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VA Form 20-0996 — Request a Higher-Level Review

Request review of an eligible decision using the evidence VA already had. Higher-Level Review does not accept new evidence.

Use the current official form

Revision: March 2024.

Choose the destination for the benefit being reviewed. The online application accepts disability compensation reviews; health care reviews cannot be delivered to a regional benefits office. For unlisted benefits, follow the decision letter.

Submission instructions

Mail — Disability compensation

Disability compensation ONLY. Other benefits have different destinations.

Department of Veterans Affairs
Claims Intake Center
PO Box 4444
Janesville, WI 53547

Official references

Mail — Pension & survivor benefits

Pension and survivor benefits ONLY. See the official page for other programs.

Department of Veterans Affairs
Claims Intake Center
PO Box 5365
Janesville, WI 53547

Official references

Mail — Life insurance

Life insurance reviews only.

Department of Veterans Affairs
Attention: Insurance Center
PO Box 5209
Janesville, WI 53547

Official references

Mail — Health care enrollment or community care

Health care enrollment and community care claim reviews only.

Department of Veterans Affairs
Evidence Intake Center
PO Box 4444
Janesville, WI 53547

Official references

Mail — Foreign Medical Program & family health claims

FMP, CHAMPVA, Spina Bifida or Children of Women Vietnam Veterans health care claim reviews only.

VHA Office of Integrated Veteran Care
Appeals
PO Box 600
Spring City, PA 19475

Official references

Mail — Family caregiver program

Program of Comprehensive Assistance for Family Caregivers reviews only.

Department of Veterans Affairs
Evidence Intake Center
PO Box 5154
Janesville, WI 53547

Official references

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FACILITY REFERENCE