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About VA Form 21P-509

Form name: Statement of Dependency of Parent(s)
Related to: Family member benefits, Pension
Form last updated: March 17, 2022

When to use this form

Use VA form 21P-509 if you’re a Veteran whose parents are dependent on you for support, or you’re the parent of a Veteran who died on active duty or as a result of service-connected injuries or disease.

Downloadable PDF

Download VA Form 21P-509 (PDF)