Va Form 21-535 - Application For Dependency And Indemnity Compensation By Parent(S)

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General Instructions
For Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and
Death Compensation when Applicable)
VA Form 21-535
Note: Read very carefully, detach, and keep these instructions for your reference.
A. How can I contact VA if I have questions?
Benefit rates and income limits are frequently changed, so
it is not possible to keep this information current in these
If you have any questions about this form, how to fill it
instructions. You can find out what the current income
out, or about VA benefits, contact your nearest VA
limitations and rates of benefits are by contacting your
regional office. You can locate the address of the nearest
nearest VA regional office.
regional office in your telephone book blue pages under
"United States Government, Veterans" or call 1-800-827-
Note: Unless a claim for DIC is filed within one year from
1000 (Hearing Impaired TDD line 1-800-829-4833). You
the date of the veteran's death, that benefit is not payable
may also contact VA by Internet at https://iris.va.gov.
from a date earlier than the date VA receives the claim.
B. What is the purpose of VA Form 21-535?
E. How do I apply for the aid and attendance
allowance?
Use VA Form 21-535 to apply for:
VA may pay a higher rate of DIC to a surviving parent
VA benefits you may be entitled to receive as the
who is blind, a patient in a nursing home, or otherwise
surviving parent(s) of a deceased veteran
needs regular aid and attendance. If you wish to apply for
Any money VA owes the veteran but did not pay
this benefit, check "yes" for Item 29.
prior to his/her death (accrued benefits).
If you apply for one of these benefits, the law requires that
F. How do I complete my application?
we also consider your entitlement for the other.
Print all answers clearly. If an answer is "none" or "0,"
C. What is the purpose of the attached SSA-24 form?
write that. Your answer to every question is important to
help us complete your claim. If you do not know the
You can apply for Social Security benefits by using the
answer, write "unknown." For additional space, use Item
SSA-24 form attached to this VA form (see pages 7 and
44, "Remarks, " or attach a separate sheet, indicating the
8). You don't have to apply if you don't want to or have
item number to which the answers apply. Make sure you
already done so. If you do want to apply, fill it out and
sign and date this application (Items 40a through 41b).
leave it attached. We will send it to the Social Security
Administration for you. They will then contact you.
Note: If the claim is being made on behalf of an
D. What is dependency and indemnity compensation
incompetent person, the application form should be
(DIC), and how does VA decide what I will or will not
completed and filed by the legal guardian. If no legal
receive?
guardian has been appointed, it may be completed and
DIC may be payable to parent(s) when:
filed by some person acting on behalf of the
incompetent person.
a veteran's death occurred in service, or
a veteran dies of a service-connected disability,
G. What do I do when I have completed my
AND
application?
your income is limited.
VA pays Parents' DIC based on the amount of the
When you have completed this application, mail it or take
claimant's countable income and whether the claimant is
it to a VA regional office. Be sure to attach any materials
the sole surviving parent of the veteran or one of two
that support and explain your claim. Also, make a
parents. This is based on law. If the claimant is married
photocopy of your application and everything that you
and lives with his/her spouse, the claimant's and the
submit to VA before mailing it.
spouse's income are counted. VA must include as income
payments received from all sources that Federal law
specifies.
21-535
General Instructions
Page 1
VA FORM
EXISTING STOCK OF VA FORM 21-535, APR 2005,
FEB 2012
WILL BE USED.

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