4 steps · About 8 min to read

My condition got worse.

If your condition has gotten worse, your rating should reflect that. Here's how to file for an increase.

Do This First: File an Intent to File

Takes 5 minutes, costs nothing, and locks in your effective date for back pay. Even if you're not ready to file a full claim yet. Learn how →

Document that your condition has worsened

Before filing for an increase, build your evidence. Get current medical records showing the worsening. If you haven't been to the doctor recently, go now and be completely honest about your worst days. Keep a log of how your condition affects your daily life, work, and relationships. This documentation is the foundation of your increase claim.

Evidence guide

Consider secondary conditions

A secondary condition is something caused or worsened by your already service-connected disability. For example: a service-connected knee injury that led to a back condition, or PTSD that caused sleep apnea or migraines. Secondary conditions are a separate claim but can significantly increase your overall combined rating.

Secondary conditions guide

File for an increase

Use VA Form 21-526EZ — the same form as your original claim, but you're filing for an increase on an existing condition. File an Intent to File first to lock in your effective date. Include updated medical evidence, a new nexus or medical opinion letter if possible, and buddy statements describing how things have gotten worse.

How to file for increase

Prepare for a new C&P exam

The VA will almost certainly schedule a new C&P exam for an increase claim. This is your chance to show the current severity of your condition. Describe your worst days, not your best. Don't downplay symptoms. If the exam doesn't go well, remember — you can always file a Supplemental Claim with additional evidence.

C&P exam tips

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