21P-0518-1
Improved Pension Eligibility Verification Report (Surviving Spouse with No Children)
VA Form 21P-0518-1 is the U.S. Department of Veterans Affairs Improved Pension Eligibility Verification Report (EVR) for a surviving spouse with no children. It asks the surviving spouse about remarriage, dependent children, nursing home care, work, other VA benefits, income, net worth and education expenses. The form says to read the enclosed EVR Instructions (VA Form 21P-0510) before completing it, and many items point to a paragraph of those instructions.
The form is two pages. Page 1 covers the Veteran's and surviving spouse's names, the surviving spouse's mailing address, both Social Security numbers, marital status, the number of dependent children, nursing home and Medicaid questions, wages and other VA benefits. Page 2 holds the surviving spouse's income and net worth, income changes, a note on family medical expenses, education expenses and the payee's signature.
VA's form page lists it under family member and caregiver benefits and offers it as a downloadable PDF. You can fill out the PDF free in your browser on this page and download the result without an account.
The Veteran's name, the surviving spouse's name and complete mailing address, the VA file number, a box for the VA regional office return address, your Social Security number, the Veteran's Social Security number and your date of birth.
One of three remarriage choices, then the number of unmarried, dependent children in and not in your custody and the amount contributed during the past 12 months to children not in your custody.
Nursing home and Medicaid questions, whether you received wages or were employed at any time during the past 12 months, and whether you receive other VA benefits, with that benefit's VA file number.
Gross monthly amounts from Social Security, U.S. Civil Service, U.S. Railroad Retirement, Military Retirement and other sources, then annual wages, interest and dividends and other income, plus any income change in the past 12 months.
Cash and non-interest-bearing bank accounts, interest-bearing bank accounts, IRAs and Keogh plans, stocks, bonds and mutual funds, real property other than your home, and all other property, in one SURVIVING SPOUSE column.
Item 8 points family medical expenses to VA Form 21P-8416, Medical Expense Report. Item 9 is your educational and vocational rehabilitation expenses paid in the past 12 months, not children's. Item 10 is the payee's signature, date and phone numbers.
The form says to read the enclosed EVR Instructions (VA Form 21P-0510) before completing it. Many items name the paragraph of the instructions that applies.
Check only one box in Item 2. The second and third choices each ask for a date. Then answer the Yes or No questions; the form says to go to Item 5 if you are not a nursing home patient.
If no income was received from a source, the form says to write "0" or "none", and that VA will interpret a blank space as "none" or "0". If no dates are shown above the annual income columns, the form says to report last calendar year income on the left and current calendar year income on the right.
Item 7C asks whether any income changed during the past 12 months. The form says to answer No if the only change was a Social Security or VA cost-of-living adjustment. If Yes, Items 7D to 7F ask what changed, when and how.
Sign Item 10A after reading paragraph 9 of the EVR Instructions, as the form asks. Enter the date in Item 10B and daytime and evening phone numbers in Item 10C.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form has a box for the VA regional office return address. It does not print a mailing address of its own.
VA's form page offers VA Form 21P-0518-1 as a downloadable PDF and lists no online version.
VA's forms feed lists a Spanish version of VA Form 21P-0518-1 as a related form.
The June 2024 edition supersedes the July 2021 edition, which the form says will not be used. It carries OMB Control No. 2900-0101, which expires 06/30/2027, and a respondent burden of 30 minutes.
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It is the Improved Pension Eligibility Verification Report for a surviving spouse with no children. It asks about remarriage, nursing home care, work, other VA benefits, income, net worth and education expenses.
Item 10A is the signature of the payee. The form says to read paragraph 9 of the EVR Instructions before signing.
Item 2 asks you to check one: not remarried since the Veteran died, remarried and still married, with the date, or remarried after the Veteran died but that marriage ended by death or divorce, with the date it ended.
Item 8 says that if you use this form as your annual Eligibility Verification Report and Paragraph 6 of the EVR Instructions says to report medical expenses, you use VA Form 21P-8416, Medical Expense Report. If you use it as a supplement to a pending claim, the form says you do not need to report medical expenses.
The form says to write "0" or "none". It also says VA will interpret a blank space as "none" or "0".
Yes. VA publishes VA Form 21P-0519s-1, the Improved Pension Eligibility Verification Report for a surviving spouse with children.