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 an Veteran Rating 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.

Ways to Submit Your ITF

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 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.