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VA Form 21-4193 Printable, Fillable in PDF – Notification of Veteran or Beneficiary Incarcerated in a Penal Institution to the Department of Veterans Affairs (VA Document 21-4193) is a legal form that was made available on November 1, 2017, and is now in use throughout the United States by the Department of Veterans Affairs. As of today, there are no specific filing instructions for the form offered by the department that issued it.