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VA 21-0538 2013 free printable template

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SIGNATURE OF VETERAN OR GUARDIAN 8B. DATE SIGNED SIGN HERE IN INK PENALTY - The law provides severe penalties which include fine or imprisonment or both for the willful submission of any statement or evidence of a material fact knowing it to be false or for the fraudulent acceptance of any payment to which you are not entitled. VA FORM 21-0538 APR 2013 Page 2. You also have the right to be represented at the hearing by an authorized veteran s service organization. Veterans Service Center...
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VA 21-0538 Form Versions

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How to fill out VA 21-0538

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How to fill out VA 21-0538

01
Obtain the VA Form 21-0538 from the VA website or your local VA office.
02
Fill out the veteran's personal information at the top of the form, including name, Social Security number, and service details.
03
Provide details about the claimed condition or disability, including dates of treatment and any supporting medical evidence.
04
Complete the section regarding dependent information if applicable.
05
Sign and date the form at the designated area.
06
Submit the completed form by mail or electronically to the appropriate VA office.

Who needs VA 21-0538?

01
Veterans seeking disability compensation or pension benefits from the VA.
02
Dependents of veterans who wish to apply for benefits related to the veteran’s service.

Who needs VA form 21-0538?

The VA form 21-0538 is the United States Department of Veteran Affairs form that serves as the Status of Dependents Questionnaire. The form must be completed by a veteran entitled to a compensation for their service-connection disability and the extra amount paid for their dependents (a spouse and children). It is the disabled veteran’s responsibility to report any change in the number of their dependents.

What is the purpose of the form VA 21-0538?

The Department of Veteran Affairs will require the information requested by the questionnaire to make sure that the entitlement for the veteran’s compensation should be continued. If the number of dependents hasn’t changed, the benefits will be continued; if it has changed, the benefits should be adjusted properly too.

Is the Status of Dependents Questionnaire accompanied by any other forms?

Typically, it is recommended to submit the documents proving the statements given on the form; however, it is not mandatory that all additional information be submitted at once --they may be added at any time, as considered necessary.

When is the VA form 21-0538 due?

The form must be returned within 60 days from the date the letter requesting to fill out this questionnaire was received. If this deadline is not followed, the amount of compensation will be reduced as the VA department finds appropriate.

How to fill out the VA form 21-0538?

The following information is required on the VA form:

  • The veteran's full name;
  • Marital status;
  • The spouse’s full name, SSN and DOB;
  • Information about child(men): full name, DOB, place of birth, SSN, etc.;
  • Information about terminated dependents if any;
  • Remarks;
  • Contact phone numbers;
  • The Veteran’s signature;
  • Date of signing.

Where to send the filled out form VA 21-0538?

The completed Status of Dependents Questionnaire must be directed to the VA office which sent you the letter and the enclosed form.

Instructions and Help about VA 21-0538

>Sgt;Text: Applying for Survivor Benefits through the Fully Developed Claims Process Sgt;>Graphics: U.S. Department of Veterans Affairs Seal and Logo Sgt;>Narrator: Overview of VA Form 21-534EZ, Application for DIC, Survivors Pension and/or Accrued Benefits, Part One This is Part One of a two-part video series. This part will provide a general overview and cover topics related to pages 1-5 of VA Form 21-534EZ. While there are over 21.8 million living Veterans today that have served our country, VA has not forgotten the sacrifices made by our nation’s fallen soldiers and their families. President Lincoln's second inaugural address so eloquently stated VA’s obligation: “…to care for him who shall have borne the battle and for his widow and his orphan.” Through VA’s Dependency and Indemnity Compensation (DIC), Survivors Pension, and Accrued benefits, VA provides support to eligible survivors of military Service members and Veterans. VA now offers a way for survivors to obtain these benefits faster through the Fully Developed Claims, or FDC, Program. This Program uses new and simplified application forms that tell survivors exactly what records and documentation are required to support their claim. In this video, we will quickly walk through: DIC and Survivors Pension benefits, and VA Form 21-534EZ Application for DIC, Death Pension, and/or Accrued Benefits, which allows eligible survivors to file an FDC for DIC, Survivors Pension, and/or Accrued Benefits. We will also: Review what survivors need to know to accurately file an FDC, and Provide important reminders and tips to ensure documentation is complete and ready for claims submission and review. DIC is a tax-free monetary benefit paid to eligible survivors of military Service members who died in the line of duty, or eligible survivors of Veterans whose death resulted from a service-related injury or disease, or who were rated totally disabled from their service-connected disabilities for a certain period of time. Survivors may include a spouse, unmarried children and in some cases, parents of certain deceased Veterans. Information on eligibility requirements may be found at www.benefits.va.gov. To qualify for DIC, a surviving spouse must generally have been: Married to a Service member who died on active duty, active duty for training, or inactive duty training, OR Been married to a Veteran for at least one year, OR Had a child with a Veteran, AND Cohabited with a Veteran continuously until the Veteran's death or, if separated, was not at fault for the separation, AND is not currently remarried. Note that if you are a surviving spouse and remarry on or after December 16, 2003, and on or after attaining age 57, then you are entitled to continue to receive DIC. If you are a surviving child, you are also eligible for DIC if you are: Not included on a surviving spouse's DIC, AND Unmarried, AND Under age 18, or between the ages of 18 and 23 and attending school. DIC claims by parents of a Veteran are...

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People Also Ask about

Use VA Form 21-651, Election of Compensation in Lieu of Retired Pay or Waiver of Retired Pay to Secure Compensation From Department of Veterans Affairs (38 U.S.C. 5304(a)-5305), when it is necessary to obtain the Veteran's or fiduciary's signature on the election or waiver.
VA Form 21-0820, Report of General Information, should be used to: document the discussion in order to establish a date of claim and/or receipt of information if benefits are subsequently granted.
Use VA Form 21-0538 to verify the status of your dependents (spouse or children). We use this information to determine if you're eligible to continue receiving additional compensation based on how many dependents you have.
Use VA Form 21P-534 if you prefer to provide evidence at a later time to support your claim. You can use this form if you're a surviving spouse or child of a Veteran who has died and want to begin the process of applying for VA benefits or money that we owe the Veteran but did not pay prior to his or her death.
There are several reasons you received a letter from the Evidence Intake Center, such as: Decision on your compensation claim. Request for additional information. Information about other compensation benefits you are eligible for.

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VA Form 21-0538 is a form used by veterans to report their income for the eligibility of certain VA benefits.
Veterans who are applying for or receiving VA pension benefits are required to file VA Form 21-0538.
To fill out VA Form 21-0538, provide accurate income information, including all sources of income, estimated expenses, and other necessary details on the form.
The purpose of VA Form 21-0538 is to assess the veteran's financial situation to determine eligibility and entitlement for VA pension benefits.
Information that must be reported on VA Form 21-0538 includes total income from all sources, expenses, number of dependents, and any other financial details relevant to benefit eligibility.
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