Va Form 21p-534ez - Notice To Survivor Of Evidence Necessary To Substantiate A Claim For Dependency And Indemnity Compensation, Death Pension, And/or Accrued Benefits Page 4
Download a blank fillable Va Form 21p-534ez - Notice To Survivor Of Evidence Necessary To Substantiate A Claim For Dependency And Indemnity Compensation, Death Pension, And/or Accrued Benefits in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Va Form 21p-534ez - Notice To Survivor Of Evidence Necessary To Substantiate A Claim For Dependency And Indemnity Compensation, Death Pension, And/or Accrued Benefits with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10EVIDENCE TABLES (Continued)
Dependency and Indemnity Compensation (DIC) (Continued)
To support your claim for DIC benefits based upon the service person's active duty for training, the evidence must show:
• The service person was disabled during active duty for training due to a disease or injury incurred in the line of duty, and
the disease or injury caused or contributed to the service person's death.
If VA granted service connection for a disease or injury during the service person's lifetime, evidence that the service-connected
disease or injury caused or contributed to the service person's death may satisfy this requirement.
To support a claim for DIC benefits based on a disability that was not service-connected or for which the service person
did not file a claim during his or her lifetime, the evidence must show:
• The service person was disabled during active duty for training due to a disease or injury incurred in the line of duty; AND
• A physical or mental disability that was either the principle or contributory cause of death. This may be shown by medical
evidence or by lay evidence of persistent and recurrent symptoms of disability that were visible or observable; AND
• A relationship between the principal or contributory cause of death and the disability due to injury or disease, incurred in
the line of duty. This may be shown by medical records or medical opinions or, in certain cases, by lay evidence.
To support your claim for DIC benefits based upon the service person's inactive duty training, the evidence must show:
• The service person died during inactive duty training due to an injury incurred or aggravated in the line of duty, or acute
myocardial infarction, cardiac arrest, or cerebrovascular accident during such training; OR
• The service person was disabled during inactive duty training due to an injury incurred or aggravated in the line of duty,
or acute myocardial infarction, cardiac arrest, or cerebrovascular accident that occurred during such training; and that
injury, acute myocardial infarction, cardiac arrest, or cerebrovascular accident caused or contributed to the service person's
death
If VA granted service connection for an injury, acute myocardial infarction, or cerebrovascular accident during the service person's
lifetime, evidence that the service-connected condition caused or contributed to the service person's death may satisfy this requirement.
To support a claim for DIC benefits based on a disability that was not service-connected or for which the service person did not
file a claim during his or her lifetime, the evidence must show:
• The service person was disabled during inactive duty training due to an injury incurred or aggravated in the line of duty, or
acute myocardial infarction, cardiac arrest, or cerebrovascular accident that occurred during such training; AND
• The injury, acute myocardial infarction, cardiac arrest, or cerebrovascular accident caused or contributed to the service
person's death
DIC under 38 U.S.C. 1151:
In order to support your claim for DIC under 38 U.S.C. 1151, the evidence must show:
• The deceased veteran died as a result of undergoing VA hospitalization, medical or surgical treatment,
examination, or training; AND
• The death was:
• the direct result of VA fault such as carelessness, negligence, lack of proper skill, or error in judgment; OR
• the direct result of an event that was not a reasonably expected result or complication of the VA care or treatment; OR
• the direct result of participation in a VA Vocational Rehabilitation and Employment or compensated work therapy program
Reopened DIC:
In order to reopen a claim previously denied by VA, we need new and material evidence. New and material evidence must raise
a reasonable possibility of substantiating your claim. The evidence cannot simply be repetitive or cumulative of the evidence we
had when we previously decided your claim. VA will make reasonable efforts to help you obtain currently existing evidence.
However, we cannot provide a medical examination or obtain a medical opinion until your claim is successfully reopened.
• To qualify as new, the evidence must currently exist and be submitted to VA for the first time
• In order to be considered material, the additional existing evidence must pertain to the reason
your claim was previously denied
Page 4
VA FORM 21P-534EZ, JUL 2015
ADVERTISEMENT
0 votes
Related Articles
Related forms
Va Form 21-0966 - Intent To File A Claim For Compensation And/or Pension, Or Survivors Pension And/or Dic
Legal
Va Form 21-0966 - Intent To File A Claim For Compensation And/or Pension, Or Survivors Pension And/or Dic
Legal
Va Form 21-0966 - Intent To File A Claim For Compensation And/or Pension, Or Survivors Pension And/or Dic
Legal
Related Categories
Parent category: Legal