$213.00LexisNexis® 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NOTE: The submission of any properly completed and signed but obsolete form such as a superceded version of a 21-526 or 21-534 is a formal claim.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.
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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.
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Application for DIC, Death Pension, and/or Accrued Benefits (21-534EZ) (December 2012)
Application for Dependency and Indemnity Compensation (21-534) (March 2009, 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) (February 2012)
Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (Instructions) (February 2012)
Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (21-534a) (October 2011 In Service Death Only)
Application for Exclusion of Children?s Income (21-0571) (June 2011)
Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (December 2010) (VEAP, Chapter 32, Title 38, U.S.C.)
Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (Instructions) (December 2010) (VEAP, Chapter 32, Title 38, U.S.C.)
Application for United States Flag for Burial Purposes (21-2008) (Instructions) (September 2005)
Application for United States Flag for Burial Purposes (27-2008) (July 2012)
Declaration of Status of Dependents (21-686c) (March 2009)
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)
Improved Pension Eligibility Verification Report (Surviving Spouse with Children) (21-0519s-1) (06/12) 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) (06/12) (VEAP, Chapter 32, Title 38, U.S.C.)
Improved Pension Eligibility Verification Report (Veteran with Children) (21-0517-1) (06/12) 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 2012) (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 (21P-8416) (December 2011, (Supersedes VA Form 21-8416, Which Will Not Be Used.))
Notice of Disagreement (21-0958) (February 2013)
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.))
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) (Updated August 2011 (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) (June 2012 Secondary to Personal Trauma OMB Approved No. 2900-0659)
Statement of Dependency of Parent(s) (21-509) (December 2010)
Statement of Marital Relationship (21-4170) (October 2004)
Statement of Person Claiming to Have Stood in Relation of Parent (21-524) (Revised November 2004)
Supporting Statement Regarding Marriage (21-4171) (November 2004)
Veteran's Application for Compensation and/or Pension (21-526) (Instructions) ((9/09) This file includes the instructions and important information the Veteran's Application for Compensation or Pension.)
Veteran's Application for Compensation and/or Pension, General Information (21-526) Revised (09/2009) (New version of form replaces old forms "21-526 Parts A, B, C, and D". General Information. Please read "General Instructions" (Veteran's Application for Compensation and/or Pension (21-526) (Instructions) before you fill out this form).)
Veteran's Application for Increased Compensation Based on Unemployability (21-8940) (June 2011)
Application for Correction of Military Record (DD 149) (Revised (April 2012))
Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty... (Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty With the Armed Forces of the United States (DD 2168) (April 2010))
Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Revised (October 2011))
Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Instructions) (Revised (October 2011))
Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (July 2011)
Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (Instructions) (Revised (January 2004) Attachment 1 - Program Guidance Revised (April 15, 2004))
Request for Medical/Dental Records From the National Personnel Records Center (NPRC)(DD 877-1) ((DD 877-1) April 1998)
Request for Medical/Dental Recordsor Information (DD 877) ((DD 877) September 1967)
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) (May 2010)
Application for Comprehensive Assistance for Family Caregivers Program (10-10CG) (May 2011)
Application for Extended Care Services (10-10EC) (May 2005)
Application for Health Benefits (10-10EZ) (February 2011)
Application for Health Benefits (10-10EZ) (Old Copy) (July 2008 A newer version of htis form exists, this copy in included for use by Veterans Integrated Service Network (VISN) 20.)
Application for Standard Government Headstone or Marker (40-1330) (May 2013)
Application for Standard Government Headstone or Marker (General Information Sheet) (40-1330) (May 2013)
Application for Survivors Benefits (SSA-24) (March 1995)
Application of Surviving Spouse or Child for Reps Benefits (21-8924) (June 2011)
Appointment of Individual as Claimant's Representative (21-22a) (June 2009)
Appointment of Veterans Service Organization as Claimant's Representative (21-22) (February 2012)
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) (May 2010)
Authorization and Consent to Release Information to the Department of Veterans Affairs (21-4142) (February 2012)
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 May 2010)
Claim for Payment of Cost of Unauthorized Medical Services (10-583) (October 2010)
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) (February 2011)
Individuals' Request for a Copy of Their Own Health Information (10-5345a) (May 2005)
Instructions for Completing Application for Health Benefits (10-10EZ) (February 2011)
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 Family Member to use Transferred Benefits (22-1990E) (August 2009)
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) (October 2011) (Under Provisions of Chapter 35, Title 38, U.S.C.)
Application for Survivors' and Dependents' Educational Assistance (22-5490) (Instructions) (October 2011) (Under Provisions of Chapter 35, Title 38, U.S.C.)
Application for VA Education Benefits (22-1990) ((March 2011) 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) (October 2011 (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) (October 2011 (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) (After Unsatisfactory Attendance, Conduct or Progress (August 2009))
Time Record (Work-Study Program) (22-8690) (1/99) (Under Provisions of Chapter 35, Title 38, U.S.C.)
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.)
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 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) (September 2011, Supersedes VA Form 26-1880, Mar - 2011, Which Will Not Be Used.)
Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (Instructions) (September 2011)
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 Service Disabled Insurance (29-4364) (Instructions) Pamphlet (29-9) (Pamphlet (29-9) Service-Disabled Veterans Insurance RH Information and Premum Rates Instructions for VA Form (29-4364) Application for Service Disabled Insurance)
Application for Supplemental Service-Disabled Veterans (RH) Life Insurance (29-0189) (November 1992)
Application for Supplemental Service-Disabled Veterans Insurance (SRH) (29-0188) (January 2011)
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) (November 2012) (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 2012) (VEAP, Chapter 32, Title 38, U.S.C.)
Claim for One Sum Payment (29-4125) ((November 2010) 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.)
Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans) (SF 15) (Revised August 2008)
Application for Relief From Court-Martial Findings and/or Sentence... (DA Form 3499) (Application for Relief From Court-Martial Findings and/or Sentence Under the Provisions of Title 10, United States Code, Section 869 August 2011)
Presidential Memorial Certificate Request Form (40-0247) (May 2013)
Request For Information Needed To Reconstruct Medical Data (NA-13055) (March 2008)
Counseling Record - Personal Information (28-1902) (Aug 2000)
Disabled Veterans Application for Vocational Rehabilitation (28-1900) (June 2011, Supersedes VA Form 28-1900, Nov - 2010, Which Will Not Be Used.)
Disabled Veterans Application for Vocational Rehabilitation (28-1900) (Instructions) (June 2011, Supersedes VA Form 28-1900, Nov - 2010, Which Will Not Be Used.)
Employment Questionnaire (21-4140-1) (August 2011, (VA Form 21-4140-1))
Rehabilitation Needs Inventori (RNI) (28-1902W) (July 2007, VA Form 28-1902W)
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 (September 2012(L)) (September 2012, 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)
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