Get Va 28-10212 2021-2025

Filling out the VA 28-10212 form online can streamline your request for assistance with Chapter 31 benefits. This guide will provide you with clear, step-by-step instructions to ensure your form is completed accurately and efficiently.

Follow the steps to successfully complete the VA 28-10212 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your claimant's information in Section I. This includes your full name (first, middle initial, last), VA file number, current mailing address, telephone numbers, and optional email address. Ensure all entries are clear and legible.
3. In Section II, indicate the assistance you are requesting by selecting one of the options provided, such as withdrawing your application for Chapter 31 benefits or requesting supplies or equipment.
4. Use Section III to supply additional information needed to process your request. Clearly explain the reason for your assistance request in the remarks field.
5. In Section IV, certify the accuracy of your information by providing your signature and the date signed. Note that electronic signatures are accepted during the COVID-19 pandemic.
6. Review your completed form carefully to ensure all information is accurate and complete before proceeding to the next step.
7. Finally, save your changes, download, print, or share the form as needed to submit your request.

Complete your VA 28-10212 form online today for a seamless application process.