Intent to File
Tells VA you plan to apply and may establish an earlier potential effective date.
21-0966
Starting a Claim
What this form does
Tells VA you plan to apply and may establish an earlier potential effective date.
Records your intent to apply for compensation, pension, Survivors Pension, or DIC before you submit the completed application.
Official VA title: Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC
VA revision February 28, 2023 · Links verified against VA.gov August 10, 2026
Use it when: When you are not ready to submit a complete claim yet. Starting certain verified online applications already creates an intent to file, so a separate Form 21-0966 is not always needed.
Preparation route
How to use 21-0966
Every preparation step stays open so you can scan the whole job before starting.
Do now · 01
Before you start
- Estimated time
- Varies by submission method
- Deadline
- VA must receive the completed application for the same benefit within 1 year to use the potential effective date from this intent.
Use this form when: When you are not ready to submit a complete claim yet. Starting certain verified online applications already creates an intent to file, so a separate Form 21-0966 is not always needed.
Gather · 02
Gather your documents
Required
- Your Social Security Number — Needed for identification
Waypoint · 03
Complete the form
- Your name, date of birth, and SSN
- Type of benefit you intend to file for (compensation, pension, or survivor)
- Signature and date
Waypoint · 04
Avoid common mistakes
- Submitting a separate form after an online application has already created an intent to file
- Choosing the wrong benefit type
- Letting the 1-year period expire without submitting the completed application for the same benefit
Go next · 05
Submit the form
Available methods
- Online
- Phone
- In person
- Submission note
- Call VA at 800-827-1000, use the official online flow, mail the paper form, or bring it to a VA regional office.
Field note
VA can accept an intent online, by phone, by mail, or in person. Check the current VA guidance first so you do not duplicate an intent created by an online application.
Related forms
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Continue the route
Forms are just one piece. Make sure your full claim is solid.
Related Journeys
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