VA Form 21-4170 Statement of Marital Relationship

VA Form 21-4170 Statement of Marital Relationship

What Is VA Form 21-4170?

This is a legal form that was released by the U.S. Department of Veterans Affairs on December 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 21-4170?
A: VA Form 21-4170 is the Statement of Marital Relationship form.

Q: What is the purpose of VA Form 21-4170?
A: The purpose of VA Form 21-4170 is to provide information about the marital relationship of a veteran or claimant.

Q: Who needs to fill out VA Form 21-4170?
A: Veterans or claimants applying for benefits from the Department of Veterans Affairs may need to fill out VA Form 21-4170.

Q: What information is required on VA Form 21-4170?
A: VA Form 21-4170 requires information about the veteran or claimant's current and previous marriages, as well as details about any previous divorce or annulment.

Q: Is VA Form 21-4170 mandatory?
A: If you are applying for benefits from the Department of Veterans Affairs and your marital status is relevant to your claim, filling out VA Form 21-4170 may be mandatory.

Q: Are there any fees associated with VA Form 21-4170?
A: No, there are no fees associated with VA Form 21-4170.

Q: Can I electronically submit VA Form 21-4170?
A: As of now, electronic submission of VA Form 21-4170 is not available. You will need to mail or deliver the completed form to the appropriate VA office.

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Form Details:

  • Released on December 1, 2017;
  • The latest available edition released by the U.S. Department of Veterans Affairs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of VA Form 21-4170 by clicking the link below or browse more documents and templates provided by the U.S. Department of Veterans Affairs.

Download VA Form 21-4170 Statement of Marital Relationship

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