When a Supplemental Claim fits
VA’s Supplemental Claim guidance covers review of a prior decision using new and relevant evidence, as well as some changes in law. If VA already approved the link to service and the condition got worse later, you may need a claim for an increased rating. Write down whether you are challenging the earlier decision or reporting later worsening.
What new and relevant evidence means
VA defines new evidence as information it has not previously considered. Relevant evidence addresses proving or disproving a point in the claim.
Do not stop at “new medical report.” Note which question the report answers and mark the page.
Use the filing tools for Form 20-0995
Open the Supplemental Claim next-step questions to check your decision details and reach preparation and official filing instructions. For more background, read the Supplemental Claim overview. VA provides an online route for disability-compensation Supplemental Claims and Form 20-0995 for other submission methods. Follow the current instructions for your benefit type; keep a copy and submission receipt.
Compare Supplemental, HLR, and Board review
Use the decision-review comparison before filing. HLR checks the evidence VA already had. Board review lets you ask a judge to review the decision, with choices about new evidence and a hearing. Compare what each choice allows you to send.
Check the deadline and benefit start date
When you file can affect the benefit start date (effective date), even if you can still file a Supplemental Claim. Compare your letter with VA’s deadline and effective-date guidance. If a deadline passed, you filed before, or you are unsure which decision to challenge, take the letters and receipts to an accredited representative. Ask which date applies now.
Make a list of the records you will send
- Identify the issue and decision date.
- List each new item and the specific point it addresses.
- Include provider names and treatment dates when asking VA to obtain records.
- Keep readable copies and record when each item was submitted.
VA describes help gathering identified records in its duty-to-assist guidance. If an exam is scheduled, use the C&P preparation tool.
What if a new medical report did not resolve the denial?
The discarded PTSD DBQ scenario illustrates questions to ask when a private examination report does not resolve a denial. It remains a draft for owner review. Use its questions to check your own report and decision. Browse more patterns in Decision-letter scenarios.
After an unfavorable Supplemental Claim decision
Use the new decision’s reasons and review-rights notice. Depending on the evidence and timing, another Supplemental Claim, Higher-Level Review, or Board Appeal may be available. Read VA’s options after a Supplemental Claim decision.
I received an unfavorable Supplemental Claim decision. Have that decision beside you to answer the next questions about its date and your evidence.
Frequently asked questions
Is another medical opinion enough by itself?
Not necessarily. Read why VA denied the claim and check whether the opinion explains that point. Ask your representative and clinician what is still unanswered before paying for another report.
What if I already have a review pending?
Check VA’s instructions after requesting review before trying to switch routes. Uploading a record does not, by itself, request a new review.
Official sources
Process sources checked September 27, 2026. Check VA guidance and your letter for the rules that apply to your issue.
Your next step
Answer a few questions about your decision and evidence to find the relevant preparation steps.