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 |
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