Ready to apply for VA benefits?
Below are application benefit forms to use if you are applying by mail or in person. Applying online is always the best option; check VA.gov to see if the type of claim you are submitting can be completed electronically.
If applying online is not an option, use the VA forms below. Most are in the Adobe PDF format and many allow you to type directly into the form and save the information on your computer. You can also print and fill out forms by hand. Submit each form according to the directions provided; you can also check with VA or ask your VA claims representative for assistance. (Find more forms on VA’s forms page. )
Disability
- VA Form 21-526EZ (PDF), Application for Disability Compensation and Related Compensation Benefits
- VA Form 21-8940, Application for Increased Compensation Based on Unemployability
- VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
- VA Form 20-0995, Decision Review Request: Supplemental Claim
- VA Form 20-0996, Decision Review Request: Higher-Level Review
Education and Training
- VA Form 22-1990, Application for VA Education Benefits
Careers and Employment
- VA Form 28-1900 (PDF), Disabled Veterans Application for Vocational Rehabilitation
- VA Form 25-8832, Application for Educational and Vocational Counseling
- VA Form 28-0588, Servicepersons Awaiting Discharge Who May Have a Disability - Getting Ahead After You Get Out
Health Care
- VA Form 10-10EZ, Enrollment for VA Health Benefits (access other application links)
- VA Form 21-4502 (PDF), Application for Automobile or Other Conveyance and Adaptive Equipment
- VA Form 10-1394 (PDF), Application for Adaptive Equipment — Motor Vehicle
- VA Form 10-10CG, Application for Comprehensive Assistance for Family Caregivers Program
Housing Assistance
- VA Form 26-1880 (PDF), Request for Certificate of Eligibility
- VA Form 26-4555 (PDF), Application for Acquiring Specially Adapted Housing or Special Home Adaptation Grant
- VA Form 26-1817 (PDF), Request for Determination of Loan Guaranty Eligibility — Unmarried Surviving Spouses
- VA Form 26-8937 (PDF), “Verification of VA Benefits” (to determine Loan Guaranty Funding Fee Waiver)
- VA Form 10-0103 (PDF), Veterans Application for Assistance in Acquiring Home Improvements and Structural Alterations (HISA)
Life Insurance
Download forms for these and other programs at VA’s “Life Insurance” page:
- Servicemembers’ Group Life Insurance
- Veterans’ Group Life Insurance
- Family Servicemembers’ Group Life Insurance
- Servicemembers’ Group Life Insurance Traumatic Injury Protection
- Service-Disabled Veterans Insurance
- Veterans’ Mortgage Life Insurance
Burials and Memorials
- Directions for Scheduling a VA Burial
- VA Form 21P-530, Application for Burial Benefits
Pension
- VA Form 21-527EZ (PDF), Veterans Pension
- VA Form 21-534EZ (PDF), Survivors Pension
- VA Form 21-2680 (PDF), Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (additional payments for Veterans and survivors who are eligible for a VA pension and require the aid and attendance of another person or are housebound)
Family Member Benefits
- VA Form 21-534, Statement in Support of Claim
- If the death was in service, your Military Casualty Assistance Officer will assist you in completing VA Form 21-534a (PDF) , Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (these forms are mailed to the Philadelphia Regional Office)
- VA Form 26-1817 (PDF), Request for Determination of Loan Guaranty Eligibility - Unmarried Surviving Spouses
- VA Form 21-686c, Application Request to Add or Remove Dependents