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Then click the SEND button at the bottom. But you wont have full coverage during this time. Center, Vocational Rehabilitation
You have 4 options to get life insurance as you transition out of service, but they have time limits. Choose Documents Select Files to Upload OR Drag and drop files here Selected Documents: 3. Find out if you're eligible for tax-free monthly payments as a wartime Veteran or surviving spouse or child. You can call the VA Life Insurance Center at 800-669-8477 (TTY: 711). 0000004429 00000 n
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Find out how to update your direct deposit information online for disability compensation, pension, or education benefits. 0000002900 00000 n
3. 2. 0000002151 00000 n
VA Life Insurance If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: VA Life Insurance Online Policy Access Veterans' Group Life Insurance (VGLI) If you have a VGLI control number, access your policy through eBenefits or at this link: VGLI Online Policy Access return to top What is Veterans Mortgage Life Insurance? Download all VA life insurance program forms on this page: Download SGLI Forms Download Family SGLI Forms Download VGLI Forms Download TSGLI Form or Conversion Information Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI) Download All Other VA Life Insurance Forms You may only apply for VMLI if you have been approved for a, General information about the Veterans Mortgage Life Insurance Program. Upload Documents Cancel Our call center is also available to assist with any questions you may have. Follow this link to Access your VGLI Policy Online. (fillable), Use this form to change your plan of insurance. Access your policy online. U@.\(}{$LjbL{2}Ln%=6g9~w':+_sLuK~j"5z HWYoF~'0} hj+5T aEITSwfIJCfoWxp {\pLz^beqy^iNd=9 tUoG^R%@ Instant Loan Approval for insurance loans is here - VA News The new Instant Loan Approval service streamlines and automates online processes that eliminate human intervention for providing decisions for loan requests. Find out how to apply for and manage your VA health care benefits. <iframe title="Intentionally Blank" src="https://www.googletagmanager.com/ns.html?id=GTM-MBGXM55" height="0" width="0" aria-hidden="true" style="display:none . <]/Prev 281345/XRefStm 1822>>
OR Use this form to update your bank account information when you are having premiums deducted from your checking account. Attention A T users. Get help planning a burial, order a headstone or other memorial item, and apply for survivor and dependent benefits. Note:VALife doesnt offer premium waivers. Find out how to reach out to ask a question about your policy or file a claim for benefits. To access the menus on this page please perform the following steps. 0000001822 00000 n
Please switch auto forms mode to off. 988 (Press 1). 2 0 obj What you can do when you access your policy Check your policy's status to make sure it's up to date Pay your premium (the amount you pay each month or each year to keep your coverage) Use this form to apply for Veterans Mortgage Life Insurance. Federal government websites often end in .gov or .mil. Get the facts on common myths, rumors, and misconceptions about SGLI and VGLI insurance. 0000064701 00000 n
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8.WESyr&?saUbi3oPtaS6U{6SE 6m%7*lQ(lX. Use this form to claim FSGLI proceeds for a deceased spouse or dependent. Submit an online request to get your DD214 or other military service records through the milConnect website. Find out how to claim VA life insurance benefits under your policy. Go to milConnect and select Manage my SGLI. Explore your options, manage your policy, and file claims to get the insurance benefits you've earned. Get S-DVI RH Information and Premium Rates (VA Pamphlet 29-9) to download. Use this form to reinstate a lapsed VGLI policy. 1-800-273-8255 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420, Last updated February 28, 2023 | v3.4.0-rc1+build.875.42b350dce982f36c2e2a022cfdc645fb8ffce63b. Before sharing sensitive information, make sure you're on a federal government site. Support for WWI, WWII, and Korean War era programs: Support for the VGLI program, SGLI claims, and FSGLI claims. endstream
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Keep the information up to date about who you want to receive your insurance proceeds. If you are signing as the guardian or attorney-in-fact, please include a copy of the court appointment . Note: If the beneficiary desires monthly payments instead of one lump sum, additional information is needed. To access the menus on this page please perform the following steps. 0000117396 00000 n
No insurance deduction may be made unless a completed authorization has been received (38 CFR 8.8). VA Collections Address: PO Box 4019 Portland, OR 97208-4019. Home Find a VA form About VA Form 29-4125 About VA Form 29-4125 Form name:Claim for One Sum PaymentGovernment Life Insurance Related to:Life insurance Form last updated:June 2022 Downloadable PDF Download VA Form 29-4125 (PDF) How Does VGLI Compare to Other Insurance Programs? 3. Complete form SGLV 8283, Claim for Death Benefits and fax it to 1-877-832-4943 or mail it to the following address with a copy of the death certificate:Office of Servicemembers' Group Life Insurance (OSGLI)PO Box 70173Philadelphia, PA 19176-9912. 1. Or mail to: VA Insurance Center P.O. Complete form SGLV 8283A, Claim for Family Coverage Death Benefits and contact your Branch of Service Casualty Assistance Office for assistance in submitting the form to the Office of Servicemembers Group Life Insurance (OSGLI). &hE$"% Please call us toll-free at 1-800-669-8477 for instructions. 0000014484 00000 n
VA FORM SEP 2021. Veterans Crisis Line:
Watch our new video following a user, Andrea, as she uses the Benefit Finder on Benefits.gov to discover medical assistance programs such as Medicaid. Use this form to appeal a denial of TSGLI benefits. 0000007619 00000 n
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Learn about VALife, our new life insurance program for Veterans with service-connected disabilities. BOX 7208 PHILADELPHIA, PA Service-Disabled Veterans Life Insurance (S-DVI) provides low-cost coverage to eligible service members. https://insurance.va.gov/home/IDU. To enter and activate the submenu links, hit the down arrow. If you apply for VALife on or after January 1, 2026,your S-DVI (including policies with premium waivers) will end the day we approve your VALife application. 0000129191 00000 n
The site is secure. 0
BOX 42954 PHILADELPHIA, PA 19101 VAROIC-DD P.O. Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal. Find and download the forms you need to apply for and manage your life insurance benefits. You may fill out the form online or download the form to your hard drive and fill it out from there. 0000003449 00000 n
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If you have a question about your government life insurance policy or a general question about government life insurance, please complete as much of the information in the form below as possible. trailer
Find out which life insurance plans you may qualify forand the benefits youll receive with each plan. & Employment, Veterans Benefits
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You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. Or mail to the Department of Veterans Affairs at the address shown on the reverse. One moment please. Mail your documents to the following address: Follow this link for information on how to file a claim for VMLI. Use this form to request an advance insurance payment for a Servicemember or Veteran that is terminally ill. Use this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge. 0000007788 00000 n
o>Gj{^k,:Hs]vhRUd+4?yn4BFP3;#er4h:KEf&
;W.X"1yLWlKa+C6MCLdt-ok:'.qP8-kk/N4b9a|!k7h0t=$?O7Ff]=e_}8gtOB[ibRb:>Ex:y#}Zp?|D^4d
pXWj{7|O Hit enter to expand a main menu option (Health, Benefits, etc). \6^(lA>{FA\:ruh Qf
GAD}/^z}|8"`7Aj*`p8.o_U]^R@S;i>gbMO 5Sp)xU&*/{V5wuy)E Eliminate shadows by using bright, direct lighting on your document. Track the status of your life insurance appeal. Complete form SGLV 8600, Application for TSGLI Benefits, or request the form from your service department point of contact, then submit the completed claim to the branch of service listed on the form, along with photocopies of any evidence to support your claim. 0000013732 00000 n
Insurance File Number 2. Tips for taking clear document pictures with a smartphone. or, 3. VA life insurance can offer financial security for Veterans, service members, and their spouses and dependent children. Administration. Note: Servicemembers' and Veterans' Group Life Insurance forms are created by the Office of Servicemembers' Group Life Insurance, which administers these programs for the Department of Veterans Affairs, and are made available on this web site as a courtesy to Servicemembers and Veterans. The fastest and most secure way to send your application to VA Insurance is to use our document upload service at . %PDF-1.7
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(if any) and address of minor or incompetent beneficiary. A . Logon to VA Life Insurance (VALife) Logon to VetBiz Portal (VetBiz) Logon to Veterans Identification Card (VIC) . Use this form to request an advance insurance payment for a spouse that is terminally ill. 0000003606 00000 n
Use this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill. Information about increasing VGLI Coverage. Left-click on the form title to view the form in your browser. 0000084177 00000 n
Attention A T users. Yes. Download life insurance handbooks, guides, and newsletters. If you've received a denial letter for Traumatic Injury Protection Life Insurance benefits that instructs you to use this form, file your appeal by the date provided in your letter. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. If you're enrolled in a VA life insurance plan, find out if you can get free financial planning and online will preparation services. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. If you have questions about Government Life Insurance, you can call us toll-free at 1-800-669-8477 or visit our website at: www.insurance.va.gov. APPLICATION FOR SERVICE-DISABLED VETERANS INSURANCE IMPORTANT INFORMATION. Youll need to pay only VALife premiums during the 2-year waiting period. Hostname Summary Authoritative Information for the .gov Top-Level Domain Delegation Prudential works with us to provide VGLI benefits to Veterans. Your response is required to obtain or retain this benefit. Applications, eBenefits Employment
You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links. You can access your Servicemembers Group Life Insurance (SGLI) orFamily Servicemembers Group Life Insurance (FSGLI) policy online through milConnect. & Protections, Life Insurance Online
How Much Life Insurance Do You Really Need? Note:Supplemental S-DVI also stopped taking new applications after December 31, 2022. 0000004754 00000 n
How Much Life Insurance Do You Really Need? Use this form to designate or change the beneficiary for your VGLI policy. The .gov means its official. & Employment, Veterans Benefits
Find out when and how you can convert your VA life insurance to a commercial policy. If you are in crisis or having thoughts of suicide,
We can help answer questions about these policies: VALife S-DVI Any VA life insurance policy that starts with a V, J, RS, or W More information about your benefits Access your policy online We have a new program called Veterans Affairs Life Insurance (VALife) for Veterans with service-connected disabilities. If the beneficiary is a minor or incompetent, the person having custody of the beneficiary should complete the form and give his/her address in Item 8A. use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries. VA FORM XXXX 0000012552 00000 n
** If you have a problem completing the online Certificate of Eligibility (COE) application, please contact the Help Desk at 1-800-827-1000. startxref
File claim electronically online - This is the fastest and most secure way to send your claim. 0000117780 00000 n
Before sharing sensitive information, make sure you're on a federal government site. 0000014414 00000 n
ET. Use this form to apply for waiver of policy premiums if you become totally disabled before your 65th birthday. Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window. (DocuSign), Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). How Does VGLI Compare to Other Insurance Programs? You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. Many of our forms can be filled out using the Adobe Acrobat Reader. (fillable), use this form to surrender your VA insurance policy for its cash value or to request a loan against the cash value of your policy. Learn how to access your VA records, benefit letters, and documents online. Please switch auto forms mode to off. Manage Insurance Benefits - VA/DoD eBenefits. We apologize for any temporary disruption that may be caused as we move into the new system, however the benefit of having a more secure, safe, efficient, and modern policy maintenance system for our . Use this form to apply for a TSGLI benefit. 0000008467 00000 n
Upload Your Documents using our secure web page - This is a fast and secure way to send your claim.or,3. You can also try using the flash to eliminate shadows, but make sure it is not adding glare that makes parts of the document unclear. The form can then be printed out with your entries already completed. PLEASE BE SURE TO COMPLETE BOTH SIDES OF THIS APPLICATION. But if you already have S-DVI, you can keep it. hb``f``c`c` B@Q5:00\e
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{Y~3ffUT0 prXIyvblCrjrp{$pRIV^2R9 This form is used by military casualty and personnel offices only. 0000002194 00000 n
Financial counseling and online will prep, Check your policys status to make sure its up to date, Pay your premium (the amount you pay each month or each yearto keep your coverage), Find out about your plan and renewal options, depending on which type of plan you have, Update your beneficiaries(the peopleyouve picked to get the money from your policy if you die), Veterans Affairs Life Insurance (VALife)policies that start with a G, Service-Disabled Veterans Life Insurance (S-DVI)policies that start with an RH, Any VA life insurance policy that starts with a V, J, RS, or W. https://insurance.va.gov/home/IDU. . Learn about our new online process for enrolling in Servicemembers' Group Life Insurance. 0000001485 00000 n
Please switch auto forms mode to off. designate or update the beneficiary on a SGLI policy, restore or increase SGLI coverage when it has previously been reduced or declined, restore or increase Family SGLI coverage when it has previously been reduced or declined. 5)SVqefB h(~ZczwSgA|t IF)[3q{^` WO# The .gov means its official. Form name: Claim for Monthly PaymentsNational Service Life Insurance. 0000192225 00000 n
VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 0000194545 00000 n
For feature and outage events, refer to the Outage Calendar link at the bottom of the page. Center, Vocational Rehabilitation
0000004154 00000 n
How Does VGLI Compare to Other Insurance Programs? Administration. Veterans Crisis Line:
Register for a Sign-In Partner or Learn More Sign in with DS Logon Sign in with DoD CAC Card Sign in with ID.me Sign in with LOGIN.GOV Select another VA website FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Learn About Insurance for Service-Disabled Veterans, View Veterans Affairs Life Insurance (VALife) FAQs, Federal Benefits for Veterans, Dependents, and Survivors. Request your military records, including DD214. **. If you have S-DVI, you have these 2 options: If you apply for VALife by December 31, 2025,you can keep your S-DVI during the 2-year waiting period for VALife benefits. If you have VA life insurance, find out how to access and manage your policy online. If your file number begins with a V, RH, J, RS, K or W, access your policy at this link: If you have a VGLI control number, accessyour policy througheBenefits or at this link: Veterans Crisis Line:
<>stream SXv{ZoQ-= You can call the VA Life Insurance Center at 800-669-8477(TTY: 711). 0000063471 00000 n
You can also manage any review requests or appeals you already filed. YES NO UPLOAD: OR MAIL THE COMPLETED FORM TO: The fastest and more secure way for insureds and beneficiaries to send the application to VA Insurance is to the document upload service at https://insurance.va.gov/home/IDU For an Insured: For a Beneficiary: VAROIC-DD P.O. Complete Cover Sheet Sender Information Name Email Address Phone Number Insurance Account Information Veteran's Name Same as sender? You may submit payments to VA Life Insurance through your preferred banking institution online Bill Pay feature. PRIVACY ACT . 2. Upload Your Documents using our secure web page - This is a fast and secure way to send your claim. An official website of the United States government. Your S-DVI (including policies with premium waivers) will end when your full VALife coverage starts. 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses identified in the VA system of records, 36VA29, Veterans and Uniformed Services Personnel Programs of U.S. Government Life Insurance Records - VA, published in the Federal Register. 0000009493 00000 n
%%EOF
Veterans Crisis Line:
FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Download TSGLI Form or Conversion Information, Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI), Download All Other VA Life Insurance Forms, SGLV 8284 Servicemember/Veteran Accelerated Benefits Option Form, SGLV 8715 Application for SGLI Disability Extension, SGLV 8286A Family Coverage Election (SGLI), SGLV 180 Application for Reinstatement of Coverage (VGLI), Frequently Asked Questions about increasing your Veterans' Group Life Insurance, How to Convert Your SGLI/FSGLI/VGLI Coverage to an Individual Policy, 29-10 Veterans Affairs Life Insurance Information and Premium Rates, 29-9 Service-Disabled Veterans Insurance RH Information and Premium Rates, 29-8636 Application for Veterans Mortgage Life Insurance (VMLI), calculate the premiums which would be paid under VMLI, 29-0975e Authorization to Disclose Personal Information to a Third Party (Insurance). These are group policies, and factors like gender or. Box 7208 Philadelphia, PA 19101 10. Please have a look at the full domain report for va.gov for extended statistics about the Va.gov website. Name and Mailing Address for Insurance Purposes. (fillable), Use this form to request an automatic monthly premium deduction from your VA compensation check. Federal government websites often end in .gov or .mil. Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu. or, 2. Please note, original copies of death certificates are not required. To ensure your security and privacy, when using a shared or . OMB Control No. U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420. This will make it easier for your family members to file a claim in their time of need. Sending Your Claim to VA Insurance There are 3 ways to send your claim form and documents to the Insurance Center: 1. 0000128949 00000 n
You dont have to do anything to keep your coverage. Yes, in some cases. 0000063712 00000 n
This pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information. hbb``b``3
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The forms provided on this page, although reviewed by VA, are not VA forms. These forms are to be used for National Service Life Insurance only. & Protections, Life Insurance Online
Use this form to apply for VGLI insurance. application to VA Insurance is to use the document upload service at: https://insurance.va.gov/home/IDU. Contact the Insurance Center. Use this form to authorize the disclosure of VA Life insurance information to a third party. BYObY._S5i*p"H\}' 0BT3KQ;L_f^ggJ
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$Op,S#NRBi LDQm Complete form SGLV 8283, Claim for Death Benefits and contact your Branch of Service Casualty Assistance Office for assistance in submitting the form to the Office of Servicemembers Group Life Insurance (OSGLI). 0000011713 00000 n
enter your Insurance File Number as the Account Number. 0000000016 00000 n
988 (Press 1). Giving us your AccessVA Choose a secure VA Partner to sign into Life Insurance Online Policy Access: Don't have one? Sign up to pay your Veterans' Group Life Insurance premium automatically from your bank account. (fillable), Use this form to designate or change the beneficiary for your government life insurance policy. 0000064032 00000 n
If you disagree with a decision on your application for life insurance benefits, you can request a decision review. 8DkqL-5c=7v%J`)19_.RW]+;Af}zCqX8 If the document is folded, smooth it out as much as possible. 0000008043 00000 n
0000116695 00000 n
0000004982 00000 n
It also provides a list of commercial insurance companies that will accept a conversion. 0000008070 00000 n
1. Find out if you can get your insurance premium waived or receive your benefits early in certain situations. 0000117210 00000 n
Office of Accountability & Whistleblower Protection, Training - Exposure - Experience (TEE) Tournament, Outreach, Transition and Economic Development Home, Warrior Training Advancement Course (WARTAC), Staff Appraisal Reviewer (SAR) Information, How to Apply for Nonsupervised Automatic Authority, VALERI (VA Loan Electronic Reporting Interface). 0000117369 00000 n
www.insurance.va.gov . This form should only be used if you are requesting a plan with a lower cash value than your current policy. Find out if youre eligible for VALife and how to apply. Whether you pay once each month or once each year. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. If you have supplemental S-DVI, youll need to pay premiums for this supplemental coverageeven if you have a waiver for your basic S-DVI premiums. 0000116941 00000 n
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Use this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife). www.sheridan.Va.gov - Va Sheridan Currently only limited information about the hostname www.sheridan.va.gov is available. File claim electronically online-This is the fastest and most secure way to send your claim.or,2. visit VeteransCrisisLine.net for more resources. To enter and activate the submenu links, hit the down arrow. Federal government websites often end in .gov or .mil. They cannot be used for VA Compensation, VA Disability, Servicemembers' or Veterans' Group Life Insurance.Document Upload - Did you know you can send your form to VA Life Insurance using ourDocument Uploadweb page? 0000084507 00000 n
Use this page to securely send documents to VA Life Insurance. Using the Benefit Finder, Andrea will find the resources she and her family need and automatically compare her eligibility for over 1,000 state and federal benefit programs. The .gov means its official. 0000012725 00000 n
VA Collections Address: PO Box 4019 Portland, OR 97208-4019. 1. You can access your policy through our VA life insurance portal if you have one of these policies: You can access your Veterans Group Life Insurance (VGLI) policy online through Prudential Insurance Company of America. 0000004102 00000 n
1. ET. 0000007449 00000 n
Select " VA Life Insurance" as the Payee and enter your Insurance File Number as the Account Number. To file a claim for VA Life Insurance online, you will need to complete VA Form 29-4125e, Claim for One Sum Payment and attach a photocopy of the Veterans death certificate and any other documents listed under required documentation. Nr_'8$,sXlQtN~QdCi$+bD`yXiY :%Q}|SIB8p*z }oJe1C5$lt`L?_*7=Hp W 1-800-273-8255 (Press 1), U.S. Department of Veterans Affairs | 810 Vermont Avenue, NW Washington DC 20420, Last updated February 28, 2023 | v3.4.0-rc1+build.875.42b350dce982f36c2e2a022cfdc645fb8ffce63b, Service-Disabled Veterans Life Insurance (no new applications), Whistleblower Rights
An official website of the United States government. 0000004206 00000 n
More information about Life Insurance for Veterans Choose one of the links below for more information about Life Insurance for Veterans Veterans Affairs Life Insurance (VALife) We will respond as soon as possible using the method (e-mail, phone or letter . Any VA life insurance policy that starts with a V, J, RS, or W. If you are in crisis or having thoughts of suicide,
FSGLI: Family Servicemembers Group Life Insurance, Schedule of Payments for Traumatic Losses, S-DVI: Service-Disabled Veterans Life Insurance, Beneficiary Financial Counseling and Online Will, Lesbian Gay, Bisexual & Transgender Veterans, Servicemembers' Group Life Insurance (SGLI), Family Servicemembers' Group Life Insurance (FSGLI), VA Administered Life Insurance Program Claims (non-SGLI/VGLI), SGLV 8283A, Claim for Family Coverage Death Benefits, SGLV 8600, Application for TSGLI Benefits, VA Form 29-4125e, Claim for One Sum Payment, VA Form 29-4125, Claim for One Sum Payment, VA Form 29-541, Certificate Showing Residence and Heirs of Deceased Veteran, Upload Your Documents using our secure web page, information on how to file a claim for VMLI, acopy of the death certificate (or a photocopy) AND, a DD Form 214, Certificate of Release or Discharge from Active Duty OR, NGB-22, Report of Separation and Military Service OR, Photocopy of the death certificate of the insured Veteran showing the date and cause of death, Photocopies of the death certificates of all principal beneficiaries showing the date and cause of death, Copies of letters testamentary, letters of administration, or a court order of distribution, letters of guardianship, conservatorship, etc. Va, are not VA forms decision review Pamphlet 29-9 ) to download their time need! 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