Items 1 and 2: file number and email
The insurance file number with its letter prefix, and an email address.
29-8485a
Application for Ordinary Life Insurance—Replacement Insurance for Modified Life Reduced at Age 70
- Agency
- VA
- Revision
- October 2024
- Fillable fields
- 9
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 29-8485a: Ordinary Life Insurance, Replacement for Modified Life Reduced at Age 70
VA Form 29-8485a is the U.S. Department of Veterans Affairs Application for Ordinary Life Insurance, Replacement Insurance for Modified Life Reduced at Age 70. The form is headed National Service Life Insurance, and VA's form page lists it under life insurance. The insured uses it to apply for an amount of insurance as replacement for the insurance that the form says will end on the day before the insured's 70th birthday.
The form is a single page. It asks for the insurance file number and an email address, the insured's name, mailing address and daytime phone, the amount of insurance applied for, and a signature and date, then lists the ways to send it with the first premium payment. The form says the application and the initial premium must be submitted to VA before your 70th birthday.
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 29-8485a
Items 3 to 5: name, address and phone
The insured's first, middle and last name, the mailing address for insurance purposes, a yes or no box on whether this is a change of address for insurance records, and a daytime telephone number with area code.
Item 6: amount of insurance
The amount applied for as replacement for the insurance ending on the day before the 70th birthday. The form says the beneficiary designation and optional settlement stay as on the Modified Life policy until a written change is submitted to VA.
Items 7 and 8: signature and date
The insured's signature in ink, not printed, and the date of application written as MM/DD/YYYY.
Item 9: submission and payment options
How to send the application with the first premium payment: the online document upload service, the Insurance Center mailing address, and a bank's online Bill Pay with the VA Collections Address.
How to fill out VA Form 29-8485a
- 1
Start with the file number
Enter the insurance file number, including its letter prefix, in Item 1 and an email address in Item 2.
- 2
Add your contact details
Fill in Items 3 to 5 with your name, mailing address for insurance purposes, the change of address answer and a daytime phone number.
- 3
Enter the amount applied for
Write the amount of replacement insurance in Item 6.
- 4
Sign and date
Sign Item 7 in ink, without printing, and write the date of application in Item 8.
- 5
Send it with the first premium
Item 9 says to submit the form with the first premium payment, through the document upload service or by mail to the Insurance Center.
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Where to send it
Document upload
The form calls the document upload service at https://insurance.va.gov/home/IDU the fastest and most secure way to send the application to VA Insurance.
By mail
Department of Veterans Affairs, Insurance Center, PO Box 5209, Janesville, WI 53547-5209.
First premium payment
The form says payments may be sent through a bank's online Bill Pay, with "VA Life Insurance" as the payee and the Insurance File Number as the account number. The VA Collections Address it lists is PO Box 4019, Portland, OR 97208-4019.
Timing
The form says the application and the initial premium must be submitted to VA before your 70th birthday.
Edition
The October 2024 edition supersedes the September 2021 edition, which the form says will not be used. OMB Control No. 2900-0166 expires 10/31/2027.
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Who uses VA Form 29-8485a?
The form describes who applies and where the application goes.
Official sources and the blank
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Questions about Form 29-8485a
What is VA Form 29-8485a used for?
It applies 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 70th birthday.
When is VA Form 29-8485a due?
The form says the application and the initial premium must be submitted to the Department of Veterans Affairs before your 70th birthday.
Will my beneficiary stay the same?
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.
Where do I send VA Form 29-8485a?
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.
How is the first premium paid?
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, and lists the VA Collections Address in Portland, OR.
Is there a version for Modified Life reduced at 65?
Yes. VA lists VA Form 29-8485 for replacement insurance for Modified Life reduced at 65.