diff --git a/.github/CODEOWNERS b/.github/CODEOWNERS
index 31a2d09527b..6ec7d621946 100644
--- a/.github/CODEOWNERS
+++ b/.github/CODEOWNERS
@@ -2131,6 +2131,7 @@ spec/support/vcr_cassettes/veteran @department-of-veterans-affairs/lighthouse-da
 spec/support/vcr_cassettes/veteran_readiness_employment @department-of-veterans-affairs/benefits-non-disability @department-of-veterans-affairs/va-api-engineers @department-of-veterans-affairs/backend-review-group
 spec/support/vcr_cassettes/vetext @department-of-veterans-affairs/mobile-api-team
 spec/support/vcr_cassettes/vha/sharepoint/upload_pdf_400_response.yml @department-of-veterans-affairs/vsa-debt-resolution @department-of-veterans-affairs/backend-review-group
+config/form_profile_mappings/DISPUTE-DEBT.yml @department-of-veterans-affairs/vsa-debt-resolution @department-of-veterans-affairs/backend-review-group
 spec/support/vcr_cassettes/virtual_agent @department-of-veterans-affairs/vfs-virtual-agent-chatbot @department-of-veterans-affairs/va-api-engineers @department-of-veterans-affairs/backend-review-group
 spec/support/vcr_cassettes/virtual_regional_office @department-of-veterans-affairs/va-api-engineers @department-of-veterans-affairs/backend-review-group
 spec/support/vcr_cassettes/chip @department-of-veterans-affairs/vsa-healthcare-health-quest-1-backend @department-of-veterans-affairs/patient-check-in @department-of-veterans-affairs/backend-review-group
diff --git a/app/models/form_profile.rb b/app/models/form_profile.rb
index 7e8b33ab62d..b37d108c0c1 100644
--- a/app/models/form_profile.rb
+++ b/app/models/form_profile.rb
@@ -105,7 +105,8 @@ class FormProfile
     ivc_champva: ['10-7959C'],
     form_upload_flow: ['FORM-UPLOAD-FLOW'],
     acc_rep_management: %w[21-22 21-22A],
-    form_mock_ae_design_patterns: ['FORM-MOCK-AE-DESIGN-PATTERNS']
+    form_mock_ae_design_patterns: ['FORM-MOCK-AE-DESIGN-PATTERNS'],
+    dispute_debt: ['DISPUTE-DEBT']
   }.freeze
 
   FORM_ID_TO_CLASS = {
@@ -147,7 +148,8 @@ class FormProfile
     'FORM-UPLOAD-FLOW' => ::FormProfiles::FormUploadFlow,
     '21-22' => ::FormProfiles::VA2122,
     '21-22A' => ::FormProfiles::VA2122a,
-    'FORM-MOCK-AE-DESIGN-PATTERNS' => ::FormProfiles::FormMockAeDesignPatterns
+    'FORM-MOCK-AE-DESIGN-PATTERNS' => ::FormProfiles::FormMockAeDesignPatterns,
+    'DISPUTE-DEBT' => ::FormProfiles::DisputeDebt
   }.freeze
 
   APT_REGEX = /\S\s+((apt|apartment|unit|ste|suite).+)/i
diff --git a/app/models/form_profiles/dispute_debt.rb b/app/models/form_profiles/dispute_debt.rb
new file mode 100644
index 00000000000..9ea28528e98
--- /dev/null
+++ b/app/models/form_profiles/dispute_debt.rb
@@ -0,0 +1,27 @@
+# frozen_string_literal: true
+
+class FormProfiles::DisputeDebt < FormProfile
+  def metadata
+    {
+      version: 0,
+      prefill: true,
+      returnUrl: '/personal-information'
+    }
+  end
+
+  private
+
+  def va_file_number_last_four
+    return unless user.authorize :debt, :access?
+
+    file_number =
+      begin
+        response = BGS::People::Request.new.find_person_by_participant_id(user:)
+        response.file_number.presence || user.ssn
+      rescue
+        user.ssn
+      end
+
+    file_number&.last(4)
+  end
+end
diff --git a/config/form_profile_mappings/DISPUTE-DEBT.yml b/config/form_profile_mappings/DISPUTE-DEBT.yml
new file mode 100644
index 00000000000..3ec9463f653
--- /dev/null
+++ b/config/form_profile_mappings/DISPUTE-DEBT.yml
@@ -0,0 +1,7 @@
+veteran:
+  fullName: [identity_information, full_name]
+  ssn: [identity_information, ssn_last_four]
+  dateOfBirth: [identity_information, date_of_birth]
+  homePhone: [contact_information, home_phone]
+  email: [contact_information, email]
+  fileNumber: [va_file_number_last_four]
diff --git a/config/settings.yml b/config/settings.yml
index 5e31e2fa65c..2b509439869 100644
--- a/config/settings.yml
+++ b/config/settings.yml
@@ -147,6 +147,9 @@ mcp:
 fsr:
   prefill: true
 
+dispute_debt:
+  prefill: true
+
 review_instance_slug: ~
 
 sidekiq_admin_panel: false
diff --git a/spec/models/form_profile_spec.rb b/spec/models/form_profile_spec.rb
index e82eabc0407..c8b83fe80f4 100644
--- a/spec/models/form_profile_spec.rb
+++ b/spec/models/form_profile_spec.rb
@@ -1034,6 +1034,23 @@
     }
   end
 
+  let(:vdispute_debt_expected) do
+    {
+      'veteran' => {
+        'fullName' => {
+          'first' => user.first_name&.capitalize,
+          'last' => user.last_name&.capitalize,
+          'suffix' => user.suffix
+        },
+        'ssn' => '1863',
+        'dateOfBirth' => '1809-02-12',
+        'homePhone' => '14445551212',
+        'email' => user.pciu_email,
+        'fileNumber' => '3735'
+      }
+    }
+  end
+
   let(:initialize_va_profile_prefill_military_information_expected) do
     expected_service_episodes_by_date = [
       {
@@ -1410,6 +1427,18 @@ def expect_prefilled(form_id)
       end
     end
 
+    context 'with a user that can prefill DisputeDebt' do
+      before do
+        allow_any_instance_of(BGS::People::Service).to(
+          receive(:find_person_by_participant_id).and_return(BGS::People::Response.new({ file_nbr: '796043735' }))
+        )
+      end
+
+      it 'returns a prefilled DisputeDebt form' do
+        expect_prefilled('DISPUTE-DEBT')
+      end
+    end
+
     context 'with a user that can prefill financial status report' do
       let(:comp_and_pen_payments) do
         [