VA Form 21P-534A Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - in-Service Death Only

What Is VA Form 21P-534A?

VA Form 21P-534A, Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In-Service Death Only is a document used to properly determine the eligibility of a surviving spouse or child to receive dependency and indemnity compensation, benefits, death pension, and/or death compensation. It is used by surviving spouses and children of veterans who died during active duty service. The latest version of the VA 21P-534A Form was issued by the Department of Veterans Affairs (VA) in October 2018 with all previous editions obsolete. The form is still being used (instead of VA 21-534A). VA Form 21P-543A fillable version is available for download below.

VA Form 21P-534, Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable) is a related document used by surviving spouses and children to apply for VA benefits and any money the VA may owe the deceased veteran. It is used when a veteran's death occurred on active service, or when a veteran died of a service-connected disability or a non-service-connected injury while being entitled to receive VA compensation for a service-connected disability.

VA Form 21P-534EZ, Application for DIC, Death Pension, and/or Accrued Benefits is a related form submitted by surviving spouses and children to provide the necessary information and evidence to substantiate a claim for survivors pension, accrued benefits, or dependency and indemnity compensation.

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VA Form 21P-534A Instructions

  1. Write down the veteran's full name and social security number;
  2. State your full name, social security number, date of birth and indicate if you have lived continuously with the veteran from the date of marriage to the date of death (for surviving spouses only);
  3. Give the reason, the duration and the date of separation (if applicable);
  4. Provide information on children of the deceased veteran in your custody - their full names, dates of birth, social security numbers, places of birth, and state their relationship to you;
  5. Write down your current mailing address and telephone numbers. If the address is changed, mention it in the appropriate box;
  6. Indicate if you want the VA payment to be directly deposited to your financial account;
  7. Write down the type of your account, its number, and the transit number of the financial institution;
  8. Certify that the statements on the form are complete and true to the best of your belief and knowledge, sign the document and write down the actual date.

The last items on the form are to be completed by the Military Casualty Assistance Officer - a representative assigned to you to assist in completing the form. The CAO is required to write down the full name, rank, telephone number, and e-mail address.

Download VA Form 21P-534A Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - in-Service Death Only

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