21P-535
Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable)
VA Form 21P-535 is the U.S. Department of Veterans Affairs Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation When Applicable). Its instructions say to use it to apply for VA benefits as the surviving parent(s) of a deceased veteran, and for any money VA owed the veteran but did not pay before death, called accrued benefits.
VA's page says a surviving parent fills out this form. A surviving spouse or child of a Veteran uses VA Form 21P-534EZ, and for a service member who died on active duty, a military casualty assistance officer helps the spouse or child complete VA Form 21P-534a.
The PDF has 10 pages: two pages of general instructions, the application in Sections I to XI, and Form SSA-24, an optional Application for Survivors Benefits that VA sends on to the Social Security Administration. You can fill out the PDF free in your browser on this page and download the result without an account.
The Veteran's name, Social Security number, VA file number, birth and death dates and service number, your name and relationship, any earlier VA claim, and the Veteran's active service dates, places, branch and grade.
Item 15 asks whether you are claiming D.I.C. based on the election of a re-evaluation of a previously denied claim due to expanded eligibility under Public Law 117-168, the PACT Act.
Each parent's name, address, birth date, any date of death, Social Security number and contact details, questions on parental control before the Veteran reached the age of majority, and your marital status and spouse.
Whether you are claiming the aid and attendance allowance, whether you are now in a nursing home, and its name and mailing address.
Questions on Social Security, workers' compensation and court damages, monthly income in Items 25A to 25G, annual income in Items 26A to 26D, then medical, last illness and burial expenses you paid.
Direct deposit details, the certification and signatures in Items 31A to 32B, witness lines, remarks in Item 35, and the attached Form SSA-24.
Print or type all answers clearly. The instructions say to write "none" or "0" where that is the answer, and "unknown" if you do not know.
The form asks for a copy of the death certificate, with listed exceptions, the original DD214 or a certified copy if the Veteran never filed a VA claim, and the Veteran's public record of birth or court record of adoption.
Report totals before deductions, do not report the same income in both tables, and include your most recent award letter if you receive monthly benefits. The form says a blank space means "0" or "None".
The instructions say applying for Social Security benefits with the attached SSA-24 is optional. If you fill it out, leave it attached and VA sends it to the Social Security Administration.
Sign and date Items 31A through 32B in ink. If you sign with an X, the form asks for two people you know to witness it, sign and print their names and addresses.
Mail it to the Pension Intake Center, upload it with QuickSubmit, or get help from an accredited representative or a VA regional office. The instructions say to make a photocopy of everything you send.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
Department of Veterans Affairs, Pension Intake Center, PO Box 5365, Janesville, WI 53547-5365.
Use the QuickSubmit tool to upload your form online, work with an accredited attorney, claims agent or Veterans Service Organization representative, or get help from a VA employee at a VA regional office.
The instructions say that unless a claim for D.I.C. is filed within one year from the date of the veteran's death, that benefit is not payable from a date earlier than the date VA receives the claim.
The form does not list benefit rates or income limits. It says they change often and points to the nearest VA regional office for current figures.
The instructions list 1-800-827-1000 (Hearing Impaired TDD line 711) and https://www.va.gov/contact-us.
The JUN 2024 edition supersedes VA Form 21-535, JUL 2021, which will not be used. It carries OMB Control No. 2900-0005, which expires June 30, 2027.
21P-534EZ
626 fields, 20 pages
21P-534a
64 fields, 2 pages
21P-524
190 fields, 6 pages
21P-601
107 fields, 5 pages
21-22
63 fields, 4 pages
21-22a
90 fields, 3 pages
The form and VA's page describe who completes it.
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VA's page says a surviving parent fills out this form. The form defines parent as a biological or adoptive parent, or a foster parent.
VA's page points the surviving spouse or child of a Veteran to VA Form 21P-534EZ. For a service member who died on active duty, a military casualty assistance officer helps with VA Form 21P-534a.
It is an Application for Survivors Benefits under the Social Security Act. The instructions say completing it is optional, and if you fill it out and leave it attached, VA sends it to the Social Security Administration, which then contacts you.
VA's page lists the QuickSubmit tool to upload your form online, along with mailing it, working with an accredited representative or visiting a VA regional office.
No. The instructions say benefit rates and income limits are frequently changed, and point to the nearest VA regional office for the current figures.
The instructions say a claim on behalf of an incompetent person is completed and filed by the legal guardian, or if none has been appointed, by some person acting on that person's behalf.
