Table of Contents
VA Form 21P-534EZ Printable, Fillable in PDF – Dependency and Indemnity Compensation (DIC), death pension, and accumulated benefits are all requested using VA Form 21P-534EZ, Application for Dependency and Indemnity Compensation (DIC), death pension, and accrued benefits, which is part of the Fully Developed Claim Program (FDC). The information supplied to the United States Department of Veterans Affairs (VA) via this form is utilized to determine whether or not the veteran is eligible for compensation or benefits.
The most recent version of the form, which was formerly known as VA Form 21P-534EZ, was made available on October 1, 2018. The most current fillable VA Form 21P-534EZ, which is available for download below, is the most recent version. There are two forms that are linked to this document:
- Using VA Form 21P-534, Application for Dependency and Indemnity Compensation, Survivor’s Pension, and Accrued Benefits by a Surviving Spouse or Child, you may file a claim for compensation and benefits (Including Death Compensation if Applicable).
- Applying for Dependency and Indemnity Compensation on behalf of a surviving spouse or child in the event of an in-service death (VA Form 21P-534A).
- It is the surviving spouse or child’s responsibility to complete the first form, which is used to apply for dependency and indemnity compensations, death pension, and accumulated benefits, including death compensation if applicable. It is only necessary to complete the second form if you are requesting service-connected death benefits and compensations.
Assistance With VA Form 21P-534EZ
In the event that you need assistance in completing the form or just require further information on VA benefits, you may contact a VA representative online or by calling a toll-free number at +1 (800) 827-1000.
In addition, you may have an authorized representative assist you with the completion of the form, the collection of the relevant proof, and the submission of a claim on your behalf. It is possible to have a certified attorney, a claim agent, or a Veterans Service Officer act as your representative. In order to have someone act on your behalf, you must first notify the VA of this either using eBenefits or by filling out and submitting one of the following forms to the VA:
- A copy of VA Form 21-22, Appointment of Veterans Service Organization as Claimant’s Representative, must be filed with the VA and submitted with the claim in order for the Veterans Service Officer to be appointed as a representative.
- A claimant’s representative may be appointed by filing and submitting VA Form 21-22A, Appointment of Individual as Claimant’s Representative, with the Department of Veterans Affairs (VA).
How to Fill Out VA Form 21P-534EZ (Veterans Affairs)
VA Form 21P-534EZ (Veterans Affairs) The following are the instructions:
- Section I of the application must be completed by all applicants and contains your and the veteran’s personal information.
- Information about the veteran is required for items 1 through 9, which includes their full name, sexual orientation (if they are a male or female), Social Security number (SSN), birth and death dates, service number (if they or their surviving spouse, child, or parent has ever filed a claim with VA), and information about whether or not the veteran died while serving in the military.
- You must provide your personal information in Items 10 through 16B, which includes your name, your connection to the veteran, your Social Security Number (SSN), and your birth date. Specify your veteran status, as well as your postal address, email address, and phone number, if you have one.
- Section II should only be completed if the veteran was not receiving any compensation or pension benefits at the time of his or her death. This section demands comprehensive information regarding the veteran’s military service.
- Section III of the application should be completed if you are claiming benefits as the surviving spouse of a veteran. Otherwise, it is necessary to pass over this section. When completing Section III, you must mention all of your marriages as well as the marriages of the veteran, and you must provide all of the information required.
- Section IV of the application must be completed solely if you are requesting benefits for the veteran’s children (including biological, adopted, and stepchildren).
- It is necessary to fill out Section V if you are applying for benefits as the parent of a veteran. This section should include information about your marital status, the specifics of your spouse (if any), and whether or not the veteran was a household member or under your parental supervision.
- If you want to file a claim for DIC, you must complete Section VI. The claim must include specifics on the DIC that you are claiming as well as a comprehensive list of all VA medical facilities where the veteran was treated in connection with this claim, together with the dates of those treatments.
- Section VII should be completed if you are requesting extra benefits as a result of health difficulties that need frequent help or as a result of your residence in an assisted living facility.
- If you want to apply for a survivor’s pension or a parent’s DIC, you must fill out Section VIII first. If this is the case, it should be skipped.
- Section IX requests information on medical, burial, educational, and vocational costs, as well as other expenses. When claiming expenditures for in-home care or assisted living, you must complete the worksheet on pages 12 through 13 that corresponds to your situation.
- Section X is where you must enter your direct deposit information.
- If you do not want your application to be evaluated for the FDC Program, you should state this in Item 49, Section XI of the application.
- VA Form 21P-534EZ is only legitimate if you sign it and provide the date on the document. If you have signed with an “X,” you must give the names and signatures of two witnesses in Section XII if you have done so.
What Address Should VA Form 21P-534EZ Be Sent To?
After completing the form, you should mail or deliver it to the nearest VA regional office, along with all of the necessary supporting documentation. The official website of the Veterans Administration has all of the locations of the VA offices.