VA Form 29-0309 "Direct Deposit Enrollment/Change"

What Is VA Form 29-0309?

This is a legal form that was released by the U.S. Department of Veterans Affairs on November 1, 2010 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2010;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 29-0309 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

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Download VA Form 29-0309 "Direct Deposit Enrollment/Change"

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OMB Approved No. 2900-0665
Respondent Burden: 20 minutes
DIRECT DEPOSIT ENROLLMENT/CHANGE
IMPORTANT: You can use this form to enroll in Direct Deposit or to make a change to an existing direct deposit account.
SECTION I - TO BE COMPLETED BY PAYEE
1. NAME AND ADDRESS
2. INSURANCE FILE NUMBER
3. SOCIAL SECURITY NUMBER (Must supply)
4. DAYTIME TELEPHONE NUMBER
I hereby authorize the Department of Veterans Affairs to start/change direct deposit at the financial institution stated in Item 7, for the
purpose of depositing directly into the account stated in Item 10, any and all Government Life Insurance payments that I am entitled to
receive from all insurance policies under the insurance file number shown in Item 2.
5. SIGNATURE
6. DATE
SECTION II - PLEASE ATTACH A VOIDED PERSONAL CHECK. IF YOU DO, SKIP ITEMS 7-10. IF YOU DO NOT
HAVE A CHECKING ACCOUNT, CONTACT YOUR BANK FOR HELP IN COMPLETING ITEMS 7-10.
NOTE: PLEASE PROVIDE A COPY OF THE POWER OF ATTORNEY IF YOU HAVE NOT ALREADY DONE SO. WHEN A POWER
OF ATTORNEY IS APPLYING FOR DIRECT DEPOSIT, A COPY OF A CHECK MUST BE SUBMITTED SHOWING THE INSURED'S
NAME ON THE ACCOUNT.
7. NAME OF BANK/FINANCIAL INSTITUTION
8. TELEPHONE NUMBER OF BANK/FINANCIAL INSTITUTION
10. BANK ACCOUNT NUMBER AND TYPE
9. BANK ROUTING NUMBER (9 DIGITS)
CHECKING
SAVINGS
The bank account
SAMPLE CHECK
Customer Name
Check No. 1234
Street Address
number varies in
The bank routing
City, State, ZIP
length and may
number is always 9
contain dashes or
$
digits and appears
PAY TO THE
spaces. The
ORDER OF
|:
between the
||:
Dollars
symbol indicates
symbols.
the end of the account
|:123456789|:
1617284958569678||:
1234
number.
Bank Routing
Bank Account
Check Number
Number
Number
(Not needed)
11. DO YOU PARTICIPATE IN VAMATIC (AUTOMATIC DEDUCTION OF MONTHLY INSURANCE PREMIUM FROM A CHECKING ACCOUNT)?
IF YES, DOES THIS CHANGE APPLY TO VAMATIC?
YES
NO
MAIL THE COMPLETED FORM TO:
For an Insured:
For a Beneficiary:
VAROIC-DD
VAROIC-DD
P.O. BOX 42954
P.O. BOX 7208
PHILADELPHIA, PA 19101
PHILADELPHIA, PA 19101-7208
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974
or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA00, Veterans and Armed Forces Personnel U.S.
Government Life Insurance Records - VA, and published in the Federal Register. Your obligation to respond is voluntary, but your failure to provide us the information
could impede processing. Giving us your Social Security number (SSN) account information is mandatory. Applicants are required to provide their SSN. VA will not
deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1,
1975, and still in effect. The responses you submit are considered confidential (38 U.S.C. 5701).
RESPONDENT BURDEN: We need this information to ensure proper transmission of your funds via electronic transfer to your financial institution (31 CFR 208.3
and 210.4). Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 20 minutes to review the instructions, find
the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not
required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet page at
www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
IF YOU HAVE ANY QUESTIONS ABOUT DIRECT DEPOSIT, PLEASE CALL OUR TOLL-FREE NUMBER 1-800-669-8477.
VA FORM
EXISTING STOCKS OF VA FORM 29-0309, NOV 2009,
29-0309
NOV 2010
WILL BE USED.
OMB Approved No. 2900-0665
Respondent Burden: 20 minutes
DIRECT DEPOSIT ENROLLMENT/CHANGE
IMPORTANT: You can use this form to enroll in Direct Deposit or to make a change to an existing direct deposit account.
SECTION I - TO BE COMPLETED BY PAYEE
1. NAME AND ADDRESS
2. INSURANCE FILE NUMBER
3. SOCIAL SECURITY NUMBER (Must supply)
4. DAYTIME TELEPHONE NUMBER
I hereby authorize the Department of Veterans Affairs to start/change direct deposit at the financial institution stated in Item 7, for the
purpose of depositing directly into the account stated in Item 10, any and all Government Life Insurance payments that I am entitled to
receive from all insurance policies under the insurance file number shown in Item 2.
5. SIGNATURE
6. DATE
SECTION II - PLEASE ATTACH A VOIDED PERSONAL CHECK. IF YOU DO, SKIP ITEMS 7-10. IF YOU DO NOT
HAVE A CHECKING ACCOUNT, CONTACT YOUR BANK FOR HELP IN COMPLETING ITEMS 7-10.
NOTE: PLEASE PROVIDE A COPY OF THE POWER OF ATTORNEY IF YOU HAVE NOT ALREADY DONE SO. WHEN A POWER
OF ATTORNEY IS APPLYING FOR DIRECT DEPOSIT, A COPY OF A CHECK MUST BE SUBMITTED SHOWING THE INSURED'S
NAME ON THE ACCOUNT.
7. NAME OF BANK/FINANCIAL INSTITUTION
8. TELEPHONE NUMBER OF BANK/FINANCIAL INSTITUTION
10. BANK ACCOUNT NUMBER AND TYPE
9. BANK ROUTING NUMBER (9 DIGITS)
CHECKING
SAVINGS
The bank account
SAMPLE CHECK
Customer Name
Check No. 1234
Street Address
number varies in
The bank routing
City, State, ZIP
length and may
number is always 9
contain dashes or
$
digits and appears
PAY TO THE
spaces. The
ORDER OF
|:
between the
||:
Dollars
symbol indicates
symbols.
the end of the account
|:123456789|:
1617284958569678||:
1234
number.
Bank Routing
Bank Account
Check Number
Number
Number
(Not needed)
11. DO YOU PARTICIPATE IN VAMATIC (AUTOMATIC DEDUCTION OF MONTHLY INSURANCE PREMIUM FROM A CHECKING ACCOUNT)?
IF YES, DOES THIS CHANGE APPLY TO VAMATIC?
YES
NO
MAIL THE COMPLETED FORM TO:
For an Insured:
For a Beneficiary:
VAROIC-DD
VAROIC-DD
P.O. BOX 42954
P.O. BOX 7208
PHILADELPHIA, PA 19101
PHILADELPHIA, PA 19101-7208
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974
or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA00, Veterans and Armed Forces Personnel U.S.
Government Life Insurance Records - VA, and published in the Federal Register. Your obligation to respond is voluntary, but your failure to provide us the information
could impede processing. Giving us your Social Security number (SSN) account information is mandatory. Applicants are required to provide their SSN. VA will not
deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1,
1975, and still in effect. The responses you submit are considered confidential (38 U.S.C. 5701).
RESPONDENT BURDEN: We need this information to ensure proper transmission of your funds via electronic transfer to your financial institution (31 CFR 208.3
and 210.4). Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 20 minutes to review the instructions, find
the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not
required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet page at
www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
IF YOU HAVE ANY QUESTIONS ABOUT DIRECT DEPOSIT, PLEASE CALL OUR TOLL-FREE NUMBER 1-800-669-8477.
VA FORM
EXISTING STOCKS OF VA FORM 29-0309, NOV 2009,
29-0309
NOV 2010
WILL BE USED.