Match exactly to your 21-526EZ. Include the VA File Number from any VA letter you have received about this claim - that's how VA cross-files this statement to the right jacket.

(use same details as 21-526EZ; add VA File Number from prior correspondence)

Common mistakes

• ×Omitting the VA File Number - statement gets indexed under your SSN but may not auto-attach to the active claim.

Write in your own words. Use clear, factual language. Stick to one topic per statement - if you need to address multiple unrelated issues, file a separate 21-4138 for each. The narrative can be as long as you need; attach extra sheets if the form's space runs out.

e.g., I am writing to clarify the onset date of my lumbar degenerative disc disease. My back pain began in approximately June 2008 during a deployment to Iraq, after I sustained a fall during a foot patrol when carrying 80 lbs of gear...

Common mistakes

• ×Mixing multiple unrelated topics in one statement - file one 21-4138 per topic so VA can route each to the right reviewer.
• ×Editorializing about the VA, the rater, or "the system" - sticks to facts; opinions don't move ratings.
• ×Vague timing ("a long time ago") - give month/year even if approximate.
• ×Restating evidence already in the file - add NEW facts or clarification, don't duplicate.
• ×Forgetting to label attached evidence ("see attached letter from Dr. Smith dated 1/15/2026") so the reviewer can cross-reference.

Authority

• 38 CFR 3.303 - Direct service connection elements: in-service event, current diagnosis, nexus.
• Jandreau v. Nicholson, 492 F.3d 1372 - Lay person competent to identify simple medical conditions like a broken leg or varicose veins.

Related ClaimRecon tools

• personal-statement-builder - AI helper to draft narrative in VA-aligned plain English.

Numbered list of every document attached to this statement. Each attachment should be clearly labeled at the top with: your name, SSN, claim number, "Attachment N to VA Form 21-4138 dated MM/DD/YYYY".

e.g.,
Attachment 1: Letter from Dr. Jane Smith, MD dated 01/15/2026 (3 pages)
Attachment 2: Photographs of injury site, undated (2 pages)
Attachment 3: Buddy statement from SGT Williams (VA Form 21-10210) (2 pages)

Common mistakes

• ×Submitting attachments without labeling - they get separated from the statement and lost in the file.
• ×Submitting originals instead of copies - VA will not return them.

Sign and date. By signing, you certify that the statements are true to the best of your knowledge. Knowingly false statements are a federal crime; uncertain memory phrased as such ("approximately", "to the best of my recollection") is fine.

(signature/date when filing)

Common mistakes

• ×Forgetting to date - VA will return for completion.
• ×Signing without reading what you wrote - proof, then sign.