Mail — Intent to file
The May 2026 VA Form 21-0966 prints this address for the completed intent-to-file form.
Department of Veterans Affairs
Evidence Intake Center
PO Box 4444
Janesville, WI 53547-4444
VA Form 21-0966 — Intent to file a claim
Notify VA that you intend to file for an applicable benefit while preparing the application. An intent to file is not the completed benefit application.
Use the current official form
Revision: May 2026.
Select the intended benefit type. After notifying VA, you generally have one year to file the completed claim. Starting certain online applications while signed in can establish an intent to file without a separate form; the official instructions explain which applications qualify.
Submission instructions
Phone
Notify VA of intent to file; see official instructions.
800-827-1000