The questionnaire hasn't finished loading. If this message stays on screen, the buttons won't work: please call (720) 386-1882.
Review mode. Nothing is required, every follow-up question is showing, and nothing is sent. Veterans will only see a follow-up when their answer calls for it.
Valor First Claim

Your claim starts with what you tell us.

This questionnaire covers what VA asks for on Form 21-526EZ, the application for disability compensation. Answer what you know and skip what you don't. When you send it, a Valor paralegal reviews your answers and we build your claim from them.

What we file on The conditions and injuries you report. Tell us what's wrong and how it ties to your service.
What we don't review first VA won't release your service treatment records until a claim is on file, so we don't review them before filing. The same goes for outside medical records.
Your outside records If you have private medical records, we'll send you a secure link to upload them and we'll attach them to your claim, or we'll list the providers so VA can request them.
Have this handy
  • Your DD-214, or your dates of service
  • Names and cities of the places you've been treated
  • Your bank's routing and account numbers, if you want direct deposit set up
  • About 20 minutes. Your answers stay on this device until you send them.

Valor staff:

Received

We've got your answers.

Reference . Here's what happens next.

  1. A Valor paralegal reviews what you sent.
  2. If you said you'd upload outside records, we'll send you a secure link for them. Please don't email medical records.
  3. We prepare your VA Form 21-526EZ from your answers and send it to you to review and sign.
  4. We file your claim with VA.

Questions in the meantime? Call (720) 386-1882.

Preview mode: nothing was sent

The email hand-off isn't connected yet. This is the message the Contact inbox will receive once it is.

 
 
  

 

 

 
  
 
 
Sending this questionnaire doesn't create an attorney-client relationship. Representation begins only after a conflicts check and a signed written agreement. No attorney can promise a particular VA outcome, rating, or timeline.
 
 
If you're in crisis, the Veterans Crisis Line is free and open 24/7: dial 988 then press 1, or text 838255.
 
 
Form version 2.4