Research Value Packages  |   Automated Forms  |   Free Case Law  |   Bookstore

 

The Missouri Bar

 
Explore
MOBAR CLE
Bar Publications
 MCLE
Practice Resources
Missouri Bar Activities

 

LexisNexis® Automated Forms

$199.00LexisNexis® Automated Veterans Benefits Forms

VETERANS BENEFITS FORMS
A subscription to the LexisNexis® Automated Veterans Benefits Forms includes approximately 100 Veterans Benefits Administration forms and value-added instructions written by National Veteran's Legal Services Program (NVLSP) attorneys.

The LexisNexis® Automated Veterans Benefits Forms package is comprehensive, intuitive, reliable, and easy to use. Since the forms are fully automated with HotDocs® document assembly software, all you have to do is enter case or client-specific information once, and it will be automatically inserted throughout the form where that information is relevant. This means you'll be printing out signature-ready documents in minutes. Eliminate repetitive typing, cutting and pasting, and the increased chance of error that goes along with traditional methods of document preparation. You can also save the information you've entered after completing a form and use it to instantly complete related forms.

M21-1 Part IV. Chapter 6, Paragraph 6.09

NOTE: The submission of any properly completed and signed but obsolete form such as a superceded version of a 21-526 or 21-534 is a formal claim. If further information is needed, solicit the evidence by asking the claimant to complete any needed VA forms or by furnishing VA Form 21-4138, Statement of Claim, with the necessary evidence. See M21-1, Part III, Paragraph 2.04.

Free Training included.

Purchase Package »

  • To purchase this entire package, click on the " Purchase Package " button above. To ensure that you are always using the latest versions of the forms, any forms downloaded onto your computer will expire after 48 hours, but you may return to LexisOne at any time to download them again. Forms that you have already filled out and saved as separate documents will not expire. For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.
     
  • To purchase an individual form, click on the "Purchase Individually " button at the top of the section containing the desired form. To ensure that you are always using the latest versions of the forms, any forms downloaded onto your computer will expire after 48 hours. To fill them out after that period, you will need to repurchase the form. Forms that you have already filled out and saved as separate documents will not expire. For questions about the two-day expiration policy, please call 1-877-507-6063, option 2.

Best Value Forms You will need to log-in to purchase any of these forms

Checklist and Information Sheet VA Compensation and Pension Forms Department of Defense Forms Other Department of Veterans Affairs Forms Educational Forms Finance Forms Home Loan Guaranty Forms Insurance Forms Miscellaneous Forms National Archives Forms Standard Forms Vocational Rehabilitation and Employment Forms Additional Forms State Specific Forms

Purchase Individually Checklist and Information Sheet

  • Foreword by Ronald Abrams, National Veterans Legal Services Program
  • Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims (App17-A)

Back to Top


Purchase Individually VA Compensation and Pension Forms

  • Application for Annual Clothing Allowance (Under 38 U.S.C. 1162) (10-8678) (April 2008) (Under 38 U.S.C. 3901-3904)
  • Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502) (July 2008, (Under 38 U.S.C. 3901-3904))
  • Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502) (Instructions) (July 2008, (Under 38 U.S.C. 3901-3904))
  • Application for Ben. for Certain Children with Disab. Born of Vietnam Vets. (21-0304) (Instructions) (September 2006)
  • Application for Benefits for Certain Children with Disabilities Born of Vietnam Veterans (21-0304) (September 2006)
  • Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21-530) (6/02)
  • Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21-530) (Instructions) (6/02)
  • Application for Dependency and Indemnity Compensation (21-534) (June 2005 Application for Dependency and Indemnity Compensation, Death, Pension and Accrued Benefits by a Surviving Spouse or Child (including death compensation if applicable))
  • Application for Dependency and Indemnity Compensation (21-534) (Instructions) ((6/98) Instructions and Important Information for Application for Dependency and Indemnity Compensation)
  • Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (April 2005)
  • Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (Instructions) (9/00)
  • Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (21-534a) (March 2004 In Service Death Only)
  • Application for Exclusion of Children’s Income (21-0571) (August 2004)
  • Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (May 2005) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (Instructions) (May 2005) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for United States Flag for Burial Purposes (21-2008) (September 2005)
  • Application for United States Flag for Burial Purposes (21-2008) (Instructions) (September 2005)
  • Declaration of Status of Dependents (21-686c) (November 2004)
  • Election of Compensation In Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation From Dept. of Veterans Affairs ((38 U.S.C. 5304(A)-5305) March 2005)
  • Eligibility Verification Report Instructions (21-0510) (June, 2004) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Child or Children) (21-0519c-1) (June 2004)
  • Improved Pension Eligibility Verification Report (Surviving Spouse with Children) (21-0519s-1) (06/04) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) (21-0518-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Veteran with Children) (21-0517-1) (06/04) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Improved Pension Eligibility Verification Report (Veteran with No Children) (21-0516-1) (June 2004) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Income-Net Worth and Employment Status Statement (21-527) (June 2004)
  • Income-Net Worth and Employment Status Statement (21-527) (Instructions) (2/99)
  • Information Regarding Apportionment of Beneficiary's Award (21_0788) (January 2005)
  • Medical Expense Report (21-8416) (September 2008, (Supersedes VA Form 21-8416, November, 2004, Which Will Not Be Used.))
  • Old Law Eligibility Verification Report (Veteran) (21-0511v-1) (11/96)
  • Old Law and Section 306 Eligibility Verification Report (Children Only) (21-0513-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) (21-0512s-1) (June 2004 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Parent's DIC Eligibility Verification Report (21-0514-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.))
  • Report of Income from Property or Business (21-4185) (6/02)
  • Request for Approval of School Attendance (21-674) (July 2005 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for Approval of School Attendance (21-674) (Instructions) (July 2005 (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for Details of Expenses (21-8049) (8/94) (Under 38 U.S.C. 3901-3904)
  • Request for Employment Information in Connection with Claim for Disability Benefits (21-4192) (July 2004, (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request  for Nursing Home Information in Connection with Claim for Aid and Attendance  (21-0779) (March 2004)
  • School Attendance Report (21-674b) (July 2005)
  • Section 306 Eligibility Verification Report (Surviving Spouse) (21-0512s-1) (06/04) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Section 306 Eligibility Verification Report (Veteran) (21-0512v-1) (06/04) The VA sends this form after an application has been submitted. Please check the date of the form sent by the VA against this version. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Social Security Administration Application For Survivors Benefits (21-534b) (OMB Approved No. 0960-0062 (Page 10 of form 21-534) (Payable Under Title II of the Social Security Act))
  • Statement in Support of Claim (21-4138) (6/00) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (21-0781) (October 2007, OMB Approved No. 2900-0659)
  • Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) ((July 2004) Secondary to Personal Trauma OMB Approved No. 2900-0659)
  • Statement of Dependency of Parent(s) (21-509) (June 2004)
  • Statement of Person Claiming to Have Stood in Relation of Parent (21-524) (Revised November 2004)
  • Veteran's Application for Compensation and/or Pension (21-526) (Instructions) ((4/03) This file includes the instructions and important information the Veteran's Application for Compensation or Pension.)
  • Veteran's Application for Compensation and/or Pension, Part A: General Information (21-526) Revised (01/04) (Part A: General information Please read "General Instructions" (Veteran's Application for Compensation and/or Pension (21-526) (Instructions) before you fill out this form). (Part A will also allow the insertion of the remaining 3 Parts: B, C, or D))
  • Veteran's Application for Compensation and/or Pension, Part B: Compensation (21-526) ((1/04) Part B: Compensation Use this form to apply for compensation. Remember that you must also fill out VA Form 21-526, Part A: General Information, for your application to be processed.)
  • Veteran's Application for Compensation and/or Pension, Part C: Dependency (21-526) ((1/04) Part C: Dependency Use this form to tell us more about your dependents. Remember that you must also fill out VA Form 21-526, Part A: General Information, Part B and/or Part D, for your application to be processed.)
  • Veteran's Application for Compensation and/or Pension, Part D: Pension (21-526) ((1/04) Part D: Pension Use this form to apply for pension. Remember that you must also fill out VA Form 21-526, Part A: General Information, for your application to be processed.)
  • Veteran's Application for Increased Compensation Based on Unemployability (21-8940) (October 2004)

Back to Top


Purchase Individually Department of Defense Forms

  • Application for Correction of Military Record (DD 149) (September 2007)
  • Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Revised (November 2006))
  • Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Instructions) (Revised (November 2006))
  • Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (April 2008)
  • Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (Instructions) (Revised (January 2004) Attachment 1 - Program Guidance Revised (April 15, 2004))

Back to Top


Purchase Individually Other Department of Veterans Affairs Forms

  • Appeal to Board of Veterans' Appeals (9) (November 2009)
  • Appeal to Board of Veterans' Appeals (9) (Instructions) (November 2009)
  • Application for Accreditation as a Claims Agent (VA-21A) (May 2007)
  • Application for Accreditation as a Veterans Organization Representative (VA Form 21) (August 2005(R))
  • Application for Adaptive Equipment Motor Vehicle (10-1394) (2/05)
  • Application for CHAMPVA Benefits (10-10d) (June 2005)
  • Application for Extended Care Services (10-10EC) (May 2005)
  • Application for Health Benefits (10-10EZ) (July 2008)
  • Application for Standard Government Headstone or Marker (40-1330) (May 2008) (Under 38 U.S.C. 3901-3904)
  • Application for Standard Government Headstone or Marker (General Information Sheet) (40-1330) (May 2008) (Under 38 U.S.C. 3901-3904)
  • Application for Survivors Benefits (SSA-24) (March 1995)
  • Application of Surviving Spouse or Child for Reps Benefits (21-8924) (February 2005)
  • Appointment of Individual as Claimant's Representative (21-22a) (May 2007)
  • Appointment of Veterans Service Organization as Claimant's Representative (21-22) (June 2009)
  • Appointment of Veterans Service Organization as Claimant's Representative (21-22) (Instructions) ((November 2005) Recognized Service Organizations)
  • Authorization To Disclose Personal Information To a Third Party (21-0845) (April 2009)
  • Authorization and Consent to Release Information to the Department of Veterans Affairs (21-4142) (5/04)
  • Authorization to Disclose a Record in the Presence of a Third Party (VA Form 5571) (February 1993 (R ))
  • CHAMPVA Other Health Insurance (OHI) Certification (10-7959C) (VA Form 10-7959C November 2008)
  • Claim for Payment of Cost of Unauthorized Medical Services (10-583) (2/05) (R)
  • Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (21-2680) (10/92)
  • Financial Status Report (5655) (Revised (June 2009) RS)
  • Foreign Medical Program (FMP) Registration Form (10-7959f-1) (VA Form 10-7959f-1 November 2008)
  • Health Benefits Renewal Form (10-10EZR) (July 2008)
  • Instructions for Completing Application for Health Benefits (10-10EZ) (July 2008)
  • Radiation Risk Activity Information Sheet
  • Rehabilitation Plan (28-8872) (9/89)
  • Rehabilitation Plan--Continuation Sheet (28-8872a) (9/89)
  • Request for and Consent to Release of Information from Claimant's Records (3288) (10/95) (R)
  • Request for and Consent to Release of Medical Records Protected by 38 U.S.C. 7332 (10-5345) (May 2005)
  • Statement of Accredited Representation in Appealed Case (1-646) (4/91)
  • Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adapt. Grant (26-4555) (10/2005)
  • Veterans Application For Assistance in Acquiring Home Improvement and Structural Alterations (10-0103) (February 2005(R))

Back to Top


Purchase Individually Educational Forms

  • Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t) (1/01) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t) (Instructions) (1/01) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Application for Refund of Educational Contributions (24-5281) (3/01) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for Survivors' and Dependents' Educational Assistance (22-5490) (January 2009) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Application for Survivors' and Dependents' Educational Assistance (22-5490) (Instructions) (January 2009) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Application for VA Education Benefits (22-1990) ((May 2009) In this form, a disabled veteran requests consideration for vocational rehabilitation.)
  • Application for VA Education Benefits (22-1990) (Instructions) (May 2009)
  • Application for Work-Study Allowance (22-8691) (November 2005) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Application for Work-Study Allowance (22-8691) (Instructions) (November 2005) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Certificate of Affirmation of Enrollment Agreement--Correspondence Course (22-1999c) (06/05) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Monthly Certification of Flight Training (22-6553c) (Instructions for Students) (6/01) (Under Provisions of Chapter 35, Title 38, U.S.C.)
  • Req. for Change of Program or Place of Training Survivors' and Dependents' Educ. Assist. (22-5495) (February 2007 (Under Provisions of Chapter 35, Title 38, U.S.C.))
  • Req. for Change of Program or Place of Training Survivors' and Deps' Educ. Assist. (22-5495) (Instructions) (January 2004 (Under Provisions of Chapter 35, Title 38, U.S.C.))
  • Request for Change of VA Education Program or Place of Training (22-1995) (Dec 2005) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Request for Change of VA Education Program or Place of Training (22-1995) (Instructions) (Dec 2005) (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606)
  • Supplemental Information for Change of Program or Reenrollment (22-8873) ((September 2003) After Unsatisfactory Attendance, Conduct or Progress)
  • Time Record (Work-Study Program) (22-8690) (1/99) (Under Provisions of Chapter 35, Title 38, U.S.C.)

Back to Top


Purchase Individually Finance Forms

  • Direct Deposit Enrollment (24-0296) ((November 2009) After Unsatisfactory Attendance, Conduct or Progress)
  • Request for Change of Address/Cancellation of Direct Deposit (20-572) (3/96) In this form, a VA beneficiary (receiving a variety of VA benefits) (5/ request a change of address or cancel direct deposit. (VEAP, Chapter 32, Title 38, U.S.C.)

Back to Top


Purchase Individually Home Loan Guaranty Forms

  • App. for Assump. Approval and/or Release from Personal Liability to Gov't on a Home Loan (26-6381) (12/96) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Request for Determination of Loan Guaranty Eligibility--Unmarried Surviving Spouses (26-1817) (November 2004) In this form, an unremarried surviving spouse of a veteran may request a certificate of eligibility for purchasing a home. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (April 2008, In this form, an active duty servicemember or veteran (5/ request a certificate of eligibility for purchasing a home with a VA home loan. (VEAP, Chapter 32, Title 38, U.S.C.))
  • Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (Instructions) (April 2008, (VEAP, Chapter 32, Title 38, U.S.C.))

Back to Top


Purchase Individually Insurance Forms

  • Application for Cash Surrender Value/or Application for Policy Loan (29-1546) (6/07) In this form, a policy-holder (5/ apply for the cash surrender value of their policy or request a loan. (VEAP, Chapter 32, Title 38, U.S.C.)
  • Application for Service Disabled Insurance (29-4364) ((December 2003) In this form, a disabled veteran may apply for this special type of life insurance.)
  • Application for Supplemental Service-Disabled Veterans (RH) Life Insurance (29-0189) (November 1992)
  • Application for Veterans' Group Life Insurance (SGLV 8714) (Revised (September 2005) (Under 38 U.S.C. 3901-3904))
  • Application for Veterans' Group Life Insurance (SGLV 8714) (Instructions) (3/03) (Under 38 U.S.C. 3901-3904)
  • Claim for Death Benefits (SGLV 8283) (7/94) (Under 38 U.S.C. 3901-3904)
  • Claim for Death Benefits (SGLV 8283) (Instructions) (7/94) (Under 38 U.S.C. 3901-3904)
  • Claim for Disability Insurance--Government Life (29-357) (April 2005) (VEAP, Chapter 32, Title 38, U.S.C.)
  • Claim for One Sum Payment (29-4125) ((March 2008) In this form, a veteran's beneficiary may request the proceeds of the policy on the death of the veteran.)
  • Designation of Beneficiary Government Life Insurance (29-336) (December 2005) In this form, a policy-holder (5/ designate or change the beneficiary for their government life insurance (or change their address). (VEAP, Chapter 32, Title 38, U.S.C.)
  • Designation of Beneficiary Government Life Insurance (29-336) (Instructions) (December 2005) (VEAP, Chapter 32, Title 38, U.S.C.)

Back to Top


Purchase Individually Miscellaneous Forms

  • Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans) (SF 15) (rev. 2/90) (Under 38 U.S.C. 3901-3904)
  • Presidential Memorial Certificate Request Form (40-0247) (June 2007)
  • Request For Information Needed To Reconstruct Medical Data (NA-13055) (March 2008)

Back to Top


Purchase Individually National Archives Forms

  • Questionnaire about Military Service (NA 13075) (Rev. March 2008, Expires (07/31/2011) (Under 38 U.S.C. 3901-3904))
  • Request For Information Needed To Reconstruct Medical Data (NA-13055) (Rev. March 2008)

Back to Top


Purchase Individually Standard Forms

  • Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans) (SF 15) (rev. 2/90) (Under 38 U.S.C. 3901-3904)
  • Claim for Damage, Injury, or Death Standard Form (SF 95) ((rev. 7/85) Previous editions not usable. Designed using Perform Pro, WHS/D10R, Jun 98)
  • Claim for Unpaid Compensation of Deceased member of the Uniformed Serviced (SF 1174) (Standard Form 1174 (EG) September 1992)
  • Records Transmittal and Receipt (SF 135) (7/85)
  • Request Pertaining to Military Records (SF 180) (Rev. (09/08) Formatted for letter size paper (8.5" x 11"). (OMB Expires 10/ 31, 2011))
  • Request Pertaining to Military Records (SF 180) (Instructions) (Rev. (09/08) Formatted for letter size paper (8.5" x 11"). (OMB Expires 10/ 31, 2011))

Back to Top


Purchase Individually Vocational Rehabilitation and Employment Forms

  • Counseling Record - Personal Information (28-1902) (Aug 2000)
  • Disabled Veterans Application for Vocational Rehabilitation (28-1900) (Feb 2008)
  • Disabled Veterans Application for Vocational Rehabilitation (28-1900) (Instructions) (Feb 2008)
  • Employment Questionnaire (21-4140-1) (January 2005, (VA Form 21-4140-1))
  • Rehabilitation Needs Inventori (RNI) (28-1902W) (July 2007, VA Form 28-1902W)

Back to Top


Purchase Individually Additional Forms

  • Appeal Cancellation Form
  • Submission Cover Sheet (This is a form that can be submitted as a cover sheet when making submissions to the VA regional offices.)

Back to Top


State Specific Forms

Purchase Individually California

  • Calvet Home Loan Program - Prequalification Application Form
  • Civil Service Preference (Application for Veteran's Preference for California State Civil Service Examinations SPB-1093 (07/06))
  • College Fee Waiver for Veteran's Dependents (Rev. December, 2008)
  • Special License Plate Application (Reg 17A) (Veteran's Special Licence Plate (Purple Heart, Medal Of Honor) Rev. (02/07))
  • Veterans Home Application (Application for Admission Veteran's Home of California Rev. (2009))

Back to Top


Purchase Individually New York

  • Application for Alternative Veterans Exemption From Real Property Taxation (RP-458-a) (January 2003 (Rev. August 2006))
  • Application for New York State Civil Service Examinations Open to the Public (Form OC-APP (March 2009(L)) ((March 2009(L)) Includes Veterans Preference Section)
  • Application for Veterans Exemption From Real Property Taxation (RP-458) (January 2007)
  • Form to Register Motor Vehicle Obtained by Disabled Veteran Under Title 38 U.S.C. (MV-1E) ((06/07) Statement to Register a Vehicle Under Title 38)
  • Form to Register a Vehicle With Former POW Or Congressional Medal of Honor Plates (MV-1H) (12/04)
  • Form to Renew Registration of Motor Vehicle for Disabled Veteran Under Title 38 (MV-1G) ((11/07) Statement to Renew Registration Under Title 38)

Back to Top


Purchase Individually Texas

  • Application for "Disabled Veteran" License Plate (12/02)
  • Application for Special License Plate - Purple Heart Recipient or Former POW (September 2006)
  • Texas State Veterans Home Application for Admission (July 11, 2007)
  • Texas Veterans Housing Assistance and Home Improvement Programs, Cert of Eligibility Application (June 7, 2005)
  • Texas Veterans Preference Employment Form (09/03)

Back to Top


Forms Search

Search Tips »
Shopping Cart »