VA Form 21P-535
- Form name:Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable)
- Form revision date: June 2024
- Related to: Family member and caregiver benefits
When to use this form
If you’re the surviving spouse or child of a service member who died while on active duty, your military casualty assistance officer will help you to complete an Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (VA Form 21P-534a). The officer will help you mail the form to the correct VA regional office.
Get VA Form 21P-534a to download
If you’re the surviving spouse or child of a Veteran, fill out an Application for DIC, Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ).
Get VA Form 21P-534EZ to download
If you’re a surviving parent, fill out an Application for Dependency and Indemnity Compensation by Parent(s) (VA Form 21P-535).
You can apply for this benefit in any of these ways:
- Work with an accredited attorney, claims agent, or Veterans Service Organization (VSO) representative
Get help filing a claim - Use the QuickSubmit tool to upload your form online
Go to QuickSubmit Mail your form to this address:
Department of Veterans Affairs
Pension Intake Center
PO Box 5365
Janesville, WI 53547-5365- Go to a VA regional office and get help from a VA employee
Find a VA regional office near you
Note: After you apply, we may select you to participate in a short survey about your experience with the claim process. If we select you, we’ll contact you using your email address on file.
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.