21P-0537

Marital Status Questionnaire

Agency
VA
Revision
December 2025
Fillable fields
37
Pages
3
Official source
VA form page
Checked
October 20, 2026
Fill 21P-0537 online
Page 1 of form 21P-0537

VA Form 21P-0537: Marital Status Questionnaire

VA Form 21P-0537 is the U.S. Department of Veterans Affairs Marital Status Questionnaire. VA's form page says to use it if you're receiving Dependency and Indemnity Compensation (D.I.C.) as the surviving spouse of a Veteran who died in service or from a service-connected disability and you have a change in your marital status.

The PDF has two parts: a cover letter VA sends to surviving spouses who receive DIC, and the one-page questionnaire. The letter says VA sends it periodically to verify current marital status as the basis to continue the benefit, and that the surviving spouse is also responsible for reporting updates to marital status at the time the change occurs.

VA's page says the form can also be filled out online. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 21P-0537: Marital Status Questionnaire, as printed by VA

What's on VA Form 21P-0537

Cover letter

Explains why VA sends the questionnaire, the 60-day response window, what VA does after it gets the answer, and how to reach VA by phone, internet or letter.

Items 1A to 1G: remarriage

Whether you have remarried since the death of the Veteran, the date of marriage, the spouse's name and date of birth, whether the spouse is a Veteran and, if so, a VA file number or Social Security number, and your age at the time of marriage.

Items 2A to 2C: end of remarriage

Whether the remarriage has been terminated, the date of termination and the reason for termination.

Items 3 to 5: contact and signature

Daytime and evening telephone numbers with area code, an email address, a signature in ink and the date signed.

Notices

Privacy Act information, the respondent burden of 5 minutes and a note that a marriage certified for VA benefits is one recognized by the place of residence, citing 38 U.S.C. § 103(c).

How to complete VA Form 21P-0537

  1. 1

    Read the cover letter

    It explains that the questionnaire verifies your marital status for DIC entitlement and gives the response window.

  2. 2

    Answer Item 1A

    Check Yes or No for whether you have remarried since the death of the Veteran. The form says a No answer skips to questions 3 to 5.

  3. 3

    Fill in the remarriage details

    With a Yes answer, complete Items 1B to 1G, then Items 2A to 2C about whether the remarriage has been terminated.

  4. 4

    Add contact details and sign

    Enter your phone numbers and email address, sign Item 5A in ink and enter the date in Item 5B.

  5. 5

    Send your response

    The letter says to place both the letter and the questionnaire in the enclosed envelope with the Regional Office return address showing through the window, or to report by telephone. VA's page also offers an online version.

Why fill Form 21P-0537 on indox

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  • Fill the form right in your browser, no software to install
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  • The official blank straight from the VA, not a copy someone retyped
  • Works on a phone, tablet or computer

Where to send it and getting help

Response window

The letter says: "We must receive your written or verbal response within 60 days of the date provided on this letter." It adds that without a response within 60 days, VA may propose to stop DIC payments until the verification is received.

By mail

The letter says to use the enclosed envelope. The address printed at the top of the letter is PO BOX 5365, JANESVILLE WI 53547-5365. When writing, the letter says to put your full name and VA file number on the letter.

By phone

The letter says marital status can also be reported verbally by telephone at 1-800-827-1000. For a Telecommunications Device for the Deaf (TDD), the number is 711.

Online

VA's form page says you can fill out this form online instead of filling out and sending the paper form.

Questions

The letter points to Ask VA at http://ask.va.gov/.

Edition

The DEC 2025 edition carries OMB Approved No. 2900-0495, which expires 12/31/2028.

Who uses VA Form 21P-0537?

  • Surviving spouses who receive DIC

    VA's page says the form is for someone receiving DIC as the surviving spouse of a Veteran who died in service or from a service-connected disability.

  • Spouses with a change in marital status

    VA's page says to use it when you have a change in your marital status. The letter lists changes to the status of a remarriage, such as the passing of the new spouse or divorce.

  • Spouses who get VA's verification letter

    The letter says VA is required by law to send it periodically, and asks the surviving spouse to complete the enclosed questionnaire and return it in the enclosed envelope.

  • Spouses who have not remarried

    The form says that if the answer to Item 1A is No, skip to questions 3 to 5 only.

VA's form page and the cover letter in the PDF describe who completes the questionnaire.

Official sources and the blank

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Questions about Form 21P-0537

What is VA Form 21P-0537 used for?

VA's form page says to use it if you're receiving DIC as the surviving spouse of a Veteran who died in service or from a service-connected disability and you have a change in your marital status.

Why did VA send me this questionnaire?

The cover letter says VA is required by law to send it periodically to verify your current marital status as the basis to continue your DIC benefit.

How long do I have to respond?

The letter says VA needs your written or verbal response within 60 days of the date provided on the letter, and may propose to stop DIC payments until the verification is received if it gets no response in that time.

Can I respond without mailing the form?

Yes. The letter says you may report your marital status verbally by calling 1-800-827-1000 (TDD 711), and VA's form page says the form can be filled out online.

What if I have not remarried?

The form says that if the answer to Item 1A is No, skip to questions 3 to 5 only: phone numbers, email address, signature and date.

What does the letter say about remarriage?

The letter says entitlement can continue after remarriage only if you remarried on or after January 1, 2004, and were age 57 or older at the time of marriage, or remarried on or after January 5, 2021, and were age 55 or older. VA reviews the response and sends a letter if a change affects DIC entitlement.