Toxic ExposureEvidence Center
A woman organizing VA claim paperwork at a table with a folded flag and a framed photo of a veteran, another family member helping
Family & survivors/Filing & appeal guide

You may have the right to file—or appeal—for your veteran.

Most families are never told this: you can help a living veteran file, sign when they cannot, continue a claim after they pass, and file your own survivor claims for a toxic-exposure death. This is the full, plain-English guide—how claims are requested, what to gather, how to get a DD-214, and every form explained.

The truth most families are never told

If you believe your veteran was exposed, that instinct opens a door

Family members are rarely told they have rights of their own. You do not have to wait, and you are not powerless. Depending on your situation, you can help a living veteran prepare and file, sign a form when they physically or mentally cannot, step into a claim that was still open when they died, and file survivor claims in your own name when a service-connected illness took their life.

Toxic exposure—burn pits, Agent Orange, contaminated water, radiation, solvents, and more—can cause conditions that surface years later, sometimes after the veteran is gone. When that happens, the paperwork does not disappear with them. Below is exactly how these claims are requested, what evidence you need, and which form matches your situation.

Family member and accredited agent helping a living veteran prepare a claim

Help a living veteran

Gather records, represent them, or sign for them when they cannot sign themselves.

Surviving spouse holding a folded American flag at home

File as a survivor

DIC, Survivors Pension, and accrued benefits are your own claims after a service-connected death.

Hands marking up a VA denial letter to identify what the decision missed

Appeal a denial

A "no" is not the end. Denials and pending cases can be continued and challenged.

Start here

Which situation are you in?

The path—and the forms—depend on one question first: is your veteran living, or have they passed away? Both paths are real, and both are often overlooked.

Adult child sitting beside a living veteran parent going through claim paperwork at home
Your veteran is living

You help—the claim is in the veteran's name

A competent veteran files in their own name, but a family member can do almost all of the heavy lifting: gathering records, building the exposure chain, and acting as an appointed representative. If the veteran cannot sign because of injury, illness, or incapacity, there is a specific form for that too.

See the living-veteran path
Surviving spouse at a table with a folded flag, photographs, and the veteran's discharge papers
Your veteran has passed away

You have rights of your own as a survivor

When a service-connected illness—including one tied to toxic exposure—contributes to a veteran's death, survivors can file for benefits in their own name, continue a claim that was still pending, and appeal a denial. These are separate programs with their own forms and deadlines.

See the survivor path

Path A · The veteran is living

Filing for a living veteran

A veteran who can make their own decisions must file in their own name—but you can carry nearly the entire load, and you can be formally appointed to act for them.

Daughter and veteran father organizing service records and medical paperwork side by side

Do the work with them

You can gather the DD-214, build the exposure timeline, collect medical records, and complete the paperwork. The veteran reviews and signs. This alone removes the biggest barrier most veterans face.

Accredited representative and veteran signing an appointment form together

Be appointed to represent

With VA Form 21-22 (a VSO) or 21-22a (an accredited attorney or agent), a representative is formally recognized to handle the claim. This is how professional advocates step in on the veteran's behalf.

Caregiver steadying a hospitalized veteran's hand while an alternate signer form is completed

Sign when they cannot

If the veteran is physically unable to sign or is not mentally competent, VA Form 21-0972 lets an alternate signer certify and sign. VA may also require a fiduciary, a power of attorney, or a court order.

Be honest about consent. You generally cannot file for a living, mentally competent veteran without their authorization. Your role is to help, to be appointed as a representative, or—only when the veteran truly cannot act—to sign under the alternate-signer or fiduciary rules. When in doubt, an accredited agent can tell you which applies.

Path B · The veteran has passed

Filing as a survivor—in your own name

A veteran’s passing does not close the door. When a service-connected condition—including a toxic-exposure illness—caused or contributed to their death, survivors have distinct rights. Three of them are almost never explained.

Surviving spouse holding a folded flag and a folder of the veteran's service records

Dependency & Indemnity Compensation

A tax-free monthly benefit for a surviving spouse, child, or dependent parent after a service-connected death. Spouses and children use VA Form 21P-534EZ; parents use VA Form 21P-535.

Family member and advocate reviewing a pending VA claim file that stayed open after the veteran's death

Substitution—continue their claim

If the veteran had a claim or appeal still pending when they died, an eligible survivor can step in and continue it with VA Form 21P-0847—keeping the original filing date. File within one year of the death.

Hands sorting VA payment statements and a death certificate to claim benefits already owed

Accrued benefits already owed

Benefits VA had approved but not yet paid at the time of death can be claimed with VA Form 21P-601, following the order of succession. The death certificate is required.

Substitution vs. accrued vs. DIC are not the same thing. DIC is your own ongoing benefit. Substitution keeps the veteran’s pending case alive under your name. Accrued benefits recover what was already owed. Many families qualify for more than one—and filing one does not automatically file the others.

How claims are requested

The step-by-step, from instinct to filing

Whether the veteran is living or has passed, the shape of the process is the same. These are the steps that turn "I know they were exposed" into a claim VA can act on.

1

Confirm eligibility and your relationship

Decide whether you are helping a living veteran file in their name, stepping into a claim after a death, or filing your own survivor benefit. Your relationship—spouse, child, parent, or next of kin—decides which door is open to you.

2

Get the DD-214 and service records

The discharge document proves when and where the veteran served. Those dates and locations are the backbone of a toxic-exposure claim. If you do not have it, you can request it (see the DD-214 section below).

3

Build the exposure chain

Gather the unit, every duty station and deployment, and the veteran’s actual day-to-day duties—not just the primary job title. A TERA determination or ILER may support it. Exposure follows where the veteran was and what they did.

4

Gather the medical evidence

Collect the current diagnosis and, where possible, a medical opinion linking the condition to the exposure. If the veteran has passed, the death certificate and the records showing the fatal condition matter most.

5

Lock your effective date with an Intent to File

Filing VA Form 21-0966 first tells VA a claim is coming and can protect the earliest possible effective date. You then generally have one year to submit the complete application.

6

Choose the right form or appeal lane, then file

Match your situation to the correct form (all listed below) or, if you are challenging a denial, the correct decision-review lane. File online at VA.gov, by mail, or in person at a regional office.

7

Get an accredited review before you submit

Eligibility rules are detailed and VA decides every case on its own facts. An accredited agent can check the exposure chain, the evidence, and the form before it goes in—often the difference between a grant and a denial.

Two family members' hands holding a military service discharge document beside a laptop and folder
The keystone document

How to get a DD-214

Without the DD-214, the exposure is hard to prove

The DD-214 is the Certificate of Release or Discharge from Active Duty. It shows the branch, the service dates, and the assignments—the facts that put the veteran in the place and time of the exposure. It is the first document almost every claim depends on.

If the veteran is living

The veteran can download their own records through the government’s milConnect service, or request them from the National Archives. As their helper or appointed representative, you can assist once they authorize it.

If you are the next of kin of a deceased veteran

Request the record from the National Archives online through eVetRecs, or on paper with Standard Form 180 (SF-180). Next of kin means an un-remarried surviving spouse, a parent, a child, or a sibling. You will need proof of the veteran’s death—a death certificate, obituary, or letter from the funeral home. For next of kin, the request is free.

Two things to know: records cannot be requested by email under the Privacy Act, and a 1973 fire at the records center destroyed many Army and Air Force files—some may need reconstruction, which takes longer. Start early.

What to gather

The evidence checklist

You will not always have every item, and you do not need all of it to start. Gather what you can, file an Intent to File to protect your date, and keep building. Check off what you have.

Every form, plainly

The forms you might file—and what each one does

Form numbers are intimidating until someone explains them. Here is every form a family may need, grouped by what you are trying to do. Always confirm the current version on VA.gov before you file.

Protect your date and get the records

VA Form 21-0966

Intent to File a Claim

Who uses it

Anyone preparing a claim or survivor benefit

What it does

Notifies VA a claim is coming and locks in the earliest possible effective date. File the complete application within one year.

Standard Form 180 (SF-180)

Request Pertaining to Military Records

Who uses it

Next of kin of a deceased veteran

What it does

The paper request to the National Archives for the veteran’s DD-214 and service records. eVetRecs is the online version.

Speak for the veteran

VA Form 21-22

Appointment of a Veterans Service Organization

Who uses it

The veteran or claimant

What it does

Appoints an accredited VSO to prepare and present the claim. VSO representation is always free.

VA Form 21-22a

Appointment of an Individual as Representative

Who uses it

The veteran or claimant

What it does

Appoints an accredited attorney or claims agent. An agent may charge a fee only on recovered past-due benefits—never on a first-time claim.

VA Form 21-0972

Alternate Signer Certification

Who uses it

Someone signing for a claimant who cannot

What it does

Used when the claimant is physically unable to sign, is not mentally competent, or is under 18. VA may ask for a power of attorney, court order, or fiduciary appointment.

Continue or claim after a death

VA Form 21P-534EZ

Application for DIC, Survivors Pension, and/or Accrued Benefits

Who uses it

A surviving spouse or child

What it does

The main survivor application after a service-connected death, including a death tied to toxic exposure.

VA Form 21P-535

Application for DIC by a Parent

Who uses it

A surviving dependent parent

What it does

Parents’ DIC. It is often paired with an income and asset statement (VA Form 21P-0969).

VA Form 21P-0847

Request for Substitution Upon Death of Claimant

Who uses it

An eligible survivor

What it does

Steps into a claim or appeal that was still pending when the veteran died so the case is not lost. File within one year of the death.

VA Form 21P-601

Application for Accrued Amounts Due a Deceased Beneficiary

Who uses it

A survivor in the order of succession

What it does

Claims benefits VA owed but had not paid at death. Requires the death certificate.

Challenge a decision (appeals)

VA Form 20-0995

Supplemental Claim

Who uses it

Anyone with new and relevant evidence

What it does

Reopens the decision with evidence VA has not seen. VA has a duty to help gather what you identify.

VA Form 20-0996

Higher-Level Review

Who uses it

Anyone who believes VA erred on the existing record

What it does

A more senior reviewer re-decides the same evidence. No new evidence, but you can request one informal conference.

VA Form 10182

Board Appeal (Notice of Disagreement)

Who uses it

Anyone appealing to the Board

What it does

Sends the case to a Veterans Law Judge. Choose the direct-review, evidence-submission, or hearing docket.

Appeals

A denial is not the end—and survivors can appeal too

If VA denied the claim, or granted less than it should have, you have three ways to ask for a review. You generally have one year from the date on the decision letter to keep the earliest effective date, and you can move between lanes as new decisions come in. Survivors can appeal a DIC denial the same way.

Veteran and a former squad member reviewing a written statement together at a kitchen table
VA Form 20-0995

Supplemental Claim

Choose this when you have new and relevant evidence VA has not seen—corrected records, a specialist report, unit history, or a detailed exposure statement. VA must help gather what you identify.

Reviewer paging through a thick VA claim file looking for the error in the prior decision
VA Form 20-0996

Higher-Level Review

Choose this when you believe VA made an error on the evidence it already had. A more senior reviewer takes a fresh look, and you can request one informal conference to point out the mistake.

Formal hearing room table set for a Veterans Law Judge appeal hearing
VA Form 10182

Board Appeal

Sends the case to a Veterans Law Judge at the Board. Choose direct review, evidence submission, or a hearing docket—each with its own timeline and rules about new evidence.

Denials are often about evidence, not eligibility. A toxic-exposure claim is frequently denied because the exposure chain or the medical link was not fully built—not because the veteran did not qualify. That is exactly the kind of gap a fresh review can close.

Deadlines & effective dates

The clocks that decide how far back benefits reach

Missing a deadline rarely ends a claim, but it can cost months or years of back pay. These are the ones that matter most for families.

One year to challenge a decision

To keep the earliest effective date, request a decision review (Supplemental Claim, Higher-Level Review, or Board Appeal) within one year of the date on the decision letter.

One year to step into a pending case

A survivor generally must file the substitution request (VA Form 21P-0847) within one year of the claimant’s death to continue a claim or appeal that was pending when the veteran died.

One year for accrued benefits

A claim for benefits VA owed but had not paid at death (VA Form 21P-601) is generally due within one year of the death.

DIC filed within a year can reach back

When a survivor files for DIC within one year of the veteran’s death, benefits can generally be paid back to the first day of the month of death.

Intent to File holds your place for a year

After an Intent to File is received, the complete application filed within one year is treated as filed on the earlier Intent-to-File date.

Straight talk before you file

What this guide does not promise

Eligibility rules are detailed, and VA decides every case on its own facts. This guide maps the doors; it cannot guarantee any of them open for you.
Contamination or presence near a hazard does not automatically prove a condition was caused by service. A medical link still matters when there is no presumption.
Not every death qualifies for DIC. The service-connected condition generally must have caused or contributed to the death, or the veteran must have been totally disabled for a required period.
You cannot file for a living, competent veteran without their authorization. Help them, be appointed, or use the alternate-signer rules only when they truly cannot act.
Form numbers, addresses, and rules change. Confirm the current version and mailing address on VA.gov before you rely on anything here.
Beware anyone who guarantees an outcome or charges up front for a first-time claim. Verify accreditation before you sign a representation form.
VA-accredited agent #45147

Not sure which form—or which path—is yours?

Albert Thombs and a team of 10 accredited advocates can look at your situation, confirm which rights apply, and help you file it right the first time—for a living veteran or as a survivor. On recovered past-due benefits, there is no fee unless you win, and never a fee to start a first-time claim.

702-992-4883

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Tell an accredited agent what happened. We review your situation first and tell you honestly whether we can help — before anyone signs anything.

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