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)
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)
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)
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)
