Certification statement
The official certifies that the named cemetery, assisted by a VA grant, will be operated and maintained in accordance with the operational standards and measures of the National Cemetery Administration.
VA40-0895-15
Certification of Cemetery Maintained in Accordance with National Cemetery Administration Standards
- Agency
- VA
- Revision
- September 2023
- Fillable fields
- 4
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA40-0895-15: Cemetery Maintained in Accordance with NCA Standards
VA Form VA40-0895-15 is the U.S. Department of Veterans Affairs Certification of Cemetery Maintained in Accordance with National Cemetery Administration Standards. The form says it is required by 38 CFR 39.31 and 39.81. In it, an authorized state, tribal or eligible county government official certifies that the named cemetery, assisted by a VA grant, will be operated and maintained in accordance with the operational standards and measures of the National Cemetery Administration.
The form is one page: the certification statement, the cemetery's name and address, the project FAI (Federal Application Identifier) number, and the official's name, title, signature and date. It has no fields for a Veteran or family member, and VA's form page lists it as related to VACO. 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 VA40-0895-15
Cemetery and project
The name and address of the state, tribal or eligible county government cemetery and the project FAI (Federal Application Identifier) number.
Authorized official
The name and the title of the authorized state, tribal or eligible county government official.
Signature and date
The official's signature and the date signed, written as mm/dd/yyyy.
Burden statement
The form says the information is necessary to ensure that the State, Tribal or eligible County government complies with the NCA Shrine Standards following receipt of a grant, and estimates 15 minutes.
How to complete VA Form VA40-0895-15
- 1
Read the certification statement
It sets out what the official certifies about operating and maintaining the cemetery to National Cemetery Administration standards.
- 2
Name the cemetery and project
Enter the cemetery's name and address and the project FAI number. The VA Form VA40-0895-14 checklist says the FAI number is to be assigned by VA.
- 3
Enter the official's details
Give the name and title of the authorized state, tribal or eligible county government official.
- 4
Sign and date it
The authorized official signs and enters the date signed as mm/dd/yyyy.
- 5
Send it with the preapplication
The VA Form VA40-0895-14 checklist lists this certification among those submitted to VA as part of the Preapplication Phase.
Why fill Form VA40-0895-15 on indox
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Where it goes and edition
Where it goes
Neither the form nor VA's form page prints a mailing address. The VA Form VA40-0895-14 checklist lists it among the certifications submitted to VA as part of the Preapplication Phase.
Not the comments address
The form gives OIRA Desk Officer for VA, 725 17th St NW, Washington, DC 20503 for comments on the burden estimate only, and says not to send applications for a grant there.
Edition
The PDF is dated SEP 2023, matching the September 2023 revision date on VA's form page. It carries OMB Number 2900-0559, Expiration Date: Oct. 31, 2026, and a respondent burden of 15 minutes.
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Who uses VA Form VA40-0895-15?
The form is signed for a state, tribal or eligible county government cemetery. It has no fields for a Veteran or family member.
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Questions about Form VA40-0895-15
What does VA Form VA40-0895-15 certify?
That the named state, tribal or eligible county government cemetery, assisted by a VA grant, will be operated and maintained in accordance with the operational standards and measures of the National Cemetery Administration.
Who signs VA Form VA40-0895-15?
The authorized state, tribal or eligible county government official, who also gives a name and title and the date signed.
Which rules does the form cite?
The form says it is required by 38 CFR 39.31 and 39.81, and gives 38 U.S.C. 2408 as the statutory authority for a State Cemetery Grant.
When is it submitted?
The VA Form VA40-0895-14 checklist lists compliance with VA Form 40-0895-15 as item 29, one of the certifications submitted to VA as part of the Preapplication Phase.
Which edition is current?
The PDF is dated SEP 2023, which matches the September 2023 revision date on VA's form page. Its OMB Number is 2900-0559, with an expiration date of Oct. 31, 2026.