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Get VA 21-601 2014-2024

You may also contact VA by Internet at http //iris. va.gov. B. What do I use VA Form 21-601 for Use VA Form 21-601 to apply for accrued benefits due the beneficiary but not paid prior to death. INSTRUCTIONS FOR VA FORM 21-601 APPLICATION FOR ACCRUED AMOUNTS DUE A DECEASED BENEFICIARY Note Do not complete this form if you have applied for death benefits by using VA Form 21-534 or 21-535. VA FORM DEC 2010 21-601 EXISTING STOCKS OF VA FORM 21-601 MAY 2005 WILL BE USED. D. Who may file a claim for reimbursement for last illness and burial expenses If there are no living persons who are entitled on the basis of relationship accrued benefits may be used to reimburse the person or persons who paid for or are responsible to pay the expenses of last illness and burial of a beneficiary. Reginfo. gov/public/do/PRAMain. If desired you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form. VA FORM 21-601 DEC 2010 OMB Approved No. 2900-0216 Respondent Burden 30 minutes VA DATE STAMP Do not write in this space Application for Accrued Amounts Due a Deceased Beneficiary Please read the attached Instructions before you fill out this form. SECTION I Tell us about you beneficiary 1. Each person claiming a share of accrued benefits must complete a separate VA Form 21-601. Note If you are a deceased veteran s surviving spouse child or dependent parent you should apply for death benefits including accrued benefits using VA Form 21-534 Application for Dependency and Indemnity Compensation Death Pension and Accrued Benefits by a Surviving Spouse or Child Including Death Compensation if Applicable or VA Form 21-535 Application for Dependency and Indemnity Compensation by Parent s Including Accrued Benefits and Death Compensation When Applicable. C. What are accrued benefits and how does VA decide what I will or will not receive Accrued benefits are benefits that were due the beneficiary at the time of death but not paid prior to death. However if the person who is entitled to the lump sum accrued benefits has been declared incompetent by a court of law or Federal or State government agency at the time of the veteran s death the five year period begins from the date of termination or removal of the finding of incompetency. F. What evidence should I submit 1. Furnish a copy of the death certificate unless the beneficiary died in a VA medical facility. The responses you submit are considered confidential 38 U.S.C. 5701. Information submitted is subject to verification through computer matching programs with other agencies. RESPONDENT BURDEN We need this information to determine eligibility for payment of accrued benefits under 38 U.S.C. 5121. Title 38 United States Code allows us to ask for this information. We estimate that you will need an average of 30 minutes to review the instructions find the information and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at http www.

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