Items 1A to 1E: the applicant
Name and address of the applicant, Social Security number, date of birth, daytime telephone number and email address if applicable.
26-1817
Request for Determination of Loan Guaranty Eligibility—Unmarried Surviving Spouses
- Agency
- VA
- Revision
- September 2022
- Fillable fields
- 32
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 26-1817: Loan Guaranty Eligibility, Unmarried Surviving Spouses
VA Form 26-1817 is the U.S. Department of Veterans Affairs Request for Determination of Loan Guaranty Eligibility, Unmarried Surviving Spouses. The form says to complete it if applying for home loan benefits as an unmarried surviving spouse of a Veteran whose death was service-connected. It also notes that in some cases, surviving spouses who remarry on or after age 57 may have eligibility.
The form is two pages. Part I is completed by the applicant: the applicant's details, whether the applicant receives VA Dependency and Indemnity Compensation, the Veteran's information, prior VA loans, the type of loan sought and a signed certification. Part II is for VA use only, where VA records whether the applicant is eligible. Page 2 lists the regional loan center addresses by state, the Privacy Act information and a respondent burden of 15 minutes.
You can fill out the PDF free in your browser on this page and download the result without an account.
What's on VA Form 26-1817
Items 2A to 3C: benefits and service
Whether the applicant receives VA Dependency and Indemnity Compensation, the VA file or claim number, and for applicants who are Veterans, branch, service number and periods of service.
Items 4A to 4E: the Veteran
The Veteran's first, middle and last name, Social Security number, service number if applicable, date of birth and date of death.
Items 5 to 13: prior VA loans
Whether the applicant has previously secured a VA direct, guaranteed or insured loan, and for up to two properties the address, VA loan number, date of loan and whether the applicant still owns it.
Item 14 and the certification
The loan sought: purchase, cash-out refinance, interest rate reduction refinance or one-time restoration, which the form notes needs the VA loan paid in full. Then the applicant's signature in Item 15A and date in 15B.
Page 2: addresses and notices
The regional loan center addresses by state of residence, the Privacy Act information and the respondent burden statement.
How to file VA Form 26-1817
- 1
Read page 2 first
The form asks applicants to read the Privacy Act and Respondent Burden information on page 2 before completing it.
- 2
Complete Part I
Fill in the applicant, Veteran and prior loan items. Items 3A to 3C are only for applicants who are Veterans themselves.
- 3
Choose the loan type
Check the box in Item 14 for what the VA-guaranteed home loan is being sought for.
- 4
Sign and date it
Sign Item 15A, certifying the information is true and accurate to the best of your knowledge and belief, and date it in Item 15B. Part II is left for VA.
- 5
Mail it to the listed center
Send the completed application to the address on page 2 for the state you live in.
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Where to send it
By state of residence
The form says to send the completed application to the appropriate address shown on page 2, which groups the addresses by the state you live in.
Atlanta, Cleveland and Denver
Georgia, North Carolina, South Carolina, Tennessee: Department of Veterans Affairs, Atlanta Regional Loan Center, P.O. Box 100023, Decatur, GA 30031-7023. Connecticut, Delaware, Indiana, Maine, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont: Department of Veterans Affairs, Cleveland Regional Loan Center, 1240 East Ninth Street, Cleveland, OH 44199. Alaska, Colorado, Idaho, Montana, Oregon, Utah, Washington, Wyoming: Department of Veterans Affairs, Denver Regional Loan Center, P.O. Box 25126, Denver, CO 80225.
Honolulu, Houston and Phoenix
Hawaii, Guam, American Samoa, Commonwealth of the Northern Marianas: Department of Veterans Affairs, VA Regional Office, Loan Guaranty Division (26), 459 Patterson Road, Honolulu, HI 96819. Arkansas, Louisiana, Oklahoma, Texas: Department of Veterans Affairs, Houston Regional Loan Center, 6900 Almeda Road, Houston, TX 77030-4200. Arizona, California, New Mexico, Nevada: Department of Veterans Affairs, Phoenix Regional Loan Center, 3333 N. Central Avenue, Phoenix, AZ 85012-2402.
Roanoke, St. Paul and St. Petersburg
District of Columbia, Kentucky, Maryland, Virginia, West Virginia: Department of Veterans Affairs, Roanoke Regional Loan Center, 210 Franklin Road, S.W., Roanoke, VA 24011. Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, Wisconsin: Department of Veterans Affairs, St. Paul Regional Loan Center, 1 Federal Drive, Ft. Snelling, St. Paul, MN 55111-4050. Alabama, Florida, Mississippi, Puerto Rico, U.S. Virgin Islands: Department of Veterans Affairs, St. Petersburg Regional Loan Center, 9500 Bay Pines Boulevard, St. Petersburg, FL 33744.
Edition
The September 2022 edition supersedes the December 2019 edition, which will not be used. It carries OMB Approved No. 2900-0055 with an expiration date of 09/30/2025 printed on it.
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Who uses VA Form 26-1817?
The form says who completes each part.
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Questions about Form 26-1817
Who completes VA Form 26-1817?
Part I is marked to be completed by the applicant, the unmarried surviving spouse. Part II is for VA use only.
Can a surviving spouse who remarried use this form?
The form notes that in some cases, surviving spouses who remarry on or after age 57 may have eligibility. VA records its determination in Part II.
Where do I send VA Form 26-1817?
Page 2 lists nine addresses by state of residence, from the Atlanta Regional Loan Center to the St. Petersburg Regional Loan Center. The form says to send the completed application to the appropriate address shown there.
Which loan types can be checked in Item 14?
Purchase loan, cash-out refinance loan, interest rate reduction refinance loan and one-time restoration. For one-time restoration, the form notes the VA loan has to be paid in full.
Is my Social Security number required?
The Privacy Act information says giving your SSN account information is voluntary, and that VA will not deny an individual benefits for refusing to provide it unless the disclosure is required by a Federal statute in effect prior to January 1, 1975, and still in effect.
Which marriages does VA recognize for this form?
The form says a marriage certified for VA benefits is one recognized by the place where you and/or your spouse resided at the time of marriage or when you filed your claim (or a later date when you become eligible for benefits), citing 38 U.S.C. 103(c). It points to http://www.va.gov/opa/marriage/ for more guidance.