OMB Approved No. 2900-0463
Respondent Burden: 10 minutes
Expiration Date: 12-31-2017
VA REGIONAL OFFICE
NOTICE OF WAIVER OF VA
COMPENSATION OR PENSION
TO RECEIVE MILITARY PAY AND
ALLOWANCES
NAME AND ADDRESS OF VETERAN
VA FILE NUMBER
SOCIAL SECURITY NUMBER
DAYTIME TELEPHONE NUMBER (Include Area Code)
EVENING TELEPHONE NUMBER ( Include Area Code)
Active or inactive duty training pay cannot legally be paid concurrently with VA disability compensation or pension benefits
(10 U.S.C. 12316 and 38 U.S.C. 5304(c)).
You may elect to keep the training pay you received from the military service department. However, to be legally entitled to keep your
training pay, you must waive VA benefits for a number of days equal to the number of days for which you received training pay. In
most instances, it will be to your advantage to waive benefits and keep your training pay.
Please enter the number of days for which you received training pay below:
FISCAL YEAR:
TRAINING DAYS
NOTE: A fiscal year runs from October 1 through September 30. For example, fiscal year 1999 runs from October 1, 1998
through September 30, 1999.
Please note that reserve components are to report the number of days during the fiscal year for which a reservist/guardsman receives
training pay as one full day's duty pay for each 4-hour training assembly attended. Therefore, you might be credited with 4 days
training pay on a drill weekend. Most members will be paid for approximately 63 training days during a fiscal year. This normally
consists of 48 armory drills or training sessions and 15 days active training.
If you waive VA benefits to receive training pay, VA will adjust your VA award to withhold future benefits for the same total number
of days waived and at the monthly rate in effect for the fiscal year for which you received training pay. If VA cannot adjust your
benefits from a future date, it may make a retroactive adjustment, which may create an overpayment in your account.
VA FORM
EXISTING STOCKS OF VA FORM 21-8951-2, AUG 2011,
(Continued on Reverse)
21-8951-2
FEB 2015
WILL BE USED.