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VA Form 21P-4171(2024)

Supporting Statement Regarding Marriage

Official Department of Veterans Affairs 21P-4171 for Supporting Statement Regarding Marriage, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-4185(2024)

Report of Income from Property or Business

Official Department of Veterans Affairs 21P-4185 for Report of Income from Property or Business, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-4706B(2024)

VA Fiduciary's Account

Official Department of Veterans Affairs 21P-4706B for VA Fiduciary's Account, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-4706C(2024)

Court Appointed Fiduciary's Account

Official Department of Veterans Affairs 21P-4706C for Court Appointed Fiduciary's Account, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-4718A(2024)

Certificate of Balance on Deposit and Authorization to Disclose Financial Records

Official Department of Veterans Affairs 21P-4718A for Certificate of Balance on Deposit and Authorization to Disclose Financial Records, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-524(2023)

Statement of Person Claiming to Have Stood in Relation of Parent

Official Department of Veterans Affairs 21P-524 for Statement of Person Claiming to Have Stood in Relation of Parent, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-530A(2024)

State Application for Interment Allowance (Under 38 U.S.C. Chapter 23)

Use this form if you're a state or tribal organization and want to apply for a VA interment allowance for a Veteran buried in a State or Tribal Veterans' cemetery.

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VA Form 21P-534A(2025)

Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child-In-Service Death Only

If you're the surviving spouse or child of a service member who died while on active duty , your military casualty assistance officer will help you to complete an Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (VA Form 21P-534a). The officer will help you mail the form to the...

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VA Form 21P-534EZ(2025)

Application for DIC, Survivors Pension, and/or Accrued Benefits

Use this application if you're the surviving spouse or child of a Veteran and want to apply for survivors benefits. You can also submit evidence with your application to get a faster decision.

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VA Form 21P-535(2024)

Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable)

If you're the surviving spouse or child of a service member who died while on active duty , your military casualty assistance officer will help you to complete an Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (VA Form 21P-534a). The officer will help you mail the form to the...

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VA Form 21P-601(2025)

Application for Accrued Amounts Due a Deceased Beneficiary

Use this form, in some cases, to apply for unpaid benefits that we owed to a VA beneficiary when they died.

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VA Form 21P-8049(2026)

Request for Details of Expenses

Official Department of Veterans Affairs 21P-8049 for Request for Details of Expenses, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8416(2023)

Medical Expense Report

Use VA Form 21P-8416 to report medical or dental expenses that you have paid for yourself or for a family member living in your household. These must be expenses you weren't reimbursed for and don't expect to be reimbursed for.

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VA Form 21P-8416(SPANISH)(2023)

Reporte De Gastos Medicos

Official Department of Veterans Affairs 21P-8416(SPANISH) for Reporte De Gastos Medicos, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8416B(2024)

Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death

Official Department of Veterans Affairs 21P-8416B for Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8765(2025)

Service-Connected Death Award Attachment (No Fill-in)

Official Department of Veterans Affairs 21P-8765 for Service-Connected Death Award Attachment (No Fill-in), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8767(2005)

Death Pension Award Attachment

Official Department of Veterans Affairs 21P-8767 for Death Pension Award Attachment, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8768(2019)

Disability Pension Award Attachment

Official Department of Veterans Affairs 21P-8768 for Disability Pension Award Attachment, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8924(2024)

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)

Official Department of Veterans Affairs 21P-8924 for Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 21P-8941(2024)

REPS Annual Eligibility Report (Under the Provisions of Section 256, Public Law 97-377)

Official Department of Veterans Affairs 21P-8941 for REPS Annual Eligibility Report (Under the Provisions of Section 256, Public Law 97-377), sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 22-0803(2025)

Request for Reimbursement of Licensing or Certification Test Fees (VA Form 22-0803)

Use VA Form 22-0803 when you want to use your VA education benefits to get paid back for licensing and certification tests.

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VA Form 22-0810(2025)

Request for Reimbursement of National Exam Fee

Use VA Form 22-0810 when you want to use your VA education benefits to get paid back for tests required for the college or graduate school admissions process.

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VA Form 22-0848(2012)

Application for Rural Relocation Benefit Under the Post-9/11 GI Bill

Official Department of Veterans Affairs 22-0848 for Application for Rural Relocation Benefit Under the Post-9/11 GI Bill, sourced from the VA public forms catalog for veterans benefits, health care, education, records, and service-related workflows.

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VA Form 22-0976(2025)

Application for Approval of a Program in a Foreign Country

If you're a school administrator at a foreign college or university, use VA Form 22-0976 for any of these reasons: You're applying for initial approval to have your school's programs participate in GI Bill benefits, or You're requesting a full reapproval of currently approved programs (required every 48 months), or...

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