TEST C6 2024 VA DISABILITY CALCULATOR

Please enable JavaScript in your browser to complete this form.

Veteran Info.

Veteran's Name

First

Middle

Last

(Middle Name or Initial)

Last Four (4) of your Social Security #: *

Phone

Email *

Confirm Email

Military Service Overview

Branch(es) of Service.

Branch of Service (4 max) *

Click the ⊕ button to add (or ⊖ to take away) other service branches === 👉

Last Grade / Rank / MOS (AlphaNumeric/Job Description)? *

i.e. Sgt, 13F - Joint Fire Support Specialist

Military Start Date *

Military Ending Date *

Current Military Status? *

Military Discharge *

Significant Awards: Do you have any of the following? *

None
Congressional Medal of Honor
Distinguished Service Cross
Distinguished Flying Cross
Air Force Cross
Navy Cross
Silver Star
Bronze Star
Purple Heart
Combat Action Badge/Ribbon
Combat Infantryman Badge/Ribbon
Combat Medical Badge/Ribbon
Armed Forces Expeditionary Medal (AFEM)

Duty Stations & Assignments

Click the ⊕ button to add (or ⊖ to remove) other stations and assignments

Installation/Base/Ship Name

Location

Unit/Command

Primary Duties/MOS

Start Date

End Date

Deployments & Combat Operations

Click the ⊕ button to add (or ⊖ to remove) other deployments and operations information

Bases / Combat Theater(s)

Location/Country

Combat Role(s)

Direct Combat
Combat Support
Combat Service Support
Non-Combat

Bases/Regions

Environmental Exposures

Burn Pits
Agent Orange
Sandstorms/Dust
Chemical/Biological
Radiation
Asbestos
Lead Paint
Other

Other

Timeframes: Locations / Deployments / Assignments

Click the ⊕ button to add (or ⊖ to remove) other locations, deployments or assignment information

Locations / Deployments / Assignments

Start Date

End Date

Military Training & Schools

School / Location

Start Date

End Date

Training

Completion Status

Accidents / Injuries / Infestations / Illnesses

Save and Resume Later

Build Your Statement, One Condition at a Time

Service-Connected Condition Details (Non-PTSD/MST)

Tell us what happened during your military service that led to this condition. This could include combat, training or traffic accidents, sports injuries, job-related duties, harassment, assault, or other exposures. Include where and how it happened, and how it affected you. Use your own words — this doesn’t need to be perfect. For incidents involving sexual assault or harassment, know that the VA will not investigate or contact the other party.

Condition Name

Use your own words or the descriptive words CaseSix discussed with you.

When did the condition begin?

You do not need to be exact, use "... in the spring of 1998', or "...the early part of 2024..."

Where were you at the time?

Deployment
Duty Station
On Leave
CONUS
OCONUS

Check all the apply.

What Happened / Incident or Exposure?

Briefly explain what occurred during your service that led to this condition — such as a combat event, injury, training accident, or exposure. Use your own words. For MST-related issues, scroll below to use the private trauma section.

Current Symptoms

Be concise. Use bullet points if you wish. Use common symptoms such as pain, numbness, difficulty sleeping, anxiety, headaches, memory problems — or describe your own.

How does this condition impact your daily life or work?

Be concise. Use bullet points if you wish.

Did you seek medical treatment at the time?

What medical treatment (if any) did you receive at the time?

Think about the type of care, provider or facility name if known, and whether it was during deployment, at a field hospital, VA clinic, or civilian ER.
👉 It could be, too, you went to Sick Call and they did was hand you Motrin like candy with no medical record... if so, tell us that! Keep it short but specific.

Was anyone with you that witnessed the incident?

Yes, and I'm still in contact with them
Yes, but I have lost contact with them
No

If one or more fellow service members, instructor, or unit peer witnessed what happened or noticed a change in you afterward, their statement can be powerful support for your claim — especially if there’s no formal report. We can help you request a Buddy Statement if you’re still in contact with them.

Are you seeking treatment at this time?

This question helps show the VA that your condition is chronic and ongoing. It could include prescription medication, physical therapy, mental health counseling, or any other current effort to manage the issue. If you’re not currently receiving treatment, just note that here.

What medical treatment (if any) are you receiving today?

Are you currently doing anything to manage this condition? This could include prescription medications, over-the-counter drugs, physical therapy, counseling, mental health treatment, or nothing at all. If you’re not receiving treatment, that’s okay — just say so.

Do you have medical evidence for this?

Yes, Military STRs
Yes, Private/Family Healthcare
No

Medical evidence could include VA records, private doctor reports, or even old sick call slips. If you don’t have records but mentioned the condition during service, that’s still helpful.

Save and Resume Later

Build Your Statement, One Condition at a Time

Service-Connected Mental Health / PTSD / MST

This section is for mental health conditions related to your service — including PTSD, Military Sexual Trauma (MST), anxiety, depression, or similar issues. These conditions often stem from combat, harassment, assault, or other traumatic experiences. Don’t worry about perfect wording — just share what happened, where it happened, and how it has affected you. For MST claims, the VA will not contact or investigate the other party.

Condition Name

Use your own words or the descriptive words CaseSix discussed with you.

When did the condition begin?

You do not need to be exact, use "... in the spring of 1998', or "...the early part of 2024..."

Where were you at the time?

Deployment
Duty Station
On Leave
CONUS
OCONUS

Check all the apply.

What Happened / Incident or Exposure?

Current Symptoms

Be concise. Use bullet points if you wish. Use common symptoms such as pain, numbness, difficulty sleeping, anxiety, headaches, memory problems — or describe your own.

How does this condition impact your daily life or work?

Be concise. Use bullet points if you wish.

Did you seek medical treatment at the time?

What medical treatment (if any) did you receive at the time?

Think about the type of care, provider or facility name if known, and whether it was during deployment, at a field hospital, VA clinic, or civilian ER.
👉 Even informal or undocumented treatment — like field care or peer assistance — may still support your claim. Keep it short but specific.

Has anyone close to you observed changes in you since the incident?

Yes, and I'm still in contact with them
Yes, but I have lost contact with them
No

If someone close to you — such as a spouse, partner, or fellow service member — has observed lasting changes in your behavior, sleep, mood, or emotional well-being since your service, their statement can be powerful evidence. This is especially true for mental health claims like PTSD or MST, where formal reports or records may be missing. We can help you request a Spouse or Buddy Statement if you're still in contact with them.

Are you seeking treatment at this time?

What medical treatment (if any) are you receiving today?

Do you have medical evidence for this?

Yes, Military STRs
Yes, Private/Family Healthcare
No

Medical evidence could include VA records, private doctor reports, or even old sick call slips. If you don’t have records but mentioned the condition during service, that’s still helpful.

Tell Us More... (if you’d like)

Veteran Info.

Military Service Overview

Branch(es) of Service.

Duty Stations & Assignments

Duty Stations & Assignments

Deployments & Combat Operations

Deployments & Combat Operations

Timeframes: Locations / Deployments / Assignments

Military Training & Schools

Build Your Statement, One Condition at a Time

Service-Connected Condition Details (Non-PTSD/MST)

Build Your Statement, One Condition at a Time

Service-Connected Mental Health / PTSD / MST

Repeater