Get Va Form 4

The VA Form 4 is an essential document for veterans or their surviving spouses to certify medical expenses for potential deductions. This guide will provide clear instructions on how to complete the form online, ensuring a smooth and efficient process.

Follow the steps to complete your VA Form 4 online.

1. Press the ‘Get Form’ button to access the VA Form 4. This will allow you to work directly on the form within your preferred online document management tool.
2. Enter the name of the claimant, which can be either the veteran or the surviving spouse. This information is critical for identifying who is submitting the form.
3. Provide the claimant's address, including the city, state, and zip code. This helps ensure correspondence regarding the claim reaches the correct location.
4. Input the name of the veteran associated with the claim and either the VA claim number or the veteran’s social security number. This information ties the financial details to the correct veteran.
5. List the recurring monthly charges for assisted living, home care, or adult day care. If applicable, include the total for both the veteran and the spouse to reflect accurate expenses.
6. Add any health insurance premiums that are part of the monthly expenses. Again, total these amounts for both the veteran and spouse if needed.
7. Subtract any reimbursements for these charges from the total monthly expenses listed. This will help you calculate your out-of-pocket monthly expenses.
8. Fill in the final section labeled ‘Monthly out-of-pocket after reimbursement’ with the calculated value. This figure is crucial for the purpose of deductions.
9. Complete the 'Claimant Certification' section by signing your name, confirming that the expenses outlined are being paid from personal household funds without reimbursement.
10. If necessary, secure one or two witness signatures. This is required only if the claimant's signature is marked, ensuring valid authentication.
11. Finally, include the date of signing. Once completed, you can save your changes, download the form, print it for personal records, or share it as required.

Complete your VA Form 4 online today to streamline your claims process and ensure you receive the deductions you deserve.