VA Claim Preparation Worksheet
Organize your conditions and documents before a VSO or VA appointment. The sheet builds live and prints clean.
Fill in your conditions and dependents. A clean, printable preparation sheet builds live — bring it (and your documents) to a VSO or VA appointment.
Your name (optional)
State of residence
Service-connected conditions
Condition
Rating % / paired?
Condition
Rating % / paired?
Spouse
Children under 18
Children 18–23 in school
Dependent parents
VA Disability Claim Preparation Sheet
Prepared by VivMetric · 9/5/2026
Estimated combined rating
40%
Estimated 2026 monthly compensation
$882.84 / month (tax-free)
Conditions listed
- Unnamed condition — 30%
- Unnamed condition — 10%
Documents to bring
- DD-214 (Certificate of Release or Discharge from Active Duty)
- Current VA disability rating decision letter
- Medical records supporting each claimed condition
- Dependency evidence (marriage certificate, child birth certificates, school enrollment for 18–23)
- List of medications and treating providers
Estimates only — based on the VA efficiency formula and the 2026 compensation schedule. The official combined rating and payment are determined by the VA. Confirm with a VSO.
Source & verification
- Combined rating and compensation estimates use 38 CFR § 4.25 / § 4.26 and the VA.gov FY2026 schedule.
- Retrieved and verified: 2026-08-23. This worksheet is a planning aid, not a filing.