SUPERSEDES VA FORM 21-4138, JUN 2021. Page 1. Before completing this form, read the Privacy Act and Respondent Burden on page 2. Use this form to submit a statement to support a claim. For more information you can contact us through Ask VA: https://ask.va.gov/, or call us . toll-free at 1-800-827-1000 (TTY:711). VA forms are available at www.va ...