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VA Form 21-4140 Printable, Fillable in PDF – In the United States, Veterans Affairs (VA) Form 21-4140 (VA Employment Questionnaire) is used to collect information from veterans in order to evaluate whether or not they are eligible for Individual Unemployability (IU) payments in the future.
On October 1, 2017, the Department of Veterans Affairs (VA) issued the most recent version of the form. Fillable VA Form 21-4140 is available for download and digital filing below, and it is the most up-to-date form accessible.
The Individual Unemployability (IU) benefits, also known as Total Disability Based on Individual Unemployability (TDIU) benefits, are payments made to Veterans who are unable to find work because of a service-connected disability. In the case of a TDIU rating, it is equivalent to a 100 percent disability rating. If a Veteran is awarded a TDIU rating, the Veteran’s VA service-connected disability rating is instantly increased to 100%.
How Do I Fill Out VA Form 21-4140 (Veterans Affairs)?
All IU beneficiaries under the age of 60 are required to complete the VA Form 21-4140 on an annual basis. It is mandatory for Veterans who receive unemployment compensation payments to certify on a regular basis that they are still jobless or marginally employed. Instructions for completing VA Form 21-4140 are provided below in step-by-step format.
- Section I (Veteran’s Identification Information) requires the Veteran to provide their full name, Social Security number, VA file number, date of birth, current mailing address, and contact information. Section II (Veteran’s Compensation Information) requires the Veteran to provide their full name, Social Security number, VA file number, date of birth, current mailing address, and contact information.
- Section II (“Employment Certification”) of the application asks the Veteran to detail all of his or her prior year’s employment. In addition to the names and addresses of all employers, the sort of job performed, the dates of employment, the amount of money earned each month, and the amount of time missed due to sickness are all necessary.
- Veterinarians who have been out of work for the last 12 months sign Section III (“Unemployment Certification”) to confirm that the information supplied is valid and genuine.