Pension Forms
- Application for Amounts on Deposit for Deceased Veteran
If you are a descendant of a deceased veteran submit this form to claim funds deposited by the Veteran's Administration in the Veteran's account during a stay in a VA hospital. (21-6898) - Report of Medical, Legal & Other Expenses Incident to Recovery. for Injury or Death
If you are receiving a Veteran's Administration pension and have received compensation for an injury or illness you must report the amount to the VA. This form will help the VA determine if that award should be counted as income, and reduce your pension by that amount. (21-8416b) - Certificate of Bal. on Deposit and Auth. to Disclose Financial Record
When submitted to the Veteran's Administration this form will allow your financial institution to disclose your records to the VA. This authorization is required if the VA determines they need to conduct an audit of your benefits. (21-4718a) - Veteran's Application for Compensation and/or Pension
Submit this form to the Veteran's Administration to apply for compensation or a pension for a service related disability. (21-526) - Pension Claim Questionnaire for Farm Income
If you currently receive or are claiming a Veteran's Administration pension you must submit this form if you receive income from farm work. The VA will use this information to determine if any deductions should be made to your benefit payments. (21-4165) - Section 306 Eligibility Verification Report (Veteran)
If you have been receiving a Veteran's Administration pension prior to 1978 use this form to verify your eligibility to receive your pension. (21--512V-1) - Old Law and Section 306 Eligibility Verification Report
This form is for children of veterans who have been receiving a pension since 1978 or earlier. Use this form to verify with the Veteran's Administration your annual eligibility to receive the pension payments. (21-0513-1) - Supplemental Income Questionnaire (For Philippine Claims Only)
This form is for Philippine nationals living in the Philippines who receive a Veteran's Administration pension. (21-0784) - Application For Exclusion Of Children's Income
In calculating your pension the Veteran's Administration may take into consideration your children's income. Submit this form to apply to have your children's income exclude from the VA's calculation. (21-0571) - Improved Pension Eligibility Verification Report (Child or Children)
This form is used to determine the pension eligibility of the surviving child or children of a veteran. (VA FORM JUN 2004 21-0519C-1)