Items 1 and 2: file number and email
The insurance file number, including its letter prefix, and an email address.
29-8485
Application for Ordinary Life Insurance—Replacement Insurance for Modified Life Reduced at 65
- Agency
- VA
- Revision
- October 2024
- Fillable fields
- 9
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 29-8485: Application for Ordinary Life Insurance, Modified Life Reduced at 65
VA Form 29-8485 is the U.S. Department of Veterans Affairs Application for Ordinary Life Insurance, Replacement Insurance for Modified Life Reduced at 65. The form is headed National Service Life Insurance, and VA's form page lists it under life insurance. In it, the insured applies for an amount of insurance as replacement for the insurance that the form says will end on the day before the insured's 65th birthday.
The form is one page with nine items: the insurance file number and email, the insured's name, address and phone, the amount applied for, the signature and date, and the options for sending it with the first premium payment. The form says the application and the initial premium must be submitted to VA before your 65th birthday.
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What's on VA Form 29-8485
Items 3 to 5: insured's details
The insured's first, middle and last name, a mailing address for insurance purposes, a yes or no question on whether it is a change of address for insurance records, and a daytime telephone number.
Item 6: amount applied for
The amount of insurance applied for as replacement for the insurance ending on the day before the 65th birthday. The form says the beneficiary designation and optional settlement stay the same as on the Modified Life policy until a change is submitted in writing.
Items 7 and 8: signature and date
The signature of the insured in ink, with a note not to print, and the date of application in MM/DD/YYYY format.
Item 9: sending it with the first premium
Options for submitting the application with the first premium payment: the document upload service, the mailing address and online Bill Pay through a bank.
Privacy and burden notices
The top of the form carries the Privacy Act information and a respondent burden estimate of 5 minutes.
How to fill out VA Form 29-8485
- 1
Enter the file number and email
Fill in the insurance file number with its letter prefix in Item 1 and an email address in Item 2.
- 2
Fill in your details
Enter your name, the mailing address for insurance purposes, whether it is a change of address, and a daytime phone number in Items 3 to 5.
- 3
Enter the amount
Write the amount of insurance applied for in Item 6.
- 4
Sign and date it
Sign Item 7 in ink without printing, and enter the date of application in Item 8 as MM/DD/YYYY.
- 5
Send it with the first premium
Item 9 says to submit the application with the first premium payment, by the document upload service or by mail to the Insurance Center in Janesville, Wisconsin.
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Where to send it
Document upload
The form says the fastest and most secure way to send the application to VA Insurance is the document upload service at https://insurance.va.gov/home/IDU.
By mail
Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209.
First premium payment
The form says payments may be submitted through a bank's online Bill Pay feature, selecting "VA Life Insurance" as the payee and entering the Insurance File Number as the account number. It lists the VA Collections Address as PO Box 4019, Portland, OR 97208-4019.
Timing
The form says the application and the initial premium must be submitted to VA before your 65th birthday.
Edition
The October 2024 edition supersedes the September 2021 edition, which the form says will not be used. It carries OMB Control No. 2900-0166, which expires 10/31/2027.
Related forms
29-8485a
Application for Ordinary Life Insurance—Replacement Insurance for Modified Life Reduced at Age 70
9 fields, 1 page
29-336
Designation of Beneficiary—Government Life Insurance
181 fields, 6 pages
29-888
Insurance Deduction Authorization
16 fields, 2 pages
29-0165
VA Matic Enrollment/Change
12 fields, 1 page
29-1549
Application for Change of Permanent Plan (Medical)
41 fields, 2 pages
Who uses VA Form 29-8485?
The form describes who applies and where the application goes.
Official sources and the blank
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Questions about Form 29-8485
What is VA Form 29-8485 used for?
It is an application for ordinary life insurance as replacement for National Service Life Insurance Modified Life insurance, which the form says ends on the day before the insured's 65th birthday.
When is VA Form 29-8485 due?
The form says the application and the initial premium must be submitted to the Department of Veterans Affairs before your 65th birthday.
Does my beneficiary change with the new policy?
The form says the beneficiary designation and optional settlement under the new policy remain the same as on the Modified Life policy until a change is submitted in writing to VA.
How do I pay the first premium?
The form says payments may be made through a bank's online Bill Pay feature with "VA Life Insurance" as the payee and the Insurance File Number as the account number. It also lists the VA Collections Address, PO Box 4019, Portland, OR 97208-4019.
Where do I send VA Form 29-8485?
The form lists the document upload service at https://insurance.va.gov/home/IDU and the mailing address Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209.
What if my Modified Life policy is reduced at age 70?
VA lists VA Form 29-8485a for replacement insurance for Modified Life reduced at age 70.