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About VA Form 21P-530a

Form name: State Application for Interment Allowance (Under 38 U.S.C. Chapter 23)
Form revision date: October 2024
Related to: Burials and memorials

When to use this form

Use this form if you’re a state or tribal organization and want to apply for a VA interment allowance for a Veteran buried in a State or Tribal Veterans’ cemetery.

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.

Online tool

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