About va form 21-4140 | veterans affairs
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* Form name: Employment Questionnaire Form revision date: August 2024 Related to: Disability WHEN TO USE THIS FORM Use VA Form 21-4140 if we asked you to verify your employment status
because you currently receive Individual Unemployability disability benefits for a service-connected condition. DOWNLOAD FORM Download this PDF form and fill it out. Then submit your
completed form on this page. Or you can print the form and mail it to the address listed on the form. Download VA Form 21-4140 (PDF) * Find out if you qualify for compensation for a
presumptive disability or other service-connected conditions. * Find out how to file a claim for disability compensation or increased disability compensation. * Find out if you need to
complete additional forms for your disability claim. * Find out how to file for VA Individual Unemployability compensation if you're an unemployed Veteran who can't work due to a
service-connected disability.