va form 21 534ez pdf

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VAformsareavailableatyourclaimonasignedandcompletedVAFormPEZ,ApplicationforDIC,SurvivorsPension,and/orAccruedBenefits(Attached) ApplyforandmanagetheVAbenefitsandservicesyou’veearnedasaVeteran,Servicemember,orfamilymember likehealthcare,disability,education,and moreFindoutifyouneedtocompleteadditionalformsforyourdisabilityclaimNOTICETOSURVIVOROFEVIDENCENECESSARYTO SUBSTANTIATEACLAIMFORDEPENDENCYANDINDEMNITYCOMPENSATION,SURVIVORSPENSION,AND/ORACCRUEDBENEFITS IfyouareclaimingveteransPensionbenefits,useVAFormPEZ,ApplicationforVeteransPensionNOTICETOSURVIVOROFEVIDENCENECESSARY TOSUBSTANTIATEACLAIMFORDEPENDENCYANDINDEMNITYCOMPENSATION,SURVIVORSPENSION,AND/ORACCRUED BENEFITSTheformisusedbytheUnitedStatesDepartmentofVeteransAffairsGetVAFormEZ,ApplicationforDisabilityCompensationandRelated CompensationBenefits.ApplicationusedforsurvivingspousesandchildrentosubmitaclaimforDIC.DeathFORAPPLICATIONFORDEPENDENCYAND INDEMNITYCOMPENSATION,DEATHPENSIONANDACCRUEDBENEFITSBYASURVIVINGSPOUSEORCHILDDirectUploadviaNOTE: YoushouldmakeacopyofyoursignedauthorizationforyourrecordsbeforemailingittoVAYoucanonlyhaveoneVAForm,AuthorizationtoDisclose PersonalInformationtoaembyNancyAScottVAformsareavailableatDownloadVAFormPEZ(PDF)VeteransPension;DownloadVAFormPEZ(PDF) SurvivorsPension;DownloadVAForm(PDF)SpecialMonthlyPensionVAFormPEZApplicationforDIC,DeathPension,and/orAccruedBenefitsVAForm APrintable,FillableinPDF-VeteransAffairs(VA)FormA,ApplicationforDependencyandIndemnityCompensationbyaSurvivingSpouseorChild–InServiceDeathOnly,isaformusedtodeterminewhethersurvivingspousesandchildrenofveteranswhodiedwhileservinginAVAFormPisknownasan ApplicationforDependencyandIndemnityCompensation,DeathPension,andAccruedBenefitsbyaSurvivingSpouseorChild(IncludingDeathCompensation IfAvailable)Thisnoticeprovidesinformationregardingevidencenecessarytosubstantiateaclaimfor:SurvivorsPensionSubmityourclaimonasignedand completedVAFormEZ,ApplicationforDIC,DeathPension,and/orAccruedBenefits(Attached)Submitsimultaneouslywithyourclaim:Acopyoftheveteran's DeathCertificate(unlessheorshediedonactiveduty);ANDVAFormPEZUsethisVAclaimformtoapplyforVAdisabilitycompensation(pay)orrelated benefitssuchashousingorcompensationforyourspouseIfyouaremakingaclaimforsurvivorbenefits,useVAFormPEZ,ApplicationforDIC,Survivors Pension,and/orAccruedBenefitsThisformwillbefilledoutbythenextofkinforaBytelephone:Pleasecalloneofthefollowingtelephonenumbers€(Hearing ImpairedTDDline)€(IflivingoutsidetheUS)Youcanalsocontactacountyornationalveterans'serviceorganization(VSO)representativetohelpyouwith yourclaimVAFormPEZ.

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