How to Apply Online for a 100% Permanent and Total (P&T) VA Rating! Here’s the simple 4-step process: ✅ Step #1. Open a new claim online at VA.gov, and add a new disability called “Request for Permanent and Total Disability Status.” ✅ Step #2. Upload medical evidence showing that your disabilities meet the definitions of permanent and total (e.g., your PTSD has been rated at 70% for 5 years or more and isn’t going to get better – along with a host of other disabilities that are permanent and tot