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Video instructions and help with filling out and completing VA 21-4140-1
Hello and welcome back to the legal help for veterans VA form assistance tutorials today we are going to be walking you through VA form two one four one four zero one employment questionnaire while this is a critical form and continuing your VA benefits as will be explained please know that this tutorial will only be relevant to those veterans that are already receiving a total disability rating as a result of a grant of individual unemployability if you are not being paid at the 100% disabling due solely to entitlement to individual unemployability this video will not apply to you unlike other forms we've discussed in our tutorials this form is typically mailed directly to each qualifying veteran once a year whether you are represented by this office another attorney a VSO or any other qualifying veteran's advocate if you are currently represented by this office please do not assume that we were notified of this mailing as again this is typically mailed directly to the veteran only as a legal help for veteran client please notify this office of your receipt of this form and we will be happy to assist you with its completion if you are not a client or are a client but want to complete the form on your own we will address the two possible scenarios that will affect you for the completion of this form first whether you have worked in any capacity within the previous 12 months or second if you have not worked at all regardless of which scenario you fall into you should validate the accuracy of your name and address in the larger box at the top on the left and if inaccurate make any necessary Corrections if not already prefilled you should always enter your file number in box two which will either be your social security number or your 8-digit service number you should then elect which scenario matches your individual employment status in box three yes if you earned income in the last 12 months or no if you did not work in any capacity during the last 12 months we remind you that only income earned by working counts any money received from Social Security or other retirement supplements for instance should not be considered here as they are not earned income as this form is being sent to you because you're already receiving individual unemployability we will start with the completion of this form for those that mark no inbox three affirming that you have not worked at all in the past twelve months if you did not work in any capacity during the previous twelve months you should skip to the very bottom of the page signing your name in box 6b date in the form in box 6a completing box 6c and adding your contact phone numbers in box 6d once you have signed and dated the form in boxes 6b and 6a respectively you've completed your obligation to.