Section I: Instructions
Guidance on attaching discharge documents such as the DD Form 214, writing the Veteran's name without nicknames, military rank or civilian titles, and giving a full name and complete mailing address.
VA40-0247
Presidential Memorial Certificate Request Form
- Agency
- VA
- Revision
- August 2026
- Fillable fields
- 23
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA40-0247: Presidential Memorial Certificate Request Form
VA Form VA40-0247 is the U.S. Department of Veterans Affairs Presidential Memorial Certificate Request Form. The PDF itself prints the number as VA Form 40-0247. VA's form page says to use it to request a Presidential Memorial Certificate, an engraved paper certificate signed by the current president. It honors the memory of a deceased Veteran and expresses the country's grateful recognition of their service in the Armed Forces.
The form is one page in five sections: instructions, Veteran or Servicemember information, information about the person requesting the certificate, a certification and signature, and how to submit the form and documents. The footer says all versions of the form dated before May 2025 will not be accepted or processed.
VA's form page says a certificate can also be requested online instead of with the paper form. 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 VA40-0247
Section II: Veteran or Servicemember
Items 1 to 6: the Veteran's name, Social Security number (required), service number or VA file number, race or ethnicity and sex for statistical purposes only, date of birth and date of death.
Section III: Person requesting
Items 7 to 12: the requester's name, mailing address, home or work phone, email, the number of certificates requested and the type of request, initial or replacement, reorder, additional.
Section IV: Certification and signature
The requester certifies, to the best of their knowledge, that the decedent has never committed or been convicted of a serious crime, as the form describes, and signs item 13, which is required.
Section V: Submitting form and documents
Three ways to send the request and supporting documents: electronically through Quick Submit at access.va.gov, by mail or by fax.
Burden and privacy notices
OMB Control No. 2900-0567, expiring 08/31/2029, about 3 minutes per respondent, and the statutory authority 38 U.S.C. 112. VA considers the responses confidential under 38 U.S.C. 5701.
How to request a certificate with VA Form VA40-0247
- 1
Gather discharge documents
VA recommends attaching photocopies of readily available supporting documents, such as the most recent DD Form 214. If copies can't be found, the form says to apply anyway, as VA will attempt to obtain the records.
- 2
Fill in the Veteran's details
Complete Section II. The form says not to include nicknames, military rank or civilian titles, and marks the Social Security number as required.
- 3
Add your details and the request
Complete Section III. The form asks for a full name and complete mailing address to avoid delays in delivery, the number of certificates and the type of request.
- 4
Sign the certification
Read the certification in Section IV and sign item 13, which the form marks as required.
- 5
Submit it or request online
Send the form and documents through Quick Submit, by mail or by fax as Section V lists, or request the certificate online through VA's page.
Why fill Form VA40-0247 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
Electronically
The form says to submit the claim and supporting documents by using Quick Submit at access.va.gov, and that you will be instructed to register during your first sign-on attempt.
By mail
NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547.
By fax
1 (800) 455-7143.
Online request
VA's form page says you can request a Presidential Memorial Certificate online instead of filling out and sending the paper form.
Edition
The footer reads VA FORM AUG 2026 40-0247 and says all versions of the form dated before May 2025 will not be accepted or processed. OMB Control No. 2900-0567 expires 08/31/2029.
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VA40-10007
Application for Pre-Need Determination of Eligibility for Burial in a VA National Cemetery
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VA40-10088
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44 fields, 2 pages
Who uses VA Form VA40-0247?
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Questions about Form VA40-0247
What is a Presidential Memorial Certificate?
VA's form page says it is an engraved paper certificate signed by the current president. It honors the memory of a deceased Veteran and expresses the country's grateful recognition of their service in the Armed Forces.
Can I request the certificate online?
Yes. VA's form page says you can request a Presidential Memorial Certificate online instead of filling out and sending the paper form.
Do I need the Veteran's discharge papers?
VA recommends attaching photocopies of readily available supporting documents, such as the most recent DD Form 214. The form says that if copies can't be found, apply anyway, as VA will attempt to obtain the records.
How do I ask for a replacement or more certificates?
The instructions say to select the Replacement check box in item 12 and complete Section II. Item 11 asks for the number of certificates requested.
Can certificates go to more than one address?
The form says to complete a new VA Form 40-0247 for each additional address where certificates will be mailed.
Where do I send VA Form VA40-0247?
Section V lists Quick Submit at access.va.gov, mail to NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547, or fax to 1 (800) 455-7143.
Will VA accept an older version of the form?
The footer says all versions of this form dated before May 2025 will not be accepted or processed.