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21-4192 - Request for Employment Information in Connection with Claim for Disability Benefits

Summary

Product Name

21-4192 - Request for Employment Information in Connection with Claim for Disability Benefits

Product Root URL

https://www.va.gov/disability/eligibility/special-claims/unemployability/submit-employment-information-form-21-4192/introduction

Team Name

BIO Aquia

Deployment Status

Maintained

Team & Ownership

Team ID

19002

Portfolio

Benefits Portfolio

OCTO Crew

Benefits Intake Optimization (BIO)

Owned

true

Code & Repositories

Path to Code

src/applications/benefits-optimization-aquia/21-4192-employment-information

Github Product Label

benefits-optimization-aquia

Technical Details

Product ID

8451e8cf-d034-4f5a-b20a-bd1bc0139bf2

LOA

3

Testing & Quality (restricted)

Note: Use this form to update these restricted fields.

Has Unit Tests

true

Has E2E Tests

true

Package Dependencies

  • @bio-aquia/21-4192-employment-information/components/get-help
  • @bio-aquia/21-4192-employment-information/components/pre-submit-info
  • @bio-aquia/21-4192-employment-information/config
  • @bio-aquia/21-4192-employment-information/config/form
  • @bio-aquia/21-4192-employment-information/config/submit-transformer
  • @bio-aquia/21-4192-employment-information/constants
  • @bio-aquia/21-4192-employment-information/containers
  • @bio-aquia/21-4192-employment-information/containers/app
  • @bio-aquia/21-4192-employment-information/containers/confirmation-page
  • @bio-aquia/21-4192-employment-information/containers/introduction-page
  • @bio-aquia/21-4192-employment-information/manifest.json
  • @bio-aquia/21-4192-employment-information/reducers
  • @bio-aquia/21-4192-employment-information/routes
  • @bio-aquia/shared/components/pages/AddressValidationPage
  • @bio-aquia/shared/hooks
  • @bio-aquia/shared/utils
  • @department-of-veterans-affairs/component-library/contacts
  • @department-of-veterans-affairs/component-library/dist/react-bindings
  • @department-of-veterans-affairs/platform-forms-system/state/helpers
  • @department-of-veterans-affairs/platform-polyfills
  • @department-of-veterans-affairs/platform-startup/exports
  • @department-of-veterans-affairs/platform-utilities/environment
  • @testing-library/react
  • chai
  • path
  • platform/forms-system/src/js/actions
  • platform/forms-system/src/js/components/ConfirmationView
  • platform/forms-system/src/js/components/FormTitle
  • platform/forms-system/src/js/helpers
  • platform/forms-system/src/js/utilities/validations
  • platform/forms-system/src/js/validation
  • platform/forms-system/src/js/web-component-fields/VaMemorableDateField
  • platform/forms-system/src/js/web-component-patterns
  • platform/forms/components/FormFooter
  • platform/forms/constants
  • platform/forms/save-in-progress/RoutedSavableApp
  • platform/forms/save-in-progress/SaveInProgressIntro
  • platform/forms/save-in-progress/helpers
  • platform/forms/save-in-progress/reducers
  • platform/monitoring/record-event
  • platform/testing/e2e/cypress/support/form-tester
  • platform/testing/e2e/cypress/support/form-tester/utilities
  • platform/user/profile/vap-svc/constants/countries.json
  • platform/utilities/api
  • platform/utilities/date
  • platform/utilities/feature-toggles
  • platform/utilities/ui
  • prop-types
  • react
  • react-redux
  • sinon
  • vets-json-schema/dist/definitions.json
Contract

Launch Date

01/15/2026

Last updated: June 19, 2026

Changes made to this page will NOT be saved. To make changes read the user guide then use a GitHub issue form to make changes.


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