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Forms on this site are available in several formats. Fillable pdf can be filled on-line, printed, saved and edited. XFT forms can be filled on-line, printed, and saved to your pc but cannot be edited later (TURN OFF YOUR POP-UP BLOCKER TO USE XFT). Some PDF are printable blank forms.

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To find a form, enter the form number (example: 12-1234 or 1234) or a word from the form's title or subject.
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Number Title Issue Date Revision Date # Pages
21-8951-2 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (Fillable) 06/27/2018 05/2018 3
21-8960-1 Certification of School Attendance or Termination (Fillable) 10/26/2017 07/2017 1
21P-0510 Eligibility Verification Report Instructions (No Fill-in) 07/30/2018 06/2018 6
21P-0510(Spanish) Instrucciones Para El Reporte De Verificacion De Elegibilidad 07/30/2018 06/2018 6
21P-0512s-1 Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) (Fillable) 07/30/2018 06/2018 2
21P-0512s-1(Spanish) Solicitud De Verificacion De Elegibilidad Pension 07/30/2018 06/2018 2
21P-0512V-1 Old Law and Section 306 Eligibility Verification Report (Veteran) (Fillable) 07/30/2018 06/2018 2
21P-0513-1 Old Law and Section 306 Eligibility Verification Report (Children Only) (Fillable) 07/30/2018 06/2018 2
21P-0513-1(Spanish) Reporte De Verificacion Bajo La Vieja Ley Y Seccion 306 (Hijos Unicamente) 07/30/2018 06/2018 2
21P-0514-1 DIC Parent's Eligibility Verification Report (Fillable) 07/30/2018 06/2018 2
21P-0514-1(Spanish) Reporte De Verificacion De Elegibilidad Para Padres - DIC 07/30/2018 06/2018 2
21P-0516-1 Improved Pension Eligibility Verification Report (Veteran With No Children)(Fillable) 07/30/2018 06/2018 2
21P-0516-1 (Spanish) Reporte Verificacion De Elegibilidad Para Pension Mejorada (Veterano Sin Hijos) 07/30/2018 06/2018 2
21P-0517-1 Improved Pension Eligibility Verification Report (Veteran With Children) (Fillable) 07/30/2018 06/2018 2
21P-0517-1(Spanish) Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Veterano Con Hijos) 07/30/2018 06/2018 2
21P-0518-1 Improved Pension Eligibility Verification Report (Surviving Spouse With No Children) (Fillable) 07/30/2018 06/2018 2
21P-0518-1(Spanish) Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente Sin Hijos) 07/30/2018 06/2018 2
21P-0519c-1 Improved Pension Eligibility Verification Report (Child or Children) (Fillable) 07/30/2018 06/2018 2
21P-0519C-1(Spanish) Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Hijo o Hijos) 07/30/2018 06/2018 2
21P-0519s-1 Improved Pension Eligibility Verification Report (Surviving Spouse With Children) (Fillable) 07/30/2018 06/2018 2
21P-0519S-1(Spanish) Departamento de Asuntos de Veteranos Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente con Hijos) (Fillable) 07/31/2018 06/2018 2
21P-0571 Application For Exclusion Of Children's Income (Fillable) 03/27/2018 3/2018 2
21P-0784 Supplemental Income Questionnaire (For Philippine Claims Only) 03/07/2018 03/2018 2
21P-0847 Request for Substitution of Claimant upon Death of Claimant (Fillable) 01/11/2019 11/2018 2
21P-0969 Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (DIC) (Attachment to VA Forms 21P-527, 21P-527EZ, 21P-534, and 21P-534EZ) (Fillable) 02/19/2019 10/2018 11
21P-10194 Legal Summary - Non Service-Connected Pension for Veterans 05/31/2019 03/2019 2
21P-10195 Legal Summary - Accrued Benefits 05/31/2019 03/2019 1
21P-10196 Legal Summary - Burial Benefits, Plot and Internment Allowances, and Transportation Benefits 05/31/2019 03/2019 1
21P-10197 Legal Summary - Dependency and Indemnity Compensation 05/31/2019 03/2019 1
21P-10198 Legal Summary - Survivors Pension 05/31/2019 03/2019 2
21P-10199 Legal Summary - Survivors Pension, Dependency and Indemnity Compensation, and Accrued Benefits 05/31/2019 03/2019 3
21P-10202 Legal Summary - Parent's Dependency and Indemnity Compensation 05/31/2019 03/2019 1
21P-1775 Statement of Disappearance (Fillable) 11/16/2016 12/2019 6
21P-4165 Pension Claim Questionnaire for Farm Income (Fillable) 12/12/2019 12/2019 3
21P-4171 Supporting Statement Regarding Marriage (Fillable) 11/21/2018 03/2018 3
21P-4185 Report of Income from Property or Business (Fillable) 10/30/2018 04/2018 2
21P-4706b VA Fiduciary's Account (Fillable) 12/20/2019 12/2019 2
21P-4706c Court Appointed Fiduciary's Account (Fillable) 12/20/2019 12/2019 4
21P-4718a Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (Fillable) 12/20/2019 12/2019 2
21P-509 Statement of Dependency of Parent(s) (Fillable) 02/01/2018 01/2018 4
21P-524 Statement of Person Claiming to Have Stood in Relation of Parent (Fillable) 08/09/2017 06/2014 6
21P-527 Income, Net Worth and Employment Statement (Fillable) 12/23/2019 10/2018 10
21P-527EZ Application for Pension (Fillable) 12/18/2019 10/2018 11
21P-530 Application for Burial Benefits (Fillable) 05/17/2017 04/2017 4
21P-530a State Application for Interment Allowance Under 38 U.S.C. Chapter 23 (Fillable) 01/08/2020 12/2019 2
21P-534 Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable) 10/23/2018 10/2018 13
21P-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In-Service Death Only (Fillable) 10/23/2018 10/2018 2
21P-534EZ Application for DIC, Survivors Pension, and/or Accrued Benefits (Fillable) 05/23/2019 10/2018 13
21P-535 Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable) (Fillable) 06/18/2018 05/2018 11
21P-601 Application for Accrued Amounts Due A Deceased Beneficiary (Fillable) 09/17/2019 9/2019 5
 
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