Filing a Knee (Limitation of Flexion) Claim: The ITF → 526EZ → DBQ Sequence
The short version
Three steps, done in this order, protect your money and your evidence:
- File an Intent to File (VA Form 21-0966) — locks in your effective date today, even though it isn't a claim yet.
- Get your Knee DBQ done — gathers the medical evidence while your Intent to File clock is running.
- File your claim (VA Form 21-526EZ) — within one year of step 1, with the DBQ attached as evidence.
Do it out of order — especially skipping step 1 — and you can lose months or years of back pay for no reason other than paperwork sequencing.
Step 1: Intent to File (VA Form 21-0966)
An Intent to File is not a claim. It requires no medical evidence, no condition details, no diagnosis — just a statement that you intend to file. What it does is lock in your effective date: the date VA received your Intent to File becomes the date VA uses to calculate retroactive pay if your claim is later approved.
That matters because building a strong knee claim — getting a DBQ completed, gathering treatment records, writing a lay statement about flare-ups — takes time. Without an Intent to File on record, your effective date is whatever date your completed claim eventually arrives, not the date you started working on it. File the Intent to File first, then take the time you need to do the claim right.
How to submit it (pick one):
- Online, fastest: Start VA Form 21-526EZ at VA.gov and save it — VA.gov automatically creates an Intent to File for disability compensation the moment you save a started application. You don't need to file 21-0966 separately if you do this.
- By phone: Call VA's National Call Center, 1-800-827-1000 (TTY: 711), Monday–Friday, 8 a.m.–9 p.m. ET, and ask them to note your intent to file. Get a reference number.
- By mail: Complete VA Form 21-0966 and mail it. Use certified mail with return receipt — VA's effective date is the date VA receives the form, not the date you mailed it, so you want proof of delivery.
The clock: once VA receives your Intent to File, you have exactly one year to submit your completed claim (VA Form 21-526EZ). Miss that window and the Intent to File expires — no penalty beyond losing the earlier effective date, but you'd have to file a new Intent to File and start the year over, losing whatever back pay the original date would have covered.
Step 2: Get the Knee DBQ done (while the clock is running)
With your effective date locked in, use the one-year window to get the Knee and Lower Leg DBQ completed — either by a VA examiner at a C&P exam, or by your own private physician. (See the companion Knee DBQ explainer for what this form actually measures and why it drives your rating.) This is the single most important piece of medical evidence in a knee-flexion claim, so it's worth taking the time the Intent to File buys you rather than rushing a claim in without it.
Step 3: File the claim (VA Form 21-526EZ)
This is the actual application — Application for Disability Compensation and Related Compensation Benefits. File it within your one-year Intent to File window, with your completed DBQ (and any other supporting evidence — treatment records, a lay statement on VA Form 21-10210 describing flare-ups and functional loss) attached.
Filing methods parallel the Intent to File: online through VA.gov (fastest, and lets you upload evidence directly), by mail, or in person/by mail with help from an accredited VSO or claims agent.
Why the sequence matters for a knee-flexion claim specifically
Knee flexion ratings turn heavily on documented severity — range of motion in degrees, pain on motion, flare-up impact, additional functional loss after repetitive use. That's not evidence you can produce instantly; it takes a scheduled exam or a private physician visit to generate a proper DBQ. Filing the Intent to File first means you're not trading a strong claim for a faster one — you get both the early effective date and the time to build the record that actually supports the rating you deserve.
What's next
Once you've got your Intent to File on record, move to the Knee DBQ explainer to understand exactly what the exam is measuring and how to make sure nothing gets missed.