2554-07-18

Chapter 8. Reference Information

Chapter 8. Reference Information

1. VA Forms

Introduction

This topic contains information VA forms, including

· the web site for government forms, and

· the recommended forms for stocking.

Change Date

December 17, 2008

a. Web Site for Government Forms

Most of the forms listed in this topic can be retrieved and printed from the following web site: http://www.va.gov/vaforms.

Those forms that cannot be found on the web site may be procured from normal stocking points.

b. Recommended Forms for Stocking

The following forms are recommended for stocking:

Form Number

Form Name

Revision Date

Veterans Health Administration

10-10D

Application for CHAMPVA Benefits

06/2005

10-10EZ

Application for Health Benefits

07/2008

10-1394

Application for Adaptive Equipment – Motor Vehicle

02/2007

10-8678

Application for Annual Clothing Allowance

07/2006

Continued on next page


1. VA Forms, Continued

b. Recommended Forms for Stocking (continued)

Veterans Benefits Administration

20-572

Request for Change of Address/ Cancellation of Direct Deposit

03/1996

Compensation and Pension

21-22

Appointment of Veterans Service Organization as Claimant’s Representative

11/2005

21-22a

Appointment of Individual as Claimant’s Representative

05/2007

21-526

Veteran’s Application for Compensation or Pension

01/2004

21-527

Income Net Worth and Employment Statement

06/2004

21-530

Application for Burial Benefits

06/2002

21-534

Application for Dependency and Indemnity Compensation Death Pension and Accrued Benefits by Surviving Spouse

06/2005

21-535

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

04/2005

21-601

Application for Reimbursement From Accrued Amounts Due a Deceased Beneficiary

05/2005

21-674

Request for Approval of School Attendance

07/2005

21-686c

Declaration of Status of Dependents

11/2004

21-0516

Improved Pension Eligibility Verification Report Veterans with Spouse

06/2004

21-0516-1

Improved Pension Eligibility Verification Report Veterans with No Children

06/2004

21-0517

Improved Pension Eligibility Verification Report Veterans with Children

06/2004

21-0518

Improved Pension Eligibility Verification Report Surviving Spouse with No Children

06/2004

21-0519

Improved Pension Eligibility Verification Report Surviving Spouse with Children

06/2004

21-2008

Application for U.S. Flag for Burial Purposes

09/2005

21-4138

Statement in Support of Claim

08/2004

Continued on next page


1. VA Forms, Continued

b. Recommended Forms for Stocking (continued)

21-4142

Authorization for Release of Information to the Department of Veterans Affairs

05/2004

21-4502

Application for Automobile or Other Conveyance and Adaptive Equipment

03/2005

21-8416

Request for Information Concerning Medical/Legal or Other Expenses

11/2004

21-8940

Veteran’s Application for Increased Compensation Based Upon Unemployment

10/2004

Education

22-1990

Application for Education Benefits

02/2008

22-1995

Request for Change of Program or Place of Training

12/2005

22-1999

Enrollment Certification

06/2004

22-5281

Application for Refund of Education Contributions

07/2007

22-5490

Application for Survivors and Dependents Educational Assistance

11/2005

Loan Guaranty

26-1817

Request for Determination of Loan Guaranty Eligibility – Unmarried Surviving Spouses

11/2007

26-1880

Request for a Certificate of Eligibility for VA Home Loan Benefits

04/2008

26-4555

Veterans Application for Acquiring Specially Adapted Housing or Special Home Adaptation Grant

10/2005

Continued on next page


1. VA Forms, Continued

b. Recommended Forms for Stocking (continued)

Vocational Rehabilitation & Employment

28-1900

Disabled Veterans Application for Vocational Rehabilitation

02/2008

Insurance

29-336

Designation of Beneficiary Government Life Insurance

12/2005

29-357

Claim for Disability Insurance Benefits

04/2005

29-1546

Application for Cash Surrender Value or Policy Loan

06/2007

29-4125

Claim for One Sum Payment

03/2008

29-4364

Application for Service Disabled Veterans Life Insurance

12/2003

SGLV 8714

Application for Veterans’ Group Life Insurance

09/2005

SGLV 8721

Beneficiary Designation Form

08/1996

SGLV 8283

Claim for Death Benefits

07/1994

National Cemetery Administration

40-1330

Application for Standard Government Monument

05/2008

Miscellaneous

SF 180

Request Pertaining to Military Records

10/2005

DD 149

Application for Correction of Military or Naval Record

05/2005

DD 293

Application for the Review of Discharge of Dismissal From the Armed Forces of the U.S.

03/2004

DD 1172

Application for Uniformed Services Identification and Privilege Card

09/2005

IB-10-164

A Summary of VA Benefits for National Guard and Reserve Personnel

03/2004


2. VA Publications and Pamphlets

Change Date

December 17, 2008

a. Recommended Publications and Pamphlets

The following publications and pamphlets should be available for distribution to visitors:

Number

Name

Revision Date

Compensation and Pension

21-00-1

A Summary of VA Benefits

04/2008

21-03-1

VA Benefits for Survivors

01/2006

80-08-01

Federal Benefits for Veterans and Dependents

2008

Education

22-05-1

Reserve Educational Assistance Program (REAP) – Chapter 1607

12/2005

22-79-1

Summary of Educational Benefits Under the Post Vietnam Era Vet Educational Assistance Program

02/2004

22-90-2

Summary of Educational Benefits Under the Montgomery GI Bill Active Duty Educational Assistance Program

03/2007

22-90-3

Summary of Educational Benefits Under the Montgomery GI Bill Selected Reserve Educational Assistance Program

01/2007

Continued on next page


2. VA Publications and Pamphlets, Continued

a. Recommended Publications and Pamphlets (continued)

Number

Name

Revision Date

Loan Guaranty

26-4

VA Guaranteed Home Loans for Veterans

02/2005

26-6

To the Home Buying Veteran

12/2005

26-71-1

Q&A on Manufactured Home Loans for Veterans

12/2005

26-91-1

A Quick Guide for Homebuyers and Real Estate Professionals

02/2005

Vocational Rehabilitation & Employment

28-01-1

Vocational Rehabilitation and Employment

07/2001

Insurance

29-9

Service Disabled Veteran’s Insurance RH Information and Premium Rates

03/2006

29-14

Information About Waiver of Premiums

05/2002

29-77-3

Facts About Beneficiary and Options

05/1990


3. Web-Based References

Change Date

December 17, 2008

a. Web-Based Reference Listing

The following table provides a listing, including the appropriate link, to web-based reference sites:

Title

Link

Compensation & Pension Service Intranet

C&P Service Intranet Home Page

Compensation & Pension Service Manual Rewrite (M21-1MR)

M21-1 Manual Rewrite - M21-1MR Main Site

Facilities Locator and Directory

Facilities Locator Home Page - Facilities Locator & Directory

Regional Office (ROs) Desk Reference

Regional Office (ROs) Desk References - Alphabetically

Publications Index (References, etc)

Publications Index (References, etc.)

Compensation & Pension Service User Guides

User Guides

Veterans Benefits Reference System (VBRS)

Veterans Benefits Reference System (VBRS)

State Benefits Reference System (SBRS)

This program is located off of the VBAPPS menu and can be installed by your local IRM if you do not have this.

Compensation & Pension Service, Direct Services Web Site

Direct Services Web Site

Public Contact Representatives (PCRs) Information – Alphabetically

Public Contact Representatives (PCRs) Information - Alphabetically


4. Writing References

Change Date

December 17, 2008

a. Writing Reference Listing

The following table provides a listing, including the appropriate link, to web-based writing references:

Title/Description

Link

Reader-Focused Writing (RFW) Web Site

Reader-Focused Writing

RFW Links to Writing Aids, including:

· Dictionaries

· Grammar References

· Style Guides

· Thesaurus

· General Writing Guides

RFW Links

VA Field Correspondence Guidelines

VA Field Correspondence Guidelines

GPO Style Manual

GPO Style Manual: Main Page

Elements of Style

Strunk's Elements of Style

.
Articles, ideas, think, remind motto, story, article I, article and think, article,poem, short stories, novels, stories, travel, life insurance, health insurance

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