Instructions and payment
When to use the form, the payment needed for term policies and for life and endowment policies, the mailing address, and the upload and online bill pay options.
29-352
Application for Reinstatement (Insurance Lapsed More Than 6 Months)
- Agency
- VA
- Revision
- October 2023
- Fillable fields
- 45
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 29-352: Application for Reinstatement (Insurance Lapsed More Than 6 Months)
VA Form 29-352 is the U.S. Department of Veterans Affairs Application for Reinstatement (Insurance Lapsed More Than 6 Months) for Government Life Insurance and/or the Total Disability Income Provision. The form says to use it for reinstatement when the application is made more than 6 months after the date of lapse, regardless of age. VA's form page lists it under life insurance.
The form is two pages. Page 1 holds the instructions, the payment needed for reinstatement and Section I, the applicant's information and the amounts sent. Page 2 is Section II, a statement of the applicant's health with yes or no questions, remarks, a consent and the signature.
The form says the completed and signed application goes with the payment needed to the VA Insurance Center in Janesville, Wisconsin. 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 29-352
Items 1 to 6: applicant's information
Name of the insured, insurance policy number, mailing address for insurance purposes, Social Security number, VA claim number if any, daytime phone and the policy numbers to be reinstated. The form asks for a separate form for each policy number.
Items 7 and 8: amounts
For the insurance: amount to be reinstated, plan of insurance, date of lapse, monthly premium and amount sent. For the Total Disability Income Provision: amount, date of lapse, monthly premium and amount sent, then the total amount sent.
Items 9 to 16: health questions
Whether the applicant is working and full-time, a list of conditions from heart disease to alcohol or drug use, treatment in the past 5 years, hospitalization, service-connected disabilities, past compensation or pension applications, past insurance refusals, height and weight.
Item 17: remarks
Complete details for each yes answer, with dates, diagnosis, physicians or hospitals, names and addresses, and whether each disability is service-connected. A separate sheet can be attached.
Item 18: consent and signature
The consent for providers to share information with VA, the statement that the answers are true, the signature and the date signed, followed by the Privacy Act and respondent burden notices, with an estimated 30 minutes.
How to file VA Form 29-352
- 1
Check the payment needed
Read the payment rules for the policy type on page 1. For life and endowment policies, the form points to 1-800-669-8477 for how to calculate premium and interest.
- 2
Fill in Section I
Enter the insured's details, the policy numbers and the amounts. The form asks for a separate form for each policy number.
- 3
Answer every question in Section II
The form asks the applicant to answer every question, then give complete details of each yes answer in Item 17.
- 4
Sign and date it
Sign Item 18A and enter the date signed in Item 18B.
- 5
Send it with the payment
The form says the payment needed is sent before or with the application. Checks and money orders are made payable to the Department of Veterans Affairs.
Why fill Form 29-352 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the VA, not a copy someone retyped
- Works on a phone, tablet or computer
Where to send it and paying
By mail
Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209. The form says to send the application with the payment needed.
Upload
The form lists uploading it through VA's secure website at www.insurance.va.gov, and says additional correspondence may also be submitted by document upload.
Online bill pay
The form says payments may also be made through a bank's online bill payment service, with Payee: VA Life Insurance and the insurance policy number as the account number. Some banks also ask for P.O. Box 4019, Portland, OR 97208 - 4019 and 800-669-8477.
Questions
The form lists the toll-free number 1-800-669-8477 for questions about your insurance.
Edition
The October 2023 edition supersedes the November 2020 edition, which the form says will not be used. It carries OMB Control No. 2900-0011, which expires 10/31/2026.
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Who uses VA Form 29-352?
The form's instructions describe who completes it and who else takes part.
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Questions about Form 29-352
When is VA Form 29-352 used?
The form says to use it to reinstate Government Life Insurance and/or the Total Disability Income Provision when the application is made more than 6 months after the date of lapse, regardless of age.
How much payment goes with the application?
The form does not print a dollar amount. For term policies it says two premiums, and for life and endowment policies all unpaid premiums with interest, with 1-800-669-8477 to call for how to calculate it.
Does VA Form 29-352 ask about health?
Yes. Section II asks about work, a list of medical conditions, treatment, hospitalization, disabilities and past insurance applications. The form says VA will, if necessary, ask for a physical examination report.
Can one form cover more than one policy?
Item 1B asks for a separate form for each policy number.
Who are checks made payable to?
The form says checks and money orders should be made payable to the Department of Veterans Affairs.
Where do I send VA Form 29-352?
The form lists Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209, and an upload option at www.insurance.va.gov.