VA Form 21-534 Printable, Fillable in PDF

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VA Form 21-534 Printable, Fillable in PDF – In the United States, the Department of Veterans Affairs (VA) employs VA Form 21-534, also known as an Application for Dependency and Indemnity Compensation (DIC), Death Pension (DP), and Accrued Benefits (AB) by a Surviving Spouse or Child (VA Form 21-534) (Including Death Compensation if Available). This form, which is often filled out by the next of kin of a dead veteran, is used by a surviving spouse or child to apply for benefits from the Department of Veterans Affairs. Individuals seeking compensation, death pensions, or accrued benefits will be required to provide their personal information as well as information about the deceased veteran and their military service history. They will also be required to indicate whether or not the veteran had ever filed a claim with the Department of Veterans Affairs. Aside from providing information to establish that they are, in fact, next of kin, the individual making the claim will also be requested to supply information to validate their identity. A copy of the couple’s marriage certificate should be provided if the spouse is filling the form on their behalf, for example. Once the VA has received and reviewed all of the required paperwork, the claim may begin to be processed.

What Exactly Is The VA Form 21-534?

Known as an Application for Dependency and Indemnity Compensation, Death Pension, and Accrued Benefits by a Surviving Spouse or Child, the VA Form 21-534 is used to file a claim for benefits (Including Death Compensation If Available). The Department of Veterans Affairs in the United States uses this form to collect information. The next of kin of a dead veteran will be responsible for completing this form. To be eligible for VA benefits, they will need to complete this application.

Among the facts the filer will need to provide is whether or not the veteran has already filed a claim with the Department of Veterans Affairs. In addition, the recipient will be required to provide their personal information. Information concerning the veteran’s military service will be required to determine whether or not a legitimate claim for benefits has been filed. For applications when the veteran’s spouse is involved, applicants are required to present verified marital information. Before signing and sending the form to the VA, double-check that all of the information is correct.

The Components Of A VA Form 21-534 Are As Follows:

The following parts are included inside a VA Form 21P-234:

Information Regarding a Claim
Information Regarding Identification
Veterans who served in the military on active duty
Information Regarding the Marriage
Children who are reliant on their parents
At the home, in a nursing home, or requiring assistance and supervision
Income and Assets are two different things.
Information Regarding Direct Deposit
Expenses for medical treatment, last illness, burial, or other non-reimbursed expenses
Certification and signature are two different things.
Remarks
For Assisted Living, Adult Day Care, or a Similar Facility, use this worksheet.
Worksheet for Expenses for an In-Home Attendant
Benefits for Surviving Spouses and Children from the Social Security Administration

Instructions On How To Fill VA Form 21 534

You will need to supply the following information to the VA to complete VA Form 21P-534:

Information Regarding a Claim
Whether or not the veteran ever filed a claim with the Veterans Administration.
Number of the Veterans Administration’s file
Whether or not the surviving spouse of a deceased child ever filed a claim with the Department of Veterans Affairs.
Number of the Veterans Administration’s file
Name of the individual whose service constituted the basis for the claim
Relationship with a certain individual
No matter if you are claiming service connection as a cause of death.
Information Regarding Identification
Veteran’s first and last name
Number of the veteran’s social security card
Whether or whether the veteran served under a different name
The veteran’s commanding officer or commanding officers
Date of birth of the veteran
The date of the veteran’s death
Is it possible that the veteran was a former prisoner of war
The claimant’s full name is
Relationship with a military veteran
The address of the claimant
Numbers of telephones
Contact information (email address)
Identifying information such as a social security number
Date of birth is required.
DD214 for each period of duty mentioned if the veteran has never filed a VA claim for the time of service listed if the veteran has never filed a VA claim
The date on which a person initially became a member of the active military service
The location where active service began.
Service identification number (SIN)
The date on which the service was terminated.
Placement of active service on the left
Branches of government service
a letter grade, a rank, or a rating
Information about the second active service
Veteran’s Relationships
The number of times a veteran was married is unknown.
Date, who was married to whom, kind of marriage, how the marriage ended, and the date of the marriage’s termination
Count the number of times the claimant has been married.
Whether or not the claimant remarried after the death of the veteran
Date, who was married to whom, kind of marriage, how the marriage ended, and the date of the marriage’s termination
No matter if the claimant and the veteran’s kid were born before or during the marriage.
Whether you are anticipating the birth of a child of a veteran or not
Whether you lived with the veteran continuously throughout your marriage or previous to the date of death
Any separation should be accompanied by a detailed explanation of the circumstances.
Whether there was any reason why your marriage to a veteran may not have been legitimate at the time of your marriage
Children who are reliant on their parents
List of all children who are unmarried and under the age of 18, between the ages of 18 and 23 and enrolled as full-time students, or any age if they are permanently unable to provide for their own needs
The name of the kid, date of birth, and social security number are all required.
Indicate whether the kid is biological, adopted, a stepchild, between the ages of 18 and 23, in school, severely handicapped, married, or previously married.
If you have a kid who does not live with you, please provide the following information: name, address, who the child resides with, and the amount of money you pay to the child’s support every month.
At the home, in a nursing home, or requiring assistance and supervision
Whether you are claiming a special monthly pension because you need the regular help of another person, have significant vision impairments, or are restricted to your immediate surroundings, you must provide proof of eligibility.
Whether you are a resident of a nursing home or not
The facility’s name and postal address are shown below.
Whether Medicaid will pay for all or a portion of your nursing care expenses
Whether or not you have applied for Medicaid
Income and Assets are two different things.
Whether you are claiming or receiving benefits from the Social Security Administration on your behalf or behalf of a child or children in your care, it is important to understand the rules and regulations.
Whether your Social Security benefits are based on your own work experience
Whether the veteran’s surviving spouse or child submitted a claim for compensation with the Office of Worker’s Compensation Programs as a result of his or her death.
If a court granted damages to the veteran’s family as a result of his or her death, or whether a lawsuit or legal action is pending
No matter whether you have claimed or are currently receiving a survivor benefit plan (SBP) annuity from a military department as a result of the veteran’s death
When it comes to whether you or your family are eligible for Social Security payments
Each social security recipient’s gross monthly income is calculated as follows:
Regardless of whether you own your main house
The size of the property on which your principal house is located.
Whether you might be able to sell a portion of your land without having to sell your house (attach VA Form 21P-0969)
Whatever additional sources of income you or your dependents get in addition to social security
How much money did you or your dependents get in addition to your social security benefits last year
Whether or whether you or your dependents have assets worth more than $10,000
Whether you or your dependents have made any transfers of assets in the three calendar years before this year.
Information Regarding Direct Deposit
Number of the account
Account type or verification that you do not have an account with a financial institution or a certified payment agency is required.
Identifying information about the banking institution
It is often referred to as a routing or transit number.
Expenses for medical treatment, last illness, burial, or other non-reimbursed expenses
Whether you are claiming medical expenditures that have not been paid
Whose medical, funeral or other costs were covered by the government
a fee was paid to
Payment is being made for a specific reason.
The date on which the payment was received
Hourly rate/number of hours
The amount of money you pay
Confirmation and signature – a certification that the assertions are truthful and accurate, as well as authorization for any person or organization to provide the VA with any information about you that they have.
Signature
The date is today’s date.
Witness’s signature, as well as his or her written name and address
Remarks
For Assisted Living, Adult Day Care, or a Similar Facility, use this worksheet.
No matter whether the expenditures you seek to claim are related to the handicapped person’s care in a hospital, inpatient treatment facility, nursing home, or VA-approved medical foster home, you must first determine if the charges are reasonable.
The facility’s personnel offers health care or custodial care or both to the handicapped person, regardless of whether the institution is licensed, and the facility is staffed 24 hours per day if it is a residential facility.
Whether the claimant is a handicapped person, a surviving spouse, or a child of impaired parents, the process is the same.
Whether or not you received a monthly special pension
Does the fact that you receive health and/or custodial care serve as the major basis for your residence in the facility?
Whether the handicapped individual needs health-care services or custodial care as a result of mental or physical impairment is a factor in determining eligibility.
Whether the health treatment and/or custodial care provided by the institution are the major reasons why the handicapped person chooses to reside there.
Certification that the information included in the worksheet is correct (attach a current statement of fees)
Worksheet for Expenses for an In-Home Attendant
Whether the claimant is a handicapped person, a surviving spouse, or a child of impaired parents, the process is the same.
Whether or whether you were eligible for a special monthly pension
When it comes to providing health or custodial care, whether it is the main role of the in-home attendant or not,
Whether the handicapped individual needs health-care or custodial care as a result of mental or physical impairment is an important consideration.
When it comes to providing health or custodial care, whether it is the main role of the in-home attendant or not,
The following are examples of activities in which the attendant assists the disabled person: eating, bathing/showering, and dressing transferring, using the toilet and shopping, food preparation, housekeeping and laundry, managing finances, handling medications, using the telephone, and transportation.
A certificate stating that the worksheet is correct
Benefits for Surviving Spouses and Children from the Social Security Administration
Veteran’s first and last name
The death occurred on the following date:
Number of the veteran’s social security card
Date of birth is required.
Birthplace and date of birth
Father’s given name
Name of mother’s maiden name
No matter if the veteran was employed by or worked in the railroad business at any point after 1936.
Date of entry into active duty, service number, and date of separation from active service are all included.
Organization and field of service, as well as grade, rank, or rating
Relationship between the applicant and the veteran
The applicant’s date of birth is required.
Number of the Veterans Administration’s file
The names of the children who have survived
Acknowledgment that the application is correct, as well as the date and signature, postal address, and telephone number
Signatures of witnesses, as well as their addresses