VA Form 20-0996 is the Department of Veterans Affairs request for a Higher-Level Review. The form describes a Higher-Level Review as a new review of an issue previously decided by VA, based on the evidence of record at the time VA issued notice of the prior decision. It notes that the reviewer will not consider evidence received after the notification date of the prior decision, and that a Higher-Level Review may not be requested for a Higher-Level Review decision or a Board of Veterans' Appeals decision. Section I identifies the veteran, and Section II identifies the claimant when the claimant is someone other than the veteran, including a healthcare provider asking for review of a VA payment decision. VA lists its other review options at www.va.gov/decision-reviews/.
| Question | Answer |
|---|---|
| Form Name | VA Form 20-0996 |
| Form Length | 5 pages |
| Fillable? | Yes |
| Fillable fields | 127 |
| Other names | va form 20 0996, va 20-0996, higher-level review form, decision review request higher-level review |
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