Get Va 21-4170 2024-2025

The VA 21-4170, also known as the Statement of Marital Relationship, is an important document used by the Department of Veterans Affairs to determine marital status. Completing this form accurately is essential for ensuring that you receive any entitled benefits. This guide provides step-by-step instructions on filling out the form online.

Follow the steps to fill out the VA 21-4170 with ease.

1. Click 'Get Form' button to access the VA 21-4170 online, allowing you to view and fill out the form conveniently.
2. In Section I, provide the veteran's identification information, including their full name, social security number, date of birth, and contact details. Ensure all fields are filled in correctly for prompt processing.
3. In Section II, enter the spouse's identification information. This includes their full name, social security number, date of birth, and mailing address. Accuracy is crucial here as it relates directly to the claim.
4. In Section III, provide details about your marital relationship. Enter the date you began living together, any previous names, and the address where you began your marital partnership.
5. For items 11D through 13, the spouse or surviving spouse should specify name usage, relationship agreement, and any periods of separation or time spent living together.
6. In Section IV, indicate if children were born to the relationship. If applicable, provide their full names and places of birth.
7. Section V requires information about all marriages of both the veteran and the spouse or surviving spouse. Fill in dates, places, reasons for marriages, or separations as applicable.
8. In the final sections, including Section VI for remarks and Section VII for certification and signatures, make sure to read carefully and sign the necessary parts. Witnesses must also sign if the document is marked with an 'X'.
9. After filling out all necessary sections, review the form for accuracy. Users can then save changes, download, print, or share the completed form as needed.

Take the next steps in applying for your benefits by completing the VA 21-4170 online today.