VA Form 21P-534EZ Application for DIC, Survivors Pension, and / or Accrued Benefits

Help With VA Form 21P-534EZ

If you need help with completing the form or just want more information on the VA benefits, you can contact the VA representative online or call a toll-free number at +1 (800) 827-1000.

Besides, you can have an authorized representative to help you with completing the form, collecting all required evidence, and filing a claim. This representative can be an accredited attorney, a claim agent, or a Veterans Service Officer. To set up a person acting on your behalf, you need to inform the VA about that first using eBenefits or filling out and mailing one of the following documents:

• To have a Veterans Service Officer as a representative, it is necessary to file and submit a copy of VA Form 21-22, Appointment of Veterans Service Organization as Claimant's Representative;
• To set up a claims agent or attorney as an official representative, file and submit VA Form 21-22A, Appointment of Individual as Claimant's Representative.

How to Fill Out VA Form 21P-534EZ?

VA Form 21P-534EZ instructions are as follows:

1. Section I must be completed by all the applicants and contain your and veteran's personal data.
2. Items 1 through 9 require the complete information about the veteran, including full name, sex, Social Security number (SSN), dates of birth and death, service number, VA file number (if the veteran, surviving spouse, child, or parent has ever filed a claim with VA), and the information if the veteran died while on active duty.
3. Indicate your personal information, including your name, relationship to the veteran, Social Security Number (SSN), and date of birth in Items 10 through 16B. Specify your veteran status, provide your mailing address, email, and phone number.
4. You should complete Section II only if the veteran at the time of death was not receiving any compensation or pension benefits. This part requires full information about the veteran's service.
5. If you are claiming benefits as the surviving spouse of the veteran, Section III should be completed. Otherwise, it is required to skip this part. When filling out Section III, you need to enlist all your marriages, and the marriages of the veteran and enter all the details demanded.
6. Section IV must be filled out only if you request benefits for the veteran's children (including biological, adopted, and stepchildren).
7. Section V is to be filled out if you apply for benefits as the parent of the veteran, and should contain the information about your marital status, the details on your spouse (if any), and if the veteran was a member of your household or under your parental control.
8. If you claim DIC, you should complete Section VI. It requires specifying the DIC you are claiming and a full list of the VA medical centers the veteran was treated in pertaining to this claim, as well as the dates of treatments.
9. Section VII should be completed if you request special benefits due to health problems that require regular assistance or due to your being in a nursing home.
10. If you request a survivor's pension or parent's DIC, you must complete Section VIII. Otherwise, it should be skipped.
11. Section IX requires information about medical, burial, educational, or vocational expenses. If you claim the expenses for in-home care or assisted living, you need to complete the corresponding worksheet on pages 12 through 13.
12. You must indicate direct deposit data in Section X.
13. If you do not want your application to be considered under the FDC Program, it should be indicated in Item 49, Section XI.

To be valid, VA 21P-534EZ requires your signature and the date. If you have signed using an "X", the names and signatures of two witnesses should be provided in Section XII.

Where to Mail VA Form 21P-534EZ?

After completing, you should mail or take the form - as well as all the supporting evidence - to the nearest VA regional office. All the addresses of the VA offices can be found on the VA official website.