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Veteran (Form 526) or Spouse/Child (Form 534) Aplication for Pension/Death Benefit
 

VA Form 21-534 (New) Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child

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

 

 

 

The 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.   

 

National Archives Service Records Electronic Request

Or Submit Paper Request

PDF Standard Form 180 Request of Service Records


Appointment of Representative
Individual, Service Organization Or Family Member

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

Appointment of Service Organization

 
The Third Party Authorization form is  need 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

 

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

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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

 

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

 

 
 

Form 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 in Connection with Claim for Aid and Attendance

Statement of Attending Physician

 
 
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Click 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


 
 
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Other Needed Forms

Certification No Fees Paid

Certification of Recurring Medical Services

Certification of Recurring Medical Expenses

Certification of Fully Developed Claim


 
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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.