VA Form 21P-534EZ, Application for DIC, Death Pension, and/or Accrued Benefits is a document used to request Dependency and Indemnity Compensation (DIC), death pension, and accrued benefits under the Fully Developed Claim Program (FDC). The information provided to the Department of Veterans Affairs (VA) via this form is used for determination of allowance to the compensation or benefits.
The latest version of the form - formerly known as VA Form 21-534EZ - was released by the VA in October 2018. The most recent fillable VA Form 21P-534EZ is available for download below or can be found on the VA website.
The document has two related forms:
The first form is used by the surviving spouse or child to apply for dependency and indemnity compensations, death pension, and accrued benefits, including death compensation if applicable. The second form is filled out to request service-connected death benefits and compensations only.