PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
VA Form 21P-530A
for the current year.
VA Form 21P-530A State Application for Interment Allowance Under 38 U.s.c. Chapter 23
What Is VA Form 21P-530A?
VA Form 21P-530A, State Application for Interment Allowance under 38 U.S.C. Chapter 23 , is a document required to determine the state's eligibility for the interment allowance. This form is used to gather information about the veterans buried in a State Veterans' cemetery to determine their eligibility. The Department of Veterans Affairs (VA) requires this information to properly determine eligibility and pay state benefits.
The latest version of the form was released on April 21, 2018 , with all previous editions obsolete. VA Form 21P-530A fillable version is available for download below or can be found through the VA website. This document must be completed by a state official using the information provided by the veteran's surviving spouse, children, parents, executor or administrator of the estate, a survivor of a legal union with the veteran, or the recipient organization, or a claimant who completed the VA Form 21P-530.
The related VA Form 21P-530, Application for Burial Benefits (under 38 U.S.C. Chapter 23), used by the person who paid the burial expenses to apply for a burial and funeral allowance up to $2000 if a veteran's death is service-related. The VA burial allowances are flat-rate monetary benefits. Earlier, VA Form 21-530, Application for Burial Benefits, was used for the same purpose. Today this form is out of use.
Interment allowance is a one-time benefit payment payable toward:
- Expenses incurred for the plot or interment if the burial was not in a State Cemetery or other cemeteries under the jurisdiction of the United States;
- Expenses payable to a State (or political subdivision of a State) if the veteran died from non-service-connected causes and was buried in a State Cemetery or section used solely for the remains of persons eligible for burial in a State Cemetery.
VA Form 21P-530A Instructions
The form is distributed without filing guidelines. Step-by-step instructions for VA Form 21P-530A can be found below.
How to Fill Out VA Form 21P-530A?
The state is responsible for submitting a monthly consolidated request for the plot or interment allowance for veterans buried in State Cemeteries on the VA 21P-530A. A manager of a VA center certifies the list for payment and gives a copy of the certified list to a Veterans Service representative. Center personnel must process a notice of death for each claim number on the certified list, and update the corporate record to show that the burial payment has been processed.
Filling out VA Form 21P-530A is relatively simple. It consists of a table and several boxes for certification.
- The top line of the form requires the name of the state, the location of the cemetery, the full name, and address of the recipient organization and the month, for which the claim is filed.
- The table should contain the name of each buried veteran, their VA file number, social security number, the branch of service, dates of service, dates of birth and death, and the date of burial.
- The state official responsible for applying for federal funds provides their title, signs, and dates the form on the bottom line of the form. The state official is required to certify that the listed veterans were buried in a State Veterans Cemetery free of charge and are entitled to burial benefits under the provisions of Title 38, U.S.C.
