Fillable Va Form 21p-530 - Application For Burial Benefits (Page 2 of 4) in pdf

2. WHO SHOULD FILE A CLAIM - VA may grant a claim that any eligible person files. Upon death of the veteran, VA will pay the

first living person to file a claim of those listed below:

(1) The veteran's surviving spouse; OR

(2) The survivor of a legal union* between the deceased veteran and the survivor; OR

(3) The veteran's children, regardless of age; OR

(4) The veteran's parents or the surviving parent; OR

(5) The executor or administrator of the deceased veteran's estate, or person acting for the deceased veteran's estate.

*For purposes of this application, legal union means a formal relationship between the veteran and the survivor that existed on the date

of the veteran's death, was recognized under the law of the State in which the couple formalized the relationship, and was evidenced by

the State's issuance of documentation memorializing the relationship.

If the veterans remains are unclaimed, VA will pay the person or entity that provided burial services for the remains of an unclaimed

veteran.

3. TIME LIMIT FOR FILING A CLAIM - A claim for non-service-connected burial allowance must be filed with VA within 2 years

after the date of the veteran's permanent burial or cremation. If a veteran's discharge was corrected after death to "Under Conditions

Other Than Dishonorable," the claim must be filed within 2 years after the date of correction. There is no time limit for the service-

connected burial allowance, plot or interment allowance, VA hospitalization death burial allowance, or reimbursement of transportation

expenses.

4. COMPLETING CLAIM BY A FIRM OR STATE AGENCY - The claim must be executed in the full name of the firm or State

agency, and show the official position or connection of the individual who signs on its behalf.

5. PROOF OF DEATH TO ACCOMPANY CLAIM - Death in a government institution does not need to be proven. In other cases, the

claimant must forward a copy of the public record of death. If proof has previously been furnished VA, it need not be submitted again.

6. STATEMENT OF ACCOUNT MUST ACCOMPANY TRANSPORTATION CLAIMS - If transported by common carrier, a receipt

must accompany the claim. All receipts for transportation charges should show the name of the veteran, the name of the person who

paid, and the amount of the charges. The itemized statement of account should show the charges made for transportation. Failure to

itemize charges may result in delay or payment of a lesser amount.

7. SERVICE RECORD - The original or certified copy of the veteran's service separation document (DD214 or equivalent) which

contains information as to the length, time, and character of service will permit prompt processing.

8. TOLL-FREE TELEPHONE ASSISTANCE - You can call us toll-free within the U.S. by dialing 1-800-827-1000. If you

are located in the local dialing area of a VA regional office, you can also call us by checking your local telephone directory. For the

hearing impaired, our TDD number is 711.

9. WHERE DO I MAIL MY COMPLETED APPLICATION? - You should mail your application to the VA regional office located

in your state. You can obtain the mailing address for VA regional offices by accessing the VA Internet web site at

The address is also located in the government pages of your telephone book under "United States Government,

Veterans."

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VA FORM 21P-530, APR 2017

Va Form 21p-530 - Application For Burial Benefits Page 2