2016-10 DSO/CSO Newsletter – Jennifer Kellogg, VSOWAC

This news letter will not be issued every month.  It will come out as needed.  It is being sent in an attempt to keep DSOs and CSOs more informed and “in the loop.” – Kellogg, Jennifer L., VSOWAC


In accordance with our National Chapter and Department Service Officer Training Program all claims must be submitted through the National Service Offices. Please do not send claims or evidence directly to the VA.

Waco office:

Houston office:

San Antonio office:

VA Regional Office
One Veterans Plaza
701 Clay Ave
Waco, TX 76799

FedEx ZIP 76706

Ph: 254-299-9932
Fax:  254-299-9925
Email: dav.vbawac@va.gov

VA Regional Office
6900 Almeda Rd
Rm 1033
Houston, TX  77030-4200


Ph: 713-383-2715
Fax: 713-383-2719
Email: dav.vbahou@va.gov

VA Contact Office
5788 Eckhert Rd
Rm 2A112|
San Antonio, TX  78240

Ph: 210-699-5064
Fax: 210-699-5082
Email: davsa.vbahou@va.gov

Forms, forms and more forms

When sending in a claim, make sure you complete all of the forms required.
All claims require a VA Form 21-22.

  • Chapter/Dept Service Officers are not authorized to sign the VA Form 21-22.
  • When filing for Total Disability Based on Individual Unemployability make sure you complete a VA Form 21-526EZ, a VA Form 21-8940 and a VA Form 21-22


  • When filing a claim for Aid and Attendance make sure you complete a VA Form 21-526EZ, a VA Form 21-22 and the claimant’s doctor must complete a VA Form 21-2680.
  • When filing a claim for PTSD complete a VA Form 21-526EZ, a VA Form 21-22 and the veteran must complete a VA form 21-0781 or 21-0781a
  • Stressor statements need to be as specific as possible. Dates must be narrowed down to a 60 day time period.
  • General statements about being fearful should not be used. Names, dates and locations are extremely important!




 Updated Forms

It is important to always use the most recent version of VA Forms.
With National Work Queue we must ensure we conform to the highest standards.
Bolded forms are the ones you may see frequently.


Updated in March 2016

VA Form 21-0847 Request for Substitution of Claimant Upon Death of Claimant

Updated in April 2016:

VA Form 10-10-493a TRICARE for Life Affirmation

VA Form 10-10-493 TRICARE Affirmation

VA Form 26-6382 Statement of Purchaser Or Owner Assuming Seller’s Loan

VA Form 21P-1775 Statement of Disappearance

VA Form 10-5588 State Home Report and Statement of Federal Aid Claimed

VA Form 10-10SH State Home Program Application for Veteran Care Medical Certification

VA Form 21P-527 Income, Net Worth and Employment Statement

VA Form 21P-527EZ Application for Pension

Updated in May 2016:

VAF 24-0296 Direct Deposit Enrollment

Updated June 2016:

VA-4107c Your Rights to Appeal our Decision – Contested Claims

VA-4107VHA Your Rights to Appeal our Decision

VA-4107 Your rights to Appeal our Decision

VAF 26-8937 Verification of VA Benefits

VAF 21-526c Pre-Discharge Compensation Claim

VAF 10-5392 Occasional Volunteer Time Sheet

VAF 26-6393 Loan Analysis

VAF 24-0296a International Direct Deposit Enrollment

VAF 26-1802a HUD/VA Addendum to Uniform Residential Loan Application

VAF 21-0304 Application for Benefits for Certain Children with Disabilities Born of Vietnam and Certain Korea Service Veterans

Updated July 2016:

VAF 21P-4718a Certificate of Balance on Deposit and Authorization to Disclose Financial Record

VAF 26-8084 Claim for Repurchase of Loan

VAF 21P-4706c Court Appointed Fiduciary’s Account

VAF 21P-4706b Federal Fiduciary’s Account

VAF 22-6553d-1 Monthly Certification of On-The-Job and Apprenticeship Training

VAF 26-8261a Request for Certificate of Veteran Status

VAF 21-0819 VA/DOD Joint Disability Evaluation Board Claim

Updated August 2016:

VAF 10-0485 Request for and Authorization to Release Protected Health Information to eHealth Exchange

VAF VA-10091 FSC Vendor File Request Form

Updated September 2016:

VAF 21P-8049 Request for Details of Expenses

VAF 22-5495 Dependents’ Request for Change of Program or Place of Training

VAF 21P-601 Application for Accrued Amounts Due a Deceased Beneficiary