VA Form 21P-534EZ
- Form name:Application for DIC, Survivors Pension, and/or Accrued Benefits
- Form revision date: August 2025
- Related to: Disability, Family member and caregiver benefits, Pension
Downloadable PDF
DIC eligibility for survivors of Blue Water Navy Vietnam Veterans
If we denied your Blue Water Navy Veteran’s service-connected disability claim in the past, you may be eligible for DIC benefits based on the Blue Water Navy Vietnam Veterans Act of 2019.
Learn more about DIC eligibility information
Find out how to apply for benefits
Veterans who served on a Blue Water Navy vessel offshore of the Republic of Vietnam, or on another U.S. Navy or Coast Guard ship operating in the coastal waterways of Vietnam between November 1, 1955, and May 7, 1975, are now entitled to a presumption of service connection for illnesses related to Agent Orange exposure. This is a result of Public Law 116-23, also known as the Blue Water Navy Vietnam Veterans Act of 2019.
Learn more about service connection for illnesses related to Agent Orange exposure
Online tool
You can apply online instead of filling out and sending us the paper form.
Related forms and instructions
VA Form 21P-0969
Form name: Income and Asset Statement for Pension or Parents’ Dependency and Indemnity Compensation (DIC) Claims
Use VA Form 21P-0969 when you’re instructed to while completing VA Forms 21P-527EZ or 21P-534EZ.
You can also submit it when you need to verify or update your income or net worth. If you need to report changes over multiple years, submit a separate VA Form 21P-0969 each year.
VA Form 21-2680
Form name: Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
Use VA Form 21-2680 to apply for Aid and Attendance benefits that will be added to your monthly compensation or pension benefits.
VA Form 21P-8416
Form name: Medical Expense Report
Use VA Form 21P-8416 to report medical or dental expenses that you have paid for yourself or for a family member living in your household. These must be expenses you weren’t reimbursed for and don’t expect to be reimbursed for.