VA Form 4107C Your Rights to Appeal Our Decision - Contested Claims

Your Rights to Appeal Our Decision

VA Form 4107C explains how claimants can appeal and how they can send the VA more evidence, if necessary. It is possible to choose either one or both of these options.

To start the appeal process, a claimant must send VA Form 21-0958, Notice of Disagreement to the VA. If the claim is not granted then, the VA replies with the attached Statement of the Case which contains the justification of their decision. Form 4107C also recommends visiting the VA website to find a "plain language" pamphlet describing the appeal process.

VA Form 4107C allows claimants to send to the VA supplementary evidence in support of the claim. It must be directed to the address given in the VA's decision notice letter. There are two ways to present evidence. A written response is usually reserved for documents and written statements with an explanation of how they can change the initial decision. There is also an option to request a personal hearing with a local VA office employee, where written evidence can be shared and witnesses can speak on a claimant's behalf. Any new evidence is reviewed by the VA, and then they let the claimant know if they can grant a claim. If it is not the case, the new evidence along with the record of a local hearing is sent to the Board of Veterans' Appeals.

VA 4107 Related Forms:

• VA Form 4107, Your Rights to Appeal Our Decision, covers the overview of the appeal process on the VA decisions;
• VA Form 4107VHA, Your Rights to Appeal Our Decision, tells veterans how to appeal Veterans Health Administration's decisions;
• VA Form 4107VRE, Your Rights to Appeal Our Decision, deals with the appeal process connected to educational and employment services;
• VA Form 4107INS, Your Rights to Appeal Our Decision, establishes the main steps to take when appealing a health insurance denial.