Get Va Form 40-1330m, Claim For Government Medallion For ...

Navigating the process of filling out VA Form 40-1330M can be straightforward with the right guidance. This form is essential for requesting a government medallion to honor a deceased Veteran who is buried in a private cemetery.

Follow the steps to successfully complete the VA Form 40-1330M online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In the first section, provide the full name of the deceased Veteran, including their first name, middle initial (if applicable), last name, and suffix.
3. Indicate whether the grave is currently marked with a privately purchased marker or not.
4. Fill in the Veteran's social security number or service number and their date of birth.
5. Provide the dates of active military duty by entering the date(s) the Veteran entered and separated from service.
6. Specify the date of death using the appropriate format for month, day, and year.
7. Select the appropriate branch of service by checking the applicable box(es) based on the Veteran's service.
8. In the applicant section, fill in your name and complete mailing address.
9. Choose the desired size for the medallion by checking one of the available options: 5 inch, 3 inch, or 1-1/2 inch.
10. Provide a daytime phone number where you can be reached.
11. Select your relationship to the Veteran or indicate if you are an authorized representative on their behalf. Include any required written authorization if applicable.
12. Complete the optional email address field if you wish to provide an email for correspondence.
13. Sign the application in Block 12A, certifying that the information is true and that the medallion will be affixed to the privately purchased headstone.
14. Provide the name and delivery address for the medallion, if different from the applicant's information. If the same, enter 'SAME'.
15. Fill in the name and address of the cemetery where the privately purchased headstone or marker is located.
16. Review all entries for accuracy and completeness before saving changes, downloading, or printing the form for submission.

Get started on your application today by completing the VA Form 40-1330M online.