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VA Form 21P-0537

Form name:Marital Status Questionnaire
Form revision date: December 2025
Related to: Pension

When to use this form

Use this form if you’re receiving Dependency and Indemnity Compensation (DIC) as the surviving spouse of a Veteran who died in service or from a service-connected disability and you have a change in your marital status.

Downloadable PDF

Online tool

You can fill out this form online instead of filling out and sending us the paper form.