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V.A. Forms

Visit the searchable U.S. Department of Veterans Affairs Forms Website for the complete list, or select from the frequently requested forms below.

 

Burial Benefits

21-601 Application for Accrued Amounts of Veterans Benefits Payable to Deceased Beneficiary

21-530 Application for Burial Benefits

21-2008 Application for U.S. Flag for Burial

21-601 Application for Reimbursement Accrued Amounts Due Deceased Beneficiary

40-1330 Application for Headstone or Grave Marker

21-8834 Application for Reimbursement of Headstone/Grave Marker Expenses

Compensation

21-526 Application for Compensation

21-651 Application for election to Receive VA in Lieu of Retired Pay

21-4140-1 Employment Questionnaire

21-8940 Application for Increased Compensation Based on Unemployability  

21-8951-2 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances

Dependency and Indemnity Compensation

21-534 Application for Widows DIC

21-535 Application for Parents DIC

Education

22-5281 Application for Refund Educational Contributions

22-8691 Veterans Application for Work Study Allowance

21-674 Application Request for School Attendance Approval

21-674b School Attendance Report

21-8924 Application for Benefits under Provision 156 PL 97-377 (REPS)

22-1990 Application for Education Benefits

22-1990t Application for Tutorial Assistance

22-1995 Application Request for Change of Program or Place of Training

22-1999c Application Enrollment Certification

22-5490 Application for Survivors/Dependents Educational Assistance

22-5495 Request for Change of Program or Place of Training

28-1900 Application for Vocational Rehabilitation Program

 
Home Loans

26-1817 Request for Determination of Loan Guaranty Eligibility/Unmarried Surviving Spouses

26-1880 Request for Determination of Eligibility Loan Guarantee

26-1802a Application for Home Loan Guarantee

26-1805 VA Home Loan Property Appraisal

26-6381 Release of Liability from Home Loan

26-8641a Mobile Home Loan Application

Insurance

29-336 Application for Designation of Beneficiary and Optional Settlement  

29-352 Application for Reinstatement Insurance Lapsed More Than Six Months

29-357 Application for Disability Insurance Benefits

29-380 Application for Protection of Commercial Life Insurance Policy

29-888 Application for Insurance Deduction Authorization

29-4125 Application for Claim for One Sum Payment

29-4125a Application for Claim for Monthly Payments

29-4364 Application for National Service Life Insurance (S/C Rated)

Medical Benefits

10-10EZ Application for Medical Benefits

10-10d Application for Medical Benefits for Dependents/Survivors (CHAMPVA)  

10-10m Medical Certificate from Treating Physician

10-10EZR Medical Benefits Renewal Form  

10-2478 Application for Refill of Medications/Medical Supplies

21-4142 Authorization for Release of Information

21-2680 Request for Aid and Attendance/Housebound

Miscellaneous

20-572 Request for Change of Address/Cancellation of Direct Deposit

21-22a Appointment of Veterans Service Organization as Representative

SF180 Application for request of Military Records  

10-1394 Application for Adaptive Equipment for Motor Vehicle

21-0571 Application for Exclusion of Children's Income

21-509 Statement of Dependency of Parent(s)

21-686c Declaration of Status of Dependents 

21-4138 Statement in Support of Claim

21-4170 Statement of Marital Relationship

21-4171 Statement Regarding Marriage

21-4176 Report of Accidental Injury

21-4502 Application for Automobile/other Conveyance/Adaptive Equipment  

21-8049 Request for Details of Expenses

10-8678 Application for Annual Clothing Allowance

VA-1100 Agreement to Pay Indebtedness

Pension Benefits

21-526 Application for Pension

21-527 Application for Pension Income/Net Worth and Employment Statement

21-4185 Report of Income from Property or Business

Widows Pension

21-534 Application for Widows Pension

21-4103 Information from Remarried Widow/Widower