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INSTRUCTIONS: Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to submit a statement to support a claim. Instructions For Filing A Claim. VA VA Form 21-4138 (Statement in Support of Claim). 3. VA Form 21-526 (Veterans Application for Comp and/or. Pension).Complete and submit the VA Form 21-4138 to provide the VA with information to support claims for benefits. Resource Site. Location. Those filling out this form provide statements supporting the veteran's claim and verifying the limitations the veteran suffers because of their disability.