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Veteran (Form 526) or Spouse/Child (Form 534) Application for Pension/Death Benefit
 
This is the application for Pension Benefits and must be completed along with the forms identified in the steps below.  Note new 527EZ Form for Veteran's seeking compensation only as well as new 534EZ Form for Veteran Spouse.
 
 

This site  The Web 

For Veteran

VA Form 21-526 (Old) Veteran's Application For Compensation and/or Pension

Form 21-527EZ (New) Application for Veteran's Compensation Only

 OR

For Spouse

VA Form 21-534 (Old) Application for DIC, Death Pension and Accrued Benefits by a Surviving Spouse or Child

VA Form 21-534EZ (New) Spouse Application for Death Pension

 
 
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First step in submitting an application for a Veteran's Pension or Spouse/Child Death Benefit is to attain the Service Records of the Veteran.   

 

Attain Veteran's Service Records On Line

National Archives Service Records Electronic Request

Or

Mail Paper Request for Veteran's records

PDF Standard Form 180 Request of Service Records

 

Second Step is to have the veteran/spouse appoint a representative to submit forms on his/her behalf.


Appointment of Representative
Individual, Service Organization Or Family Member

VBA-21-22A Appointment of Individual as Claimant's Representative

Appointment of Service Organization

 

Authorization for VA to Release Information to Designated Representative

Third Step is to also have the Veteran/Spouse authorize the VA to release information to the designated representative.

 
The Third Party Authorization form is needed to be completed for all individuals or service organizations to attain records of the veteran.  This includes individuals/family members assisting in preparing the application for pension benefits.
 

VA 21-0845 Authorization (For the VA) to Disclose Personal Information to a Third Party

 
Step four is also required for the designated representative/organization to be able to release information to the VA.

This Form is necessary to be completed for all parties providing services to the Veteran, Spouse/Child in order to release information to the VA as part of the application. 

VA Form 21-4142 Authorization and Consent to Release Information to the Department of Veterans Affairs

 
Step five is to also complete the financial information form.

 This form establishes the financial need for assistance and ultimately the amount of assistance.   There is no net worth limited specified however the general guidance is that between $70,000 to $80,000 in net worth (EXCLUDING the Veteran/Spouse primary residence and automobile).

 

VBA-21-527 Income - Net worth and Employment Statement

 

Step six is to have the nursing home or assisted living facility complete the form below.  If the veteran or spouse requires at home care a physician's statement should be included in support of the claim.

 
Forms to be completed by Assisted Living Facility, Nursing Home and/or Attending Physician
 
 
Form 21-0779 establishes the need for Aid and Attendance (Pension payments greater than Base Pension).  This form should be completed by the Nursing Home or Assisted Living facility and submitted with the application for Pension.
 
 

VA-21-0779 Request for Nursing Home Information

Statement of Attending Physician


 

 
 
Other Supporting Forms

Certification No Fees Paid

Certification of Recurring Medical by Provider

Certification of Recurring Medical Expenses

Certification of Fully Developed Claim

General Claim Support Statement

 
Last step is to file the completed forms with one of the three regional offices which process Pension Benefits.

 
It is recomend that applications be sent via Federal Express or UPS/USPS return receipt requested to be assured that application was submitted, received and establishes the date of the application.  Approval of applications may take a year or more but pension benefits are paid retro-actively from date of the application establishing the date the application was submitted is important.

 

File Completed Applications with one of the following three Service Centers based on Claimant's Residence.

 

Milwaukee Pension Maintenance Center
Veterans Administration
5400 West National Avenue
Milwaukee, WI 53214
Processes claims for the following states:
AL, AR, IL, IN, KY, LA, MI, MO, MS, OH, TN, WI
 
 
St. Paul Pension Maintenance Center
Veterans Administration
1 Federal Drive, Fort Snelling
St. Paul, MN 55111-4050
Processes claims for the following states:
AK, AZ, CA, CO, HI, IA, ID, KS, MN, MT, ND, NE, NV, OK, OR, SD, TX, UT, WA, WY
 
 
 
Philadelphia Pension Maintenance Center
Veterans Administration
5000 Wissahickon Avenue
Philadelphia, PA 19101
Processes claims for the following states:
CT, DC, DE, FL, GA, MA, MD, ME, NC, NH, NJ, NY, PA, PR, RI, SC, VA, VT, WV

 

 
 

 
 
 
Alternatively you can file electronically by clicking on eBenfits Logo below to complete form online.  We suggest that you complete a paper copy prior to entering information on line.  If you need assistance in completing the forms contact the VAAC for a member service provider in your area.
 
 
 
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Click here to link to the Submit Application through www.ebenefits.va.gov