VA Form 21-4138: Statement in Support of Claim

What is VA Form 21-4138?

VA Form 21-4138 is a general-purpose form used to provide a “Personal Statement.” While medical records show clinical data (like range of motion or blood pressure), this form allows you to describe the functional impact of your disability—the human side of the story that doctors often miss.

What should I write about?

Do not simply list your diagnosis. Use this form to describe:

• Frequency: How often do your symptoms occur? (e.g., “I have migraines three times a week.”)
• Severity: How bad is the pain? (e.g., “I have to lie in a dark room for four hours.”)
• Occupational impact: How does it affect your job? (e.g., “I miss two days of work per month.”)
• Social impact: How does it affect your relationships? (e.g., “I can no longer lift my grandchildren.”)

Pro Tip: Keep it readable

VA Raters review hundreds of files. Keep your statement concise (1-2 pages), use bullet points, and focus on the unvarnished facts of your limitations. Do not rant or complain about the VA system; focus strictly on your symptoms.