VA Form 21P-527EZ Application for Veterans Pension

VA Form 21P-527EZ Instructions

VA 21P-527EZ consists of 12 pages. The first four pages include FDC criteria, explanation of FDC benefits, comparison of FDC and Standard Claim Process, and the list of evidence necessary to provide to substantiate the pension claim. Pages 5 through 9 contain the application you need to complete. On page 10, you can find the addresses of Pension Centers to mail the application to. The last two pages are additional worksheets in case you are claiming reimbursement for an in-home attendant, assisted living facility, adult daycare, or similar expenses. Filing instructions are as follows:

1. Enter your basic identification, contact, and claim information in Section I. If you claim a pension based on disability rather than age 65 or older, it is necessary to list here all disabilities that prevent you from working and the list of the center where you were treated.
2. Your detailed military service data must be indicated in Section II. The fields of this part are self-explanatory.
3. Provide details about the disabilities that prevent you from working in Section III. This section should also include full information about all your employment for one year before you became disabled.
4. Sections IV and V are for a description of your marital status and current marital status correspondingly. If you have never been married, check the corresponding box in Item 19A and skip this part.
5. If you have any dependent children (including biological, adopted, or stepchildren) whether living with you or not, indicated this in Section VI.
6. Provide your and your dependents' (if any) income and assets in Section VII. If the space provided is not enough, you may attach a separate sheet.
7. The unreimbursed medical expenses for the last year must be listed in Section VIII. If you need more space, you can attach VA Form 21P-8416, Medical Expense Report. It is not allowed to include here any expenses for which you or your dependents were or will be reimbursed.
8. Section IX is for direct deposit information. If you have no bank account, you must receive pension payments through Direct Express Debit MasterCard.

The completed VA Form 21P-527EZ must be hand-signed and mailed or faxed to a local Pension Center. If you sign with "X", the form should include addresses and signatures of two witnesses as well.