If you are awarded a favorable decision by the VA, they will retro pay you benefits from the date that your claim was filed, opposed to the date that your claim was approved.

First download a blank ITF by visiting:

1. Mail your ITF to

PO BOX 4444
JANESVILLE, WI 53547-4444

2. Fax your ITF to the VA

Fax Line: 844-531-7818

3. Call by Phone

Call the VA Customer Service at 800-827-1000

Create an ITF with a call center operator. This is the least preferred method, as you will be relying on VA employee to establish your Intent to File.