Obtain Or Replace VA Forms

How To Obtain Or
Replace VA Forms
(Updated 02/01/2001)

Many of the following forms have multiple pages. To complete a form, you need to download all its pages. These forms are in the PDF format (Adobe Acrobat Portable Document Format (PDF). For faster service, if you have a 486 PC or higher, you may wish to download and install the free copy of Adobe Acrobat Reader Version 3 or later if you have not done so already. This will allow you to access the PDF files in your web browser. Unfortunately, previous PDF readers will not work with this format. If you experience difficulty reading or interpreting either the form or instructions, please call your local VA office or the VA toll free number 1-800-827-1000.

The following form prefixes denote functional areas of responsibility:

20 - Forms that affect more than one VBA area
21 - Compensation and Pension
22 - Education
24 - Finance / Budget
26 - Loan Guaranty
28 - Vocational Rehabilitation
29 - Insurance
Other forms under the control of VBA

VBA FORMS - Adobe Acrobat / PDFs

Form No.	Rev. Date	Title

		Compensation and Pension Forms
21-0304	4/98	Application for Spina Bifida Benefits (1 page)
21-0514-1	8/99	Parent's DIC Eligibility Verification Report (2 pages)
21-526	3/99	Veteran's Application for Compensation or Pension (11 pages) (Attachment VA Form 21-4142, Authorization and Consent To Release Information To The Department of Veterans Affairs (VA), is 2 pages)
21-527	2/99	Income-Net Worth And Employment Statement (6 pages)
21-530	9/95	Application For Burial Benefits (Under 38 U.S.C. Chapter 23) (4 pages)
21-534	6/98	Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable) (12 pages)
21-535	3/95	Application for Dependency and Indemnity Compensation by Parent(s) (8 pages; 1-4 are instructions; 5-7 are form; page 8 is SSA form 24)
21-601	6/94	Application For Reimbursement From Accrued Amounts Due A Deceased Beneficiary (2 pages)
21-674	8/94	Request For Approval of School Attendance (4 pages)
21-686c	12/99	Declaration of Status of Dependents (2 pages)
21-2008	9/99	Application For United States Flag For Burial Purposes (3 pages)
21-4138	4/94	Statement in Support of Claim (1 page)
21-4142	9/93	Authorization And Consent To Release Information To The Department of Veterans Affairs (VA) (2 pages)
21-4703	1/98	Fiduciary Agreement (3 pages)
21-6753	7/99	Original Or Amended Dependency and Indemnity Compensation Award (2 pages)
21-8416	9/99	Medical Expense Report (2 pages)
21-8678	10/93	Application For Annual Clothing Allowance (1 page)
21-8940	12/94	Veteran's Application For Increased Compensation Based On Unemployability (2 pages)

		Education Forms
22-1990	4/99	Application for VA Education Benefits (8 pages)
22-1990t	1/00	Application and Enrollment Certification For Individualized Tutorial Assistance (38 U.S.C. Chapters 30, 32 or 35 and 10 U.S.C. Chapter 1606) (2 pages)
22-1995	4/95	Request For Change of Program or Place of Training (2 pages)
22-1999b	6/99	Notice of Change in Student Status (4 pages)
22-5490	9/98	Application For Survivors' and Dependents' Educational Assistance (6 pages)
22-5495	5/99	Request for Change of Program or Place of Training Survivors' and Dependents' Educational Assistance (6 pages)
22-6553c	7/99	Monthly Certification Of Flight Training (2 pages)
22-8690	1/99	Time Record (Work-Study Program) (2 pages)
22-8873	9/97	Supplemental Information For Change of Program Or Reenrollment After Unsatisfactory Attendance, Conduct or Progress (2 pages)

		Finance Forms

24-0296	12/99	Direct Deposit Enrollment (1 page)
24-5281	8/98	Application For Refund of Education Contributions (VEAP, Chapter 32, Title 38, U.S.C.) (1 page)

		Loan Guaranty Forms
26-0286	2/99	VA Loan Summary Sheet (8 1/2 x 14)(2 pages)
26-0503	7/96	Federal Collection Policy Notice (1 page)
26-1802a	3/98	HUD/VA Addendum to Uniform Residential Loan Application (5 pages)
26-1814	9/98	Batch Transmittal - Loan Code Sheet (1 page)
26-1817*	2/00	Request For Determination Of Loan Guaranty Eligibility - Unremarried Surviving Spouses (1 page)
26-1839	1/92	Compliance Inspection Report (8 1/2" x 14")(10 pages)
26-1847	1/00	Request For Postponement Of Offsite Or Exterior Onsite Improvements - Home Loan (1 page)
26-1852	10/84	Description of Materials (6 pages) (NOTE: This form is the same as the Housing and Urban Development/HUD- 92005)
26-1880	3/99	Request For A Certificate of Eligibility For VA Home Loan Benefits (2 pages)
26-6382	8/92	Statement of Purchaser Or Owner Assuming Seller's Loan (2 pages)
26-6393	1/92	Loan Analysis (8 1/2 x 14) (1 page)
26-6684	11/97	Statement of Fee Appraisers or Compliance Inspectors (2 pages)
26-6705	10/97	Offer to Purchase and Contract of Sale (8 1/2 x 14) (2 pages)
26-6705b	12/98	Credit Statement of Prospective Purchaser (8 1/2 x 14) (2 pages)
26-6807	3/99	Financial Statement (8 1/2 x 14) (2 pages)
26-8736a	3/99	NonSupervised Lender's Nomination and Recommendation of Credit Underwriter (1 page)
26-8812	4/90	VA Equal Opportunity Lender Certification (2 pages)
26-8937*	4/93	Verification of VA Benefit-Related Indebtedness (1 page)

		Vocational Rehabilitation and Employment Forms

28-1900	12/99	Disabled Veterans Application For Vocational Rehabilitation (2 pages)
28-1902	10/92	Counseling Record - Personal Information (2 pages)
28-1902n	11/89	Counseling Record - Narrative Report (Supplemental Sheet) (2 pages)
28-8872	9/89	Rehabilitation Plan (2 pages)
28-8872a	9/89	Rehabilitation Plan - Continuation Sheet (2 pages)
28-8890	9/98	Important Information About Rehabilitation Benefits (2 pages)

		Insurance Forms
29-336	1/99	Designation of Beneficiary - Government Life Insurance (2 pages)
29-1546	12/98	Application For Cash Surrender Value / Application For Policy Loan (2 pages)
29-4125	8/99	Claim For One Sum Payment (1 page)
29-4364	5/99	Application For Service-Disabled Insurance - (2 pages)

FORMS UTILIZED BY VBA

Form No.	Rev. Date	Title

DD 149	9/97	Application for Correction of Military Record Under the Provisions of Title 10, U.S. Code, Section 1552 (2 pages)(This is a Department of Defense form)
DD 293	10/97	Application for the Review of Discharge OR Dismissal From the Armed Forces of the United States (4 pages)(This is a Department of Defense form)
SF 15	4/96	Application for 10-Point Veteran's Preference (This is not a VA Form) (Link to Office of Personnel Management - (2 pages))
SF 180	4/96	Request Pertaining To Military Records - (This is not a VA Form) (Link to the National Personnel & Military Records Centers and Related Forms/Also, FAQ about military and genealogy)
SGLV8283	1/91	Claim For Death Benefits - Form returned to Office of Servicemembers' Group Life Insurance (2 pages)
SGLV8285	3/94	Request For Insurance - (Servicemembers' Group Life Insurance) (2 pages)
SGLV8286	4/96	Servicemembers' Group Life Insurance Election and Certificate (8 pages)
SGLV8714	3/99	Application For Veterans' Group Life Insurance - (5 pages)
VAF 8	10/92	Certification of Appeal - (1 page)
VAF 9	1/98	Appeal to Board of Veterans' Appeals (5 pages)
VAF 4107	6/99	Notice of Procedural And Appellate Rights (1 page)

DOD Forms  (link to Dept. of Defense forms page - Internet)
GSA Forms   (link to General Services Administration forms page - Internet)
HUD Forms (link to Housing and Urban Development Agency Forms - Internet)
OPM Forms (Link to Office of Personnel Management Forms - Internet)
VETS-100 Report Form   (Link to Department of Labor)
VHA Forms    (968 VHA forms - used by VAMCs)

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