VA.gov | Veterans Affairs (2024)

VA » Veterans Benefits Administration » Life Insurance » Forms and Downloads

Forms and Downloads

Download all VA life insurance program forms on this page:

  • Download SGLI Forms
  • Download Family SGLI Forms
  • Download VGLI Forms
  • Download TSGLI Form or Conversion Information
  • Download Life Insurance Forms for Service-Disabled Veterans (VALife and VMLI)
  • Download All Other VA Life Insurance Forms

For other (non-Insurance) Veterans Benefits forms, please use the VA Forms Page.

Note: Servicemembers' and Veterans' Group Life Insurance forms are created by the Office of Servicemembers' Group Life Insurance, which administers these programs for the Department of Veterans Affairs, and are made available on this web site as a courtesy to Servicemembers and Veterans. The forms provided on this page, although reviewed by VA, are not VA forms.

Downloading, Viewing, Filling Out and Printing Forms

View a Form

Left-click on the form title to view the form in your browser.

Save a Form

Right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu.

Filling Out a Form

Many of our forms can be filled out using the Adobe Acrobat Reader. You may fill out the form online or download the form to your hard drive and fill it out from there.

Printing a Form

The form can then be printed out with your entries already completed.

Note: When printing out forms that you have filled out online, you must choose "Print As Image" in the print dialog window.

Servicemembers' Group Life Insurance (SGLI) Forms

FormDescription
SGLI Online Enrollment System (SOES)
(under the Benefits Tab, click Life Insurance SOES - SGLI Online Enrollment System.)

If you are in any uniformed service…

and you have full-time SGLI coverage; use the SGLI Online Enrollment System (SOES) to:

  • reduce or decline SGLI coverage
  • designate or update the beneficiary on a SGLI policy
  • restore or increase SGLI coverage when it has previously been reduced or declined

If you cannotaccess to SOES or have part time coverage…

use SGLV 8286to:

  • reduce or decline SGLI coverage
  • designate or update the beneficiary on a SGLI policy
  • restore or increase SGLI coverage when it has previously been reduced or declined
SGLV 8286S Servicemembers' Group Life InsuranceSupplemental SGLI Beneficiary Form

If you cannot access SOES or have part time coverage…

use this form as a continuation to SGLV 8286 to designate additional SGLI beneficiaries.

SGLV 8283 Claim for Death Benefits (SGLI/VGLI)Use this form to claim SGLI or VGLI proceeds for a deceased policyholder.
SGLV 8284 Servicemember/Veteran Accelerated Benefits Option FormUse this form to request an advance insurance payment for a Servicemember or Veteran that is terminally ill.
SGLV 8715 Application for SGLI Disability ExtensionUse this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge.

return to top

Servicemembers' Group Life Insurance Family Coverage (FSGLI) Forms

FormDescription
SGLI Online Enrollment System (SOES)
(under the Benefits Tab, click Life Insurance SOES - SGLI Online Enrollment System.)

If you are in any uniformed service…

and you have full-time SGLI coverage; use the SGLI Online Enrollment System (SOES) to:

  • reduce or decline Family SGLI coverage
  • restore or increase Family SGLI coverage when it has previously been reduced or declined
SGLV 8286A Family Coverage Election (SGLI)

If you cannot access SOES...

use SGLV 8286A to:

  • reduce or decline Family SGLI coverage
  • restore or increase Family SGLI coverage when it has previously been reduced or declined
SGLV 8284A Family Coverage Accelerated Benefits Option FormUse this form to request an advance insurance payment for a spouse that is terminally ill.
SGLV 8700 Report of Death of a Family MemberThis form is used by military casualty and personnel offices only.
SGLV 8283A Claim for Family Coverage Death Benefits (SGLI)Use this form to claim FSGLI proceeds for a deceased spouse or dependent.

return to top

Veterans' Group Life Insurance (VGLI)and ConversionForms

FormDescription
SGLV 8714 Application for Veterans' Group Life InsuranceUse this form to apply for VGLI insurance.
SGLV 8721Beneficiary Designation Form (VGLI)Use this form to designate or change the beneficiary for your VGLI policy.
SGLV 180 Application for Reinstatement of Coverage (VGLI)Use this form to reinstate a lapsed VGLI policy.
SGLV 8284 Servicemember/Veteran Accelerated Benefits Option FormUse this form to request an advance insurance payment for a Servicemember or veteran that is terminally ill.
SGLV 8283Claim for Death Benefits (SGLI/VGLI)Use this form to claim SGLI or VGLI proceeds for a deceased policyholder.
Frequently Asked Questions about Veterans' Group Life InsuranceInformation about VGLI Coverage
Frequently Asked Questions about increasing your Veterans' Group Life InsuranceInformation about increasing VGLI Coverage
How to Convert Your SGLI/FSGLI/VGLI Coverage to an Individual PolicyThis pamphlet provides information on converting SGLI, FSGLI and VGLI coverage to an individual policy. It also provides a list of commercial insurance companies that will accept a conversion.

return to top

TSGLI

FormDescription
SGLV 8600 Application for TSGLI BenefitsUse this form to apply for a TSGLI benefit.
SGLV 8600ATSGLI Appeal Request FormUse this form to appeal a denial of TSGLI benefits. Before using this form, please refer to the denial letter you received from your branch of service. Your letter will indicate whether you should utilize this form when submitting your appeal and the time frame in which you must submit your appeal.

return to top

Life Insurance Forms for Service-Disabled Veterans

FormDescription
VALife Online Application PortalUse this link to check eligibility and apply for Veterans Affairs Life Insurance (VALife).
29-10 Veterans Affairs Life Insurance Information and Premium RatesThis pamphlet gives Veterans Affairs Life Insurance (VALife) premium and program information.
29-9 Service-Disabled Veterans Insurance RH Information and Premium RatesThis pamphlet gives Service-Disabled Veterans Insurance (S-DVI) premium and plan information. Use this pamphlet when applying for S-DVI.
29-8636 Application for Veterans Mortgage Life Insurance (VMLI)Use this form to apply for Veterans Mortgage Life Insurance. You may only apply for VMLI if you have been approved for a Specially Adapted Housing Grant. (fillable)
A tool is available to calculate the premiums which would be paid under VMLI.
VMLI BrochureGeneral information about the Veterans Mortgage Life Insurance Program

return to top

All Other VA Life Insurance Forms

These forms are to be used for National Service Life Insurance only. They cannot be used for VA Compensation, VA Disability, Servicemembers' or Veterans' Group Life Insurance.

Document Upload - Did you know you can send your form to VA Life Insurance using ourDocument Uploadweb page? This is the fastest and most secure way to send your form. Follow this link to upload documents.

FormDescription
29-0152 Application for ConversionUse this form to convert all or part of your term insurance to a permanent plan of insurance.
29-0165VA MATIC Change (Changes to Bank/Checking Account)Use this form to request an automatic monthly premium deduction from your checking account. OR Use this form to update your bank account information when you are having premiums deducted from your checking account.
29-0309Direct Deposit Enrollment or Change This form is for National Service Life Insurance only. Do not use this form for VA compensation, VA disability, SGLI or VGLIUse this form to enroll in direct deposit or change your direct deposit information.
29-0975Authorization to Disclose Personal Information to a Third Party (Insurance)Use this form to authorize the disclosure of VA Life insurance information to a third party.(fillable)
29-0975e Authorization to Disclose Personal Information to a Third Party (Insurance)Use this form to authorize the disclosure of VA Life insurance information to a third party.(DocuSign)
29-336 Designation of BeneficiaryUse this form to designate or change the beneficiary for your government life insurance policy. (fillable)
29-336a
Supplemental Designation of Beneficiary
Use this form to supplement the 29-336 if you are designating more beneficiaries for your government life insurance policy than fit in either the principal or contingent beneficiary boxes. (fillable)
29-352Application for ReinstatementUse this form to reinstate your insurance policy if it has lapsed for more than 6 months. (fillable)
29-357Claim for Disability Insurance BenefitsUse this form to apply for waiver of policy premiums if you become totally disabled before your 65th birthday. (fillable)
29-541Certificate Showing Residence and Heirs of Deceased Veteran or BeneficiaryUse this form to give us information concerning the heirs of a deceased veteran or beneficiary. (fillable)
29-541e
Certificate Showing Residence and Heirs of Deceased Veteran or Beneficiary
Use this form to give us information concerning the heirs of a deceased veteran or beneficiary. (fillable)
29-888 Insurance Deduction Authorization (For Deduction-From-Benefit Payments)Use this form to request an automatic monthly premium deduction from your VA compensation check. (fillable)
29-1546Application for Cash Surrender (p1) / Application for Policy Loan (p2) use this form to surrender your VA insurance policy for its cash value or to request a loan against the cash value of your policy. (fillable)
29-1549 Application for Change of Permanent Plan (Medical)Use this form to change your plan of insurance. This form should only be used if you are requesting a plan with a lower cash value than your current policy. (fillable)
29-4125 Claim for One-Sum PaymentUse this form to claim the proceeds of a government life insurance policy.
29-4125e
Claim for One-Sum Payment
Use this form to claim the proceeds of a government life insurance policy.
29-4125a Claim for Monthly InstallmentsUse this form to request the proceeds of an NSLI policy be paid in monthly installments.

return to top

VA.gov | Veterans Affairs (2024)

FAQs

What is the most common 100% VA disability? ›

What is the most common 100% VA disability? The most common VA disability claims are awards for Tinnitus, Hearing Loss, PTSD, Lumbosacral or Cervical Strain, Paralysis of the Sciatic Nerve, Scars (General) and Limited Range of Motion for the Knee and Ankle.

When a husband dies, does the wife get his VA disability? ›

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.

What is the 70-40 rule for VA disability? ›

The VA 70/40 rule for TDIU requires veterans to have a combined disability rating of 70% or higher and at least one service-related disability rated at 40% or higher to be eligible for Total Disability based on Individual Unemployability (TDIU) benefits.

How much does the widow of a 100% disabled veteran receive? ›

If your spouse dies with a 100% disability rating, you may be entitled to Dependency and Indemnity Compensation (DIC). For 2024, the base rate of compensation for a surviving spouse is $1,612.75/month. Under certain circ*mstances, the spouse may be entitled to additional compensation.

What is the easiest disability to get from the VA? ›

What are the easiest VA disability claims to win?
  • Tinnitus. Tinnitus is characterized by hearing a humming, buzzing, hissing, or clicking in the ears when no external sound is present. ...
  • Musculoskeletal Conditions. ...
  • Mental Health Conditions. ...
  • Scars. ...
  • Presumptive Disorders. ...
  • Do You Need to Speak With a Veterans Benefits Lawyer?

What is the 5 year rule for VA disability? ›

The VA disability 5 year rule allows the VA to ex-examine your VA disability rating within 5 years of your initial examination if your condition is expected to improve over time. However, the VA may still change your disability rating past the 5-year deadline if your condition has significantly improved.

What conditions automatically qualify you for VA disability? ›

What conditions are covered by these benefits?
  • Chronic (long-lasting) back pain resulting in a current diagnosed back disability.
  • Breathing problems resulting from a current lung condition or lung disease.
  • Severe hearing loss.
  • Scar tissue.
  • Loss of range of motion (problems moving your body)
  • Ulcers.
Aug 15, 2023

How much will the VA pay my wife to be my caregiver? ›

Spouses, unfortunately, cannot be paid to provide care, as their income is also considered when calculating a veteran's pension amount. However, other relatives, such as adult children, nieces and nephews, and grandchildren, can be paid to be caregivers.

Who pays for the funeral when a veteran dies? ›

Under the current regulations, VA pays for burial and funeral expenses on a reimbursem*nt basis, which requires survivors to submit receipts for relatively small one-time payments that VA generally pays at the maximum amount permitted by law.

When a veteran dies, is there a death benefit? ›

The Department of Veterans Affairs (VA) pays a benefit called Dependency and Indemnity Compensation (DIC) to your surviving spouse and dependent children if you die of service-connected causes.

What is the easiest way to get 100% VA disability? ›

The most direct and easiest way to get 100 VA disability is to have one service-connected disability that is 100 percent disabling. Examples of injuries that can qualify you for a 100 percent disability rating by themselves include the total loss of use of both feet, or of both hands, or of one hand and one foot.

What is the difference between 100 and 100 P&T? ›

The primary difference between a 100% rating and a 100% P&T rating lies in the permanence and security of the benefits.

What is the number one disability among veterans? ›

Tinnitus is among the most common service-connected disabilities. It manifests as a persistent ringing, buzzing, or other noise in the ears, not caused by external sounds. Veterans often report it following exposure to loud noises during service.

What are the three new VA presumptive conditions? ›

VA extends presumptions of service connection for three new cancer types
  • Male breast cancer.
  • Urethral cancer.
  • Cancer of the paraurethral glands.
Jun 14, 2024

Top Articles
WotLK Classic Frost Mage Spec, Builds, Talents, and Glyphs
World of Warcraft: The War Within's Best Hero Talents
My Arkansas Copa
It's Official: Sabrina Carpenter's Bangs Are Taking Over TikTok
Couchtuner The Office
Valley Fair Tickets Costco
My Vidant Chart
Locate Td Bank Near Me
Find your energy supplier
Shariraye Update
How Much Is Tj Maxx Starting Pay
Truck Toppers For Sale Craigslist
Classic Lotto Payout Calculator
The Largest Banks - ​​How to Transfer Money With Only Card Number and CVV (2024)
Blackwolf Run Pro Shop
Invert Clipping Mask Illustrator
Spider-Man: Across The Spider-Verse Showtimes Near Marcus Bay Park Cinema
Csi Tv Series Wiki
Watch The Lovely Bones Online Free 123Movies
Arre St Wv Srj
Glenda Mitchell Law Firm: Law Firm Profile
Amortization Calculator
THE FINALS Best Settings and Options Guide
Sadie Sink Reveals She Struggles With Imposter Syndrome
Craiglist.nj
The Boogeyman (Film, 2023) - MovieMeter.nl
Restaurants In Shelby Montana
130Nm In Ft Lbs
TJ Maxx‘s Top 12 Competitors: An Expert Analysis - Marketing Scoop
Kiddie Jungle Parma
Everything You Need to Know About Ñ in Spanish | FluentU Spanish Blog
Jt Closeout World Rushville Indiana
Ucm Black Board
Tamilrockers Movies 2023 Download
Lichen - 1.17.0 - Gemsbok! Antler Windchimes! Shoji Screens!
Wednesday Morning Gifs
Kvoa Tv Schedule
Hotels Near New Life Plastic Surgery
Shoreone Insurance A.m. Best Rating
Lovein Funeral Obits
Barstool Sports Gif
Walmart Pharmacy Hours: What Time Does The Pharmacy Open and Close?
Kent And Pelczar Obituaries
Wolf Of Wallstreet 123 Movies
Joy Taylor Nip Slip
Runescape Death Guard
About us | DELTA Fiber
Is TinyZone TV Safe?
R Detroit Lions
Aaca Not Mine
Buildapc Deals
Latest Posts
Article information

Author: Maia Crooks Jr

Last Updated:

Views: 6642

Rating: 4.2 / 5 (43 voted)

Reviews: 90% of readers found this page helpful

Author information

Name: Maia Crooks Jr

Birthday: 1997-09-21

Address: 93119 Joseph Street, Peggyfurt, NC 11582

Phone: +2983088926881

Job: Principal Design Liaison

Hobby: Web surfing, Skiing, role-playing games, Sketching, Polo, Sewing, Genealogy

Introduction: My name is Maia Crooks Jr, I am a homely, joyous, shiny, successful, hilarious, thoughtful, joyous person who loves writing and wants to share my knowledge and understanding with you.