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  • Va 21-4170 2024

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OMB Control No. 2900-0114 Respondent Burden: 25 Minutes Expiration Date: 8/31/2027 VA DATE STAMP (DO NOT WRITE IN THIS SPACE) STATEMENT OF MARITAL RELATIONSHIP INSTRUCTIONS: Before completing this.

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Related content

About VA Form 21-4170 | Veterans Affairs
Form name: Statement of Marital Relationship. Related to: VBA. Form revision date: August...
Learn more
Federal Register/Vol. 73, No. 35/Thursday...
Feb 21, 2008 — Abstract: VA Form 21–4170 is completed by individuals claiming to be...
Learn more
VA Form 21-4170 - Veterans Benefits Administration
IMPORTANT INFORMATION: This form is to be completed by the veteran (if living) and the...
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VA Form 21-4170 is used to gather information that is necessary to determine whether a valid common law marriage was established. The form is used by persons claiming to be common law widows/widowers of deceased veterans and by veterans and their claimed common law spouses.

The legal requirements for establishing a common law marriage vary from jurisdiction to jurisdiction. Per Burden v. Shinseki, the Department of Veterans Affairs (VA) must use the evidentiary standard of the state in which a common law marriage took place in order to determine the validity of a common law marriage.

To add a parent as a dependent, you must fill out VA Form 21-509, Statement of Dependency of Parent(s). To add a spouse from a common-law marriage as a dependent, you must fill out VA Form 21-686c, Declaration of Status of Dependents.

Virginia does not have common law marriage. No duties or obligations arise between two adults by living together in the same household unless such duties or obligation are set out by express agreement.

A: VA will recognize a common law marriage if the state in which the Veteran resides recognizes common law marriage, and the state's requirements for a common law marriage are met.

Unfortunately, your spouse cannot receive your VA disability compensation after you die. However, they may get a monthly allowance if they qualify for Dependency and Indemnity Compensation. If you lived in government housing, VA might also allow them to stay in residence for up to a year.

When to use this form. Use VA Form 21-10210 to submit a formal statement to support your VA claim—or the claim of another Veteran or eligible family member. People also sometimes call this statement a “buddy statement.”

VA Form 21-4170 is used to gather information that is necessary to determine whether a valid common law marriage was established.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232