VA40-1330
Claim for Standard Government Headstone or Marker
VA Form VA40-1330 is the U.S. Department of Veterans Affairs Claim for Standard Government Headstone or Marker. Its General Information Sheet describes two benefits: a burial headstone or marker for the grave of an eligible deceased Veteran, and a memorial headstone or marker for an eligible deceased Veteran whose remains have not been recovered or identified, were buried at sea, donated to science, or cremated and the remains scattered. The form says VA will also provide the applicant with a Presidential Memorial Certificate if the Veteran is eligible for a headstone, marker, or medallion.
The PDF is five pages: the General Information Sheet, illustrations of the standard headstones and markers with inscription rules, the claim itself in blocks 1 to 35 on pages 3 and 4, and a page of available emblems of belief. The claim has signature blocks for the applicant, the business that accepts delivery and the cemetery official. You can fill out the PDF free in your browser on this page and download the result without an account.
Initial request or replacement, a box for remains that are not buried, the name to be inscribed with no nicknames or titles, and whether the grave is already marked with a privately purchased, permanent and durable marker.
Race or ethnicity and sex, used for statistical purposes only, the Social Security or service number, place of birth, dates of birth and death, and the dates entered and separated from active duty.
Highest rank, POW status, branch of service, valor or Purple Heart awards, the type of headstone or marker, periods of war, an emblem of belief and an additional inscription. Blocks outlined in bold are optional inscription items.
The applicant's name, address, phone, email and fax, who the applicant is, the unclaimed remains choice, the number of Presidential Memorial Certificates requested, and the applicant's certification, signature and date.
The business that will accept prepaid delivery, with no P.O. box, the cemetery or family plot where the grave is located, both of their signatures, remarks, and station and section or grave numbers for State or Tribal cemeteries.
Page 2 shows the upright headstone and the flat and niche markers with their sizes and inscription limits. Page 5 shows the available emblems of belief for block 17.
The claim says to read it before completing the form. It covers the benefits, who is eligible, who can apply and how delivery works, and says to detach and keep it for your records.
Type or print clearly all information except signatures. The form says VA will not accept entries of None, Not Applicable or NA, and that inaccurate information may result in an incorrectly inscribed headstone or marker.
The applicant signs block 23, the consignee signs block 27 and the cemetery or other responsible official signs block 31. If no official is on duty at the cemetery, the person responsible for the property in block 29 signs.
Attach a copy of the discharge certificate (DD Form 214 or equivalent), the VA Pre-Need Eligibility Determination letter or other official documents of qualifying military service. The form says not to send originals, as they will not be returned.
Send the claim and documents through Quick Submit, by mail to the NCA FP Evidence Intake Center or by fax.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says to submit the claim and supporting documents electronically using Quick Submit at https://eauth.va.gov/accessva/, where you are instructed to register during your first sign-on attempt.
NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547.
1-800-455-7143. The form says that if faxing more than one claim, fax each claim package (claim plus supporting documents) individually.
The form lists the Applicant Assistance Unit toll free at 1-800-697-6947, or ask.va.gov. It says no fee should be paid in connection with the preparation of this claim.
The MAR 2025 edition says all previous versions of this form are obsolete. It carries OMB No. 2900-0222, with an expiration date of Sept. 30, 2027.
VA40-0247
23 fields, 1 page
VA40-1330M
61 fields, 3 pages
VA40-1330UP
29 fields, 2 pages
VA40-10007
58 fields, 3 pages
21P-530EZ
93 fields, 8 pages
27-2008
26 fields, 3 pages
The General Information Sheet lists who federal regulation defines as an applicant, and who else signs the claim.
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It is the claim for a standard Government headstone or marker. The General Information Sheet describes a burial headstone or marker for a grave and a memorial headstone or marker when remains were not recovered or identified, buried at sea, donated to science, or cremated and scattered.
The form lists family members, personal representatives, Veterans Service Organization representatives, state, tribal or local veterans service officers, people responsible for unclaimed remains, and any individual for a Veteran whose service ended before April 6, 1917. For a memorial headstone or marker it lists family members only.
A copy of the discharge certificate (DD Form 214 or equivalent), the VA Pre-Need Eligibility Determination letter, or other official documents establishing qualifying military service. The form says that if you are unable to locate military records, apply anyway, as VA will attempt to obtain them.
No. The form says VA will not deliver a headstone or marker to a Post Office box and ships it without charge to the consignee designated. It also says the Government is not responsible for costs to install or remove the headstone or marker in private cemeteries.
Yes. Block 22 asks how many to mail to you, and the form says VA will send one if no quantity is indicated and none is not selected. VA Form 40-0247 orders additional certificates to other addresses.
Page 2 says spousal inscription information (name, date of birth and date of death) is authorized on a Government-furnished headstone or marker if the Veteran's date of death is on or after October 1, 2019.
The form lists Quick Submit at https://eauth.va.gov/accessva/, mail to NCA FP Evidence Intake Center, PO Box 5237, Janesville, WI 53547, or fax to 1-800-455-7143.