Mississippi Details

Va Form 21 0789 is a document that many veterans find themselves filling out in order to receive disability compensation from the Department of Veterans Affairs. This form can be complicated, but with the help of this guide, you'll be able to fill it out without any trouble. In this guide, we'll walk you through each section of the form and provide tips on how to complete it correctly.

Listed below are some information about va form 21 0789. This table will provide details about the form's length, finalization time, and the parts you are expected to fill.

QuestionAnswer
Form NameVa Form 21 0789
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesAMVETS, va form 21 0789 fill in pdf, 21 0789, Mississippi

Form Preview Example

YOUR RIGHTS TO REPRESENTATION AND A HEARING

You have some important rights in your claim with VA. You don't have to handle your case by yourself, and you don't have to deal with us only through the mail. On this page we'll tell you about your right to have your own representative. We'll also explain your right to a personal hearing.

WHAT IS A REPRESENTATIVE?

A representative is a person who helps you tell us your side of the story. The representative can help you with written materials you send us. He or she can also go with you to a hearing if you decide you want one.

WHO CAN BE MY REPRESENTATIVE?

There are three kinds of representatives. Each is explained below.

.You can choose an employee of a veterans organization or other service organization which is recognized by VA. On the back of this page we have a list of some service organizations that could represent you free of charge.

OR

. You can get a lawyer. The lawyer might work in private practice or for Legal Aid.

OR

.You can get an agent. An agent is anyone other than a lawyer or a service organization who is authorized by VA to speak for you or help you tell your side of the story.

If you don't have a representative and would like one, tell us who you want to represent you. then we'll send you the forms and information you'll need to name your representative.

WHAT IS A PERSONAL HEARING?

A personal hearing is a meeting where you can talk to us about a decision we have made or a decision we are going to make. In most cases, the person who "hears" your claim will be the person who makes the decision. You should bring evidence to help us understand your side of the story.

CAN I BRING SOMEONE TO THE HEARING?

Yes. Besides your representative, you can bring witnesses. A witness is anyone who has personal knowledge about your claim and can give us useful information.

If you don't want a representative, but still want someone to help you at the hearing, one of our Veterans Services Representatives (VSRs) can go to the hearing with you. However, you will need to tell us ahead of time so that the VSR can study your case.

WHAT DOES VA PROVIDE FOR THE HEARING?

Generally the hearing is held at the Regional Office which has your records. We'll provide the room and tape the hearing. Where available, your hearing can also be held at a local VA hospital through a closed circuit TV system. These services are free. We will not be able to pay for your travel, meals, or other expenses.

HOW CAN I REQUEST A HEARING?

If you'd like a personal hearing, simply write to us and tell us you want one.

WHEN MUST I REQUEST A HEARING?

If we receive your request for a hearing within 60 days from the date of our letter, we will not make any decisions until we hold the hearing and review the hearing testimony and any evidence presented.

After 60 days you may request a hearing, but we may have already made a decision as explained in our letter.

VA FORM

21-0789

CONTINUED ON REVERSE

APR 2012

 

RECOGNIZED SERVICE ORGANIZATIONS

Here is a list of national, regional, or local organizations which are approved to help people with their claims. You don't have to belong to one of these organizations to get their help, and they won't charge you a fee. If you're looking for one of these organizations and you can't find them in your phone book, you can call us toll free at 1-800-827-1000.

African American PTSD Association

National Association of County Veterans Service Officers, Inc.

American Legion

National Veterans Legal Services Program

American Red Cross

National Veterans Organization of America

AMVETS

Non Commissioned Officers Association of the USA

American Ex-Prisoners of War, Inc.

Navy Mutual Aid Association

American GI Forum, National Veterans Outreach Program

Paralyzed Veterans of America, Inc.

Armed Forces Services Corporation

Polish Legion of American Veterans, U.S.A.

Army and Navy Union, USA

Swords to Plowshares, Veterans Rights Organization

Associates of Vietnam Veterans of America

The Retired Enlisted Association

Blinded Veterans Association

The Veterans Assistance Foundation

Catholic War Veterans of the U.S.A.

The Veterans Coalition

Disabled American Veterans

The Veterans of the Vietnam War, Inc.

Fleet Reserve Association

United Spanish War Veterans of the United States

Gold Star Wives of America, Inc.

United Spinal Association

Italian American War Veterans of the United States, Inc.

Veterans of Foreign Wars of the United States

Jewish War Veterans of the United States

Veterans of World War I of the U.S.A., Inc.

Legion of Valor of the United States of America, Inc.

Veterans of the Vietnam War, Inc. & the Veterans Coalition

Marine Corps League

Vietnam Era Veterans Association

Military Order of the Purple Heart

Vietnam Veterans of America

National Amputation Foundations, Inc.

Wounded Warrior Project

National Association for Black Veterans, Inc.

 

Although agency titles vary, the following States and possessions maintain veterans service agencies which are recognized to present claims. You can look in the state government pages of the phone book under "veterans" to see if your state has a Department of Veterans Affairs or Veterans Affairs Commisssion.

Alabama

Illinois

Nevada

Puerto Rico

American Samoa

Iowa

New Hampshire

Rhode Island

Arizona

Kansas

New Jersey

South Carolina

Arkansas

Kentucky

New Mexico

South Dakota

California

Louisiana

New York

Tennessee

Colorado

Maine

North Carolina

Texas

Connecticut

Maryland

North Dakota

Utah

Delaware

Massachusetts

Northern Mariana Islands

Vermont

Florida

Minnesota

Ohio

Virginia

Georgia

Mississippi

Oklahoma

Virgin Islands

Guam

Missouri

Oregon

Washington

Hawaii

Montana

Pennsylvania

West Virginia

Idaho

Nebraska

 

Wisconsin

Points to Remember:

.If you want a representative, you should let us know who you want. We can send you the necessary forms to appoint your represetative.

.If you want a personal hearing, you should write and tell us.

VA FORM 21-0789, APR 2012