Veteran or insured details
Name, Social Security number, a list of all policy numbers and the date the completed VA Form 29-336 was signed.
29-336a
Supplemental Designation of Beneficiary—Government Life Insurance
VA Form 29-336a is the U.S. Department of Veterans Affairs Supplemental Designation of Beneficiary, Government Life Insurance. The form says to use it to designate beneficiaries in addition to those listed on a completed VA Form 29-336, Designation of Beneficiary, and asks for the date that VA Form 29-336 was signed. Like VA Form 29-336, it covers Government Life Insurance death proceeds, not SGLI or VGLI, and the designation applies to all policies.
The PDF is five pages: the Veteran's name, Social Security number and policy numbers with the instructions, Section I for up to three more principal beneficiaries, Section II for up to three more contingent beneficiaries, Section III for trust designations, and the certification and signature, which the form labels Section V. VA's page says the request can also be submitted online. You can fill out the PDF free in your browser on this page and download the result without an account.

Name, Social Security number, a list of all policy numbers and the date the completed VA Form 29-336 was signed.

For each of up to three: type of beneficiary, name, Social Security number, date of birth, mailing address, email, phone and share as a percentage. The form says the shares total 100%.

The same details for up to three more contingent beneficiaries, who receive the proceeds if the principal beneficiaries die before the insured.
The name and date of the trust and up to two trustees' names, addresses, phone numbers and emails, with examples for inter vivos, testamentary and special needs trusts.
Labeled Section V on the form: the automatic survivorship clause, the order of precedence, separate terms for VALife and other programs, the signature and date, and the witness block.
The form asks for the date the completed VA Form 29-336 was signed, since the beneficiaries on it are in addition to those on that form.
Enter the Veteran's or insured's name, Social Security number and all policy numbers. If completed by hand, the form asks for ink and neat, legible printing.
Fill in principal beneficiaries in Section I and contingent beneficiaries in Section II, using percentages. The form says that if the shares do not add up to 100%, equal shares will be paid.
Check Trust, give its share, then fill in the trust name, date and trustee details in Section III.
The form points to another VA Form 29-336a, or a signed sheet of paper with your name, date and policy number, for more beneficiaries.
The form says all pages are returned at the same time with a signature on the final page, and that alterations, erasures and cross-outs invalidate the designation.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
VA's page says you can submit your request online instead of filling out and sending the paper form. The form points to Online Policy Access at https://www.insurance.va.gov/home.
Upload the form through VA's secure website at https://insurance.va.gov/home/IDU.
Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209.
The form gives the toll-free number 1-800-669-8477 for payment options other than a lump sum and for court order requirements.
The FEB 2025 edition supersedes the OCT 2023 edition, which will not be used. It carries OMB Control No. 2900-0020, which expires 02/28/2028.
29-336
181 fields, 6 pages
29-4125
48 fields, 3 pages
29-4125a
27 fields, 2 pages
29-541
179 fields, 5 pages
29-586
18 fields, 1 page
29-0975
37 fields, 2 pages
VA Form 29-336 holds up to three principal and three contingent beneficiaries and points to VA Form 29-336a to add more. The 29-336a lists beneficiaries in addition to those on the completed VA Form 29-336.
The form says any person, firm, corporation or organization, trust, or the insured's estate can be named, as principal or contingent beneficiaries.
The form says the Veteran or insured signs and dates it, and that a VA Fiduciary, Power of Attorney or Court-Appointed Guardian cannot designate beneficiaries for the Veteran or insured without a specific court order.
When the Veteran or insured is competent but cannot sign their name, the form calls for an X in the signature block and two impartial witnesses who are not named as beneficiaries.
Section III holds up to two trustees' names and contact details. The form says this information is used to assist VA in obtaining a claim and is not part of the designation.
The form and its instructions describe who signs it and who can be named.
The agency’s own page for Form 29-336a.
The official blank form, to print or fill by hand.
No tool matches that search.
The form says to use it to designate beneficiaries in addition to those listed on a completed VA Form 29-336, Designation of Beneficiary, Government Life Insurance.
The form says the beneficiaries on it are in addition to those on a completed VA Form 29-336, and it asks for the date that form was signed.
Up to three more principal and three more contingent beneficiaries. The form points to another VA Form 29-336a or a signed sheet of paper for more.
No. The form says it does not apply to Servicemembers' Group Life Insurance (SGLI) or Veterans' Group Life Insurance (VGLI) beneficiary designations.
The form says that when the Veteran or insured is competent but cannot sign, they make an X in the signature block and two impartial witnesses sign. A witness cannot be someone named as a beneficiary on the form.
Yes. VA's page says you can submit your request online instead of filling out and sending the paper form.