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VA Form 21-509

Form name:Statement of Dependency of Parent(s)
Form revision date: May 2024
Related to: Family member and caregiver benefits, Pension

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.

Download form

Download this PDF form and fill it out. Then submit your completed form on this page. Or you can print the form and mail it to the address listed on the form.

Helpful links

  • Find out how to update your direct deposit information online for disability compensation, pension, or education benefits.

  • Find out how to change your address and other information in your VA.gov profile for disability compensation, claims and appeals, VA health care, and other benefits.

  • Submit an online request to get your DD214 or other military service records through the milConnect website.

  • Learn how to access your VA records, benefit letters, and documents online.

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