Disability compensation application
Department of Veterans Affairs
Claims Intake Center
PO Box 4444
Janesville, WI 53547-4444
VA Form 21-526EZ — Disability compensation application
Apply for disability compensation for a condition VA has not decided, or request an increase for later worsening of an already service-connected condition. Previously decided issues can require a review request instead.
Use the current official form
Revision: January 2026.
Attach it to the applicable claim or review request; sending evidence alone does not necessarily initiate a review. Other benefit destinations are separate.
Submission instructions
In person
Disability compensation documents through the applicable claim or review channel.
A VA regional benefits office