VA Disability Appeal Request

Old not use – VA Disability Appeal Intake

Intake form for veterans seeking to appeal a denied VA disability claim.

Step 1 of 4 – Eligibility

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Let's Find Out If We Can Help

Have you ever filed a VA disability claim?(Required)

Yes, I have filed a VA claim

No, I have not filed a claim yet

Not Eligible – No Claim Filed

Before we can assist with an appeal, you must first file an initial VA disability claim. The VA must issue a decision before an appeal is possible. Please visit VA.gov or contact your local VSO to get started.

What is the current status of your VA claim?(Required)

My claim was denied

I am still waiting on a decision

My claim was approved but I don’t agree with the rating.

Not Eligible – Claim Still Pending

We specialize in appealing denied claims. Once the VA issues a denial, we would love to help you fight it. Please check your claim status at VA.gov and come back to us once you receive a decision.

Not Eligible – Claim Was Approved

Since your claim was approved, you may not need a formal appeal. However, if you believe your disability rating was too low, you may have options. Please call us to discuss whether a rating increase appeal is right for your situation.

Has a doctor provided medical documentation supporting your disability?(Required)

Yes, I have medical documentation

No, I do not have medical documentation

I am not sure

Medical evidence strengthens your appeal, but lack of documentation does not necessarily disqualify you.

Your Service and Medical Issues

Service Branch(Required)

Year Service Began(Required)

Please enter a number from 1950 to 2026.

Year Service Ended(Required)

Please enter a number from 1950 to 2026.

Disability or Condition(Required)

Please describe the disability or condition that was denied by the VA.

Do you currently have a VSO or attorney representing you?

Yes

No

Not sure

Your Information

Full Name(Required)

First Last

Phone Number(Required)

Email Address(Required)

Preferred Contact Method

Phone

Email

Either

Best Time to Reach You

Morning

Afternoon

Evening

Consent

I agree to be contacted regarding my case.

Submission of any information via this website by you does not create an attorney-client relationship and must not be considered confidential. Please do not submit confidential information via email or this website. Any statement of past results does not guarantee, warrant, or predict future cases. All rights reserved. Resch Law, PLLC d/b/a Conviction Solutions – a Nevada law firm.

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