Traumatic-event mental health statement
Statement in Support of Claim for Service Connection for Mental Health Conditions Due to an In-Service Traumatic Event
Provides information about an in-service traumatic event connected to a mental health claim.
Purpose and use
Use for PTSD or another mental health claim based on an in-service traumatic event when VA requests this information.
When not to use it
Do not use this form for a different benefit or review path unless current VA instructions identify it for that purpose.
Who completes and signs it?
- Completed by
- veteran or claimant
- Signed by
- veteran or claimant
- Availability
- online and pdf
- Submission
- follow current form instructions
Always start with the official page
Open the current VA version.
Check the revision, instructions, signature requirements, and delivery options immediately before use.
Read before use
Important limitations
- Verify the current revision and submission instructions on the official VA page before signing or sending the form.
- This planner identifies forms that may fit a situation; it does not determine eligibility or filing strategy.