29-8636

Veterans Mortgage Life Insurance Statement

Agency
VA
Revision
July 2024
Fillable fields
36
Pages
3
Official source
VA form page
Checked
October 20, 2026
Fill 29-8636 online
Page 1 of form 29-8636

VA Form 29-8636: Veterans Mortgage Life Insurance Statement

VA Form 29-8636 is the U.S. Department of Veterans Affairs Veterans Mortgage Life Insurance Statement. VA's form page lists it under life insurance. The instructions describe Veterans Mortgage Life Insurance (VMLI) as designed to provide financial protection to cover an eligible veteran's outstanding home mortgage in the event of his or her death. They say the maximum amount of VMLI allowed is $200,000, and that the money is paid only to the mortgage holder.

The PDF has three pages. Page 1 describes the coverage, the mortgage, special provisions, the effective date, reporting changes and premiums. Page 2 explains how to complete each item. Page 3 is the statement: Part A to apply for the insurance, with a section for VA use, and Part B to decline it.

You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 29-8636: Veterans Mortgage Life Insurance Statement, as printed by VA

What's on VA Form 29-8636

Items 1 to 7: Veteran and property

Telephone number, VA policy number, Social Security number, date of birth, name, mailing address and the address of the mortgaged property if it is different.

Items 8 and 9: lender and account

The name, address and phone number of the company or individual to whom mortgage payments are made, and the mortgage account number.

Items 10 to 14: mortgage information

Whether title is held jointly with anyone other than a spouse, the original amount and current balance, the monthly principal and interest payment, the rate of interest, the first payment due date and the duration of payments.

Items 15 and 16: construction and coverage

Whether the home is under construction and whether coverage should be effective during construction, then the requested level of coverage, not to exceed $200,000 or the current mortgage balance, whichever is less.

Items 17 and 18: notice and certification

A Right to Financial Privacy Act notice, a certification that the information is accurate and an authorization for VA to withhold the premium from VA benefits, then the veteran's signature in ink and the date signed.

Part B: declination

Name, VA policy number and one of three reasons: no mortgage, not wanting the insurance, or not eligible because of age, with a signature and date.

How to fill out VA Form 29-8636

  1. 1

    Read the instructions

    The form says to read the instructions before completing the statement, and that inaccurate information may result in not being insured for the full amount of the entitlement.

  2. 2

    Choose Part A or Part B

    Complete Part A to apply for the insurance, or Part B to decline it.

  3. 3

    Fill in Part A

    Print or type the answers. The instructions say to insert "unknown" when information is not readily available, and that VA will secure it from other sources or write again.

  4. 4

    Attach the mortgage papers

    The instructions name the Settlement Statement (HUD-1), Truth-In-Lending Disclosure Statement and current mortgage account statement as necessary to process the application. For a house under construction, they ask for photocopies of the construction contract and mortgage loan commitment.

  5. 5

    Sign and date

    Sign Item 17 in ink with the full name and enter the date in Item 18. If a guardian signs, indicate it.

  6. 6

    Return it

    The instructions say to complete and return the statement as soon as possible to the Insurance Center address on page 1, or to upload documents at www.insurance.va.gov.

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Where to send it and getting help

By mail

Department of Veterans Affairs, Insurance Center, P.O. Box 5209, Janesville, WI 53547-5209.

Upload

The form says documents can be uploaded using VA's secure website at www.insurance.va.gov.

Phone

Toll-free 1-800-669-8477 Voice Response System (24 hours, 7 days a week). The form lists representatives on duty Monday - Friday 8:30 AM - 6:00 PM EST and says the best days to call are Wednesday and Thursday.

Premiums

The instructions say premiums are deducted from monthly VA Disability compensation, or paid directly to VA when no cash payment of compensation is due, and that VA calculates the premium and advises the amount after the application.

Reporting changes

The instructions ask veterans to report changes promptly to VA, such as moving, paying off, refinancing or selling, or the mortgage being sold to another lender. They say coverage on a new mortgage is not effective until VA receives this information.

Edition

The July 2024 edition carries OMB Control No. 2900-0212, which expires 07/31/2027.

Related forms

Who uses VA Form 29-8636?

  • Veterans with a housing grant

    The instructions say the insurance is available only to disabled veterans who, because of their disabilities, have received a Specially Adapted Housing Grant or a Special Housing Adaptation Grant from VA, and that coverage cannot be issued after age 69.

  • Veterans who want the insurance

    The instructions say a veteran who is eligible and wants the insurance completes Part A, Items 1 through 16, then signs and dates Item 17.

  • Veterans who decline it

    Part B is for a veteran who does not want the insurance: enter the name and VA policy number, check a reason, sign and date.

  • Guardians

    Item 6 asks for the guardian's address if the veteran is incompetent, and Item 17 asks the signer to indicate when a guardian signs. In any other case where the veteran's signature does not appear, the form asks for an explanation.

  • VA staff

    Items 19 to 23, marked For VA Use, hold the amount of insurance, effective date, amount of premium, approver and date approved.

The instructions describe who completes each part.

Official sources and the blank

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Questions about Form 29-8636

What is Veterans Mortgage Life Insurance?

The instructions describe VMLI as designed to provide financial protection to cover an eligible veteran's outstanding home mortgage in the event of his or her death. It is administered by VA.

How much coverage does VA Form 29-8636 allow?

The instructions say the maximum amount of VMLI allowed is $200,000, and that coverage may not exceed $200,000 or the current mortgage balance at the time of application, whichever is less.

Who receives the insurance payment?

The instructions say the money is paid only to the mortgage holder, such as a mortgage company or bank.

What documents go with the statement?

The instructions list the Settlement Statement (HUD-1), Truth-In-Lending Disclosure Statement and current mortgage account statement. For a house under construction, they ask for copies of the construction contract and mortgage loan commitment.

When does coverage start?

The instructions say VA sets the effective date when it receives a signed and completed application with all other information needed to determine the premiums.

What if I do not want the insurance?

Complete Part B, the declination, with your name, VA policy number, a reason, your signature and the date.

Who do I call with questions about VMLI?

The form says to call 1-800-669-8477 with any questions regarding VMLI.