VA Form 40-1330 Printable, Fillable in PDF

VA Form 40-1330 Printable, Fillable in PDF – Claim for a Standard Government Headstone or Marker (VA Form 40-1330), is a form that may be used to request a marble headstone, as well as a bronze or granite marker, for a dead veteran. This form may be filled by the authorized person or by the next of kin of a dead individual (NOK). The headstones and markers are provided at no cost to the family.

VA Form 40-1330 Printable, Fillable in PDF

VA Form 40-1330 fillable version with the most recent revisions was made available on December 1, 2017, by the United States Department of Veterans Affairs (VA). It is possible to file the form electronically and download it by clicking on the link below.

A similar form, VA Form 40-1330M, Claim for Government Medallion for Placement in a Private Cemetery, is used to request a medallion for a headstone. Veterans are entitled to either a conventional headstone, monument, or medallion as a token of honor in their honor.

Instructions For Completing VA Form 40-1330

Applicants for a headstone include any dead veteran who was released under honorable terms and any military member of the United States Army who died while on active duty. It is also possible to request a replacement headstone or marker via the VA if the original one has deteriorated, become indistinct, been stolen, or defaced. VA Form 40-1330 may be obtained from the VA website. Whether the inscription is inaccurate, if the item was damaged during delivery, or if the material and craftsmanship do not match contract standards, the replacement headstone or marker will be replaced at no cost.

The VA Form 40-1330 Must Be Completed In Its Entirety

  • Fill out the form with your personal information (i.e., your full name, and phone number). Provide a count for the total number of pages that will be provided with the form.
  • Whether or whether the VA has already decided eligibility for burial in a VA national cemetery should be indicated. Box 2 denotes the sort of request that has been made. Box 3 should be filled out with the name of the dead who will be engraved on the headstone or memorial. Specify if the veteran’s grave is unmarked or whether it has previously been marked with a privately bought headstone or monument by entering the appropriate information in Box 4.
  • Fill in the blanks with the deceased’s ethnicity and gender in Boxes 5 and 6. In Box 7, please provide their age at the time of death. In Box 8, provide the veteran’s social security number as well as his or her military number. Fill up Box 9 with the location of their birth. Fill in the dates of their birth and death in Box 10 of the form. Fill out Box 11 with the dates of the veteran’s active military service, and Box 12 with the highest rank obtained by the veteran. In Box 13, indicate the branch of service they are affiliated with.
  • Box 14 is used to indicate the recipient of a Purple Heart or other commendation for heroism. The claim must be accompanied by documentation demonstrating that the rewards have been received. Box 15 contains options for the kind of headstone or marker that has been ordered. There are pictures of the several styles of headstones and markers available on the second page of the application instructions.
  • Box 16 is used to store information regarding the wartime service of the recipient. If appropriate, choose a symbol of belief from the drop-down menu in box 17. The last page of the form contains a list of all the emblems that are currently available. It is recommended that you provide any further inscriptions or expressions of affection in Box 18.
  • Fill in the blanks in Boxes 19 and 20 to identify yourself. Mark the boxes 19a-d with your full name and postal address as well as your telephone number, email address, and fax number. Fill out Box 20 with information about your connection with the deceased.
  • If a presidential memorial certificate is necessary, indicate this in Box 21 and the number of certificates required in Box 22. Application for a veteran’s headstone must be certified by the applicant’s signature and the date in Boxes 23 and 24 of the application. By signing the form, you affirm that all of the information you have supplied about the deceased is accurate and truthful.
  • Box 25 should be filled out with the name and address of the organization or official who will take the prepaid delivery of the headstone or monument. Typically, this will be the cemetery or funeral home. Box 26 should be filled out with the phone number of the person who will be taking the delivery. Box 27 should be filled out with the name and location of the cemetery where the headstone or memorial will be put. Box 28 is intended for the signature of the person who will be receiving the package. The date is entered in box 29.
  • Box 30 is for the signature of the cemetery official who will be present at the time of the burial ceremony. Fill out Box 31 with the phone number of the cemetery, and Box 32 with the date of your visit. Fill up the blanks with any further notes.
  • If the remains have not been interred, the information in Box 34 must be filled in. Explain in Box 33, including any facts such as whether the deceased was burned and the ashes dispersed, buried at sea, or given to science. Box 35 must be filled only if the dead is to be buried at a State Veterans Cemetery, according to the instructions. In this box, you should input the section and the grave number that you want to visit.

What Address Should VA Form 40-1330 Be Sent To?

The completed VA Form 40-1330 may be sent in two ways: via fax (at +1 (800) 455-7143) or by mail to the Memorial Programs Service (41B) under the Department of Veterans Affairs, which is located at 5109 Russell Road, Quantico, Virginia 22134-3903 in Quantico.

VA Form 40-1330 Printable, Fillable in PDF

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