Get Va Form 40-1330m 2017

This guide provides a comprehensive overview of how to complete the VA Form 40-1330M online. This form, essential for requesting a government medallion for placement in a private cemetery, is designed to be user-friendly while ensuring all necessary information is collected.

Follow the steps to fill out the VA Form 40-1330M online effectively.

1. Click the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by filling in the name of the deceased veteran in the designated fields. Provide their first name, middle name or initial, last name, and suffix if applicable.
3. Indicate if the VA has previously determined eligibility for burial at a VA national cemetery by selecting 'Yes,' 'No,' or 'Unsure.'
4. Answer whether the grave is currently marked with a set headstone, mausoleum, or crypt by selecting 'Yes' or 'No.'
5. Complete the fields for race or ethnicity, choosing any applicable categories for statistical purposes.
6. Fill out the gender of the deceased and their age at the time of death.
7. Enter the veteran's social security number or service number in the appropriate section.
8. Provide the place of birth, including city, state, or country.
9. Input the date of birth and date of death of the veteran.
10. Document the periods of active military duty by entering the respective entry and separation dates.
11. Select the branch of service from the list provided. If multiple branches apply, specify accordingly.
12. Choose the requested size of the medallion from the options available: large, medium, or small.
13. Specify your relationship to the deceased or your role, such as family member, personal representative, or official.
14. Provide the name and mailing address of the claimant in the designated fields.
15. Enter a daytime phone number and optionally an email address for correspondence.
16. Indicate if you would like a Presidential Memorial Certificate, selecting ‘Yes’ or ‘No’ and specifying the quantity if applicable.
17. Sign the certification statement to confirm that the information provided is accurate, and date your signature.
18. Fill in the name, address, and daytime phone number where the medallion should be delivered.
19. Ensure the cemetery official's signature is obtained, if necessary, and have them date the form.
20. Review all entries for accuracy before saving your changes. You can download, print, or share the form as needed.

Start filling out your VA Form 40-1330M online today!