Get the free VA Form 21-686c - Military Disability Made Easy

PATIENT INFORMATION FORM Patient Information (Please Print) Last Name First Name Mailing Address Apt. # Are you currently employed? Y M.I. City Home Phone State Cell Phone Zip Email Address N Employer

How to fill out va form 21-686c

How to fill out VA Form 21-686c:

1. Start by providing your personal information, including your full name, social security number, and VA file number if applicable.
2. Indicate your current marital status by checking the corresponding box.
3. Provide information about your spouse if applicable, including their full name, social security number, date of birth, and date of marriage.
4. If you have dependent children, list their names, social security numbers, and relationship to you.
5. Indicate whether any of your dependents are in school.
6. If you have divorced or separated, indicate the date of divorce or separation and provide additional information about any dependent children.
7. If you have remarried after a divorce or separation, provide information about your new spouse.
8. List any children you have with your new spouse, providing their names and social security numbers.
9. If you are a surviving spouse, provide information about the deceased veteran, including their full name, social security number, and date of death.
10. Sign and date the form.

Who needs VA Form 21-686c:

1. Any veteran receiving VA benefits who wishes to add a spouse, children, or dependents to their current VA award.
2. Any veteran who has divorced or separated, and wishes to update their dependent information.
3. Any surviving spouse of a deceased veteran who wishes to apply for VA benefits.

By following these step-by-step instructions, individuals can effectively fill out VA Form 21-686c and ensure that their information is accurately recorded.

For pdfFiller’s FAQs

What is va form 21-686c?

VA Form 21-686c is the Declaration of Status of Dependents form used by the Department of Veterans Affairs to determine the eligibility of a veteran's dependents for benefits.

Who is required to file va form 21-686c?

Veterans who have dependents that they wish to claim for benefits are required to file VA Form 21-686c.

How to fill out va form 21-686c?

To fill out VA Form 21-686c, veterans need to provide information about their dependents, including their names, dates of birth, and relationship to the veteran.

What is the purpose of va form 21-686c?

The purpose of VA Form 21-686c is to verify the status of a veteran's dependents in order to determine eligibility for benefits such as disability compensation.

What information must be reported on va form 21-686c?

Information required to be reported on VA Form 21-686c includes the names, dates of birth, and relationship of the veteran's dependents.

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