LexisNexis® Automated Veterans Benefits Forms includes 176 forms and value-added instructions written by National Veteran's Legal Services Program (NVLSP) attorneys. New and revised forms are provided regularly.
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LexisNexis® Automated Veterans Benefits Forms includes 176 forms and value-added instructions written by National Veteran's Legal Services Program (NVLSP) attorneys. New and revised forms are provided regularly.
The repetitive typing, cutting, and pasting, and the increased chance of error that plague traditional methods of document preparation all disappear with HotDocs® document-assembly software. Simply enter case- or client-specific information once and HotDocs will insert it where relevant throughout the form. You will produce a signature-ready document in minutes. You can also save the information you have entered and use the saved answers to complete related forms. HotDocs will also compute many of the tax calculations automatically.
The latest release of Veterans Benefits Forms includes 5 new forms and 38 updated/revised forms:
NEW
VA Compensation and Pension Forms
10-8678 Application for Annual Clothing Allowance (Under 38 U.S.C. 1162)
21P-8416 Medical Expense Report Department of Defense Forms
DD 2168 Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty With the Armed Forces of the United States State Specific Forms - Texas
TVC-15a Nursing Home Statement
TVC-16 Statement of Attending Physician
REVISED
VA Compensation and Pension Forms
21-530 Application for Burial Benefits (Under 38 U.S.C. Chapter 23)
21-534 Application for Dependency and Indemnity Compensation
21-0571 Application for Exclusion of Children's Income
21-527EZ Fully Developed Claim Notice (Pension)
21-0516-1 Improved Pension Eligibility Verification Report (Veteran with No Children)
21-4138 Statement in Support of Claim
21-509 Statement of Dependency of Parent(s)
21-526 Veteran's Application for Compensation and/or Pension
21-8940 Veteran's Application for Increased Compensation Based on Unemployability Department of Defense Forms
DD 149 Application for Correction of Military Record
DD 293 Application for the Review of Discharge or Dismissal from the Armed Forces Other Department of Veterans Affairs Forms
10-10d Application for CHAMPVA Benefits
10-10CG Application for Comprehensive Assistance for Family Caregivers Program
10-10EC Application for Extended Care Services
10-10EZ Application for Health Benefits
40-1330 Application for Standard Government Headstone or Marker
21-8924 Application of Surviving Spouse or Child for Representative Benefits
21-22a Appointment of Individual as Claimant's Representative
21-22 Appointment of Veterans Service Organization as Claimant's Representative
21-0845 Authorization To Disclose Personal Information To a Third Party
21-2680 Examination for Housebound Status or Permanent Need for Regular Aid and Attendance
10-10EZR Health Benefits Renewal Form Educational Forms
22-1990t Application and Enrollment Certification for Individualized Tutorial Assistance
22-5490 Application for Survivors' and Dependents' Educational Assistance
22-1990 Application for VA Education Benefits
22-8691 Application for Work-Study Allowance
22-5495 Dependent's Request for Change of Program or Place of Training
22-1995 Request for Change of VA Education Program or Place of Training Insurance Forms
29-4364 Application for Service Disabled Insurance
29-0188 Application for Supplemental Service-Disabled Veterans Insurance (SRH) Miscellaneous Forms
DA Form 3499 Application for Relief From Court-Martial Findings and/or Sentence Under the Provisions of Title 10, United States Code, Section 869
Appendix 17-A Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims Home Loan Guaranty Forms
26-1880 Request for a Certificate of Eligibility for VA Home Loan Benefits Vocational Rehabilitation and Employment Form
28-1900 Disabled Veterans Application for Vocational Rehabilitation Standard Forms
SF 180 Request Pertaining to Military Records State Specific Forms - California
SPB 1093 Civil Service Preference State Specific Forms - New York
NY Form CC-APP Application for New York State Civil Service Examination State Specific Forms - Texas
Texas Form VTR-420 Application for Military Veteran License Plates
Veterans' Benefits Forms
Foreword by Ronald Abrams, National Veterans Legal Services Program
Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims (App17-A) (Word)
Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims (App17-A) (WordPerfect)
VA Compensation and Pension Forms
Veteran's Supplemental Claim (21-256b)
Application for Annual Clothing Allowance (Under 38 U.S.C. 1162) (10-8678)
Application for Annual Clothing Allowance (Under 38 U.S.C. 1162) (10-8678) (Instructions)
Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502)
Application for Automobile or Other Conveyance and Adaptive Equipment (21-4502) (Instructions)
Application for Benefits for Certain Children with Disabilities Born of Vietnam Veterans (21-0304)
Application for Benefits for Certain Children with Disab. Born of Vietnam Vets. (21-0304) (Instructions)
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21-530)
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (21-530) (Instructions)
Application for Dependency and Indemnity Compensation (21-534)
Application for Dependency and Indemnity Compensation (21-534) (Instructions)
Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (21-534a)
Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (Instructions)
Application for Dependency and Indemnity Compensation by Parent(s) (21-535)
Application for Dependency and Indemnity Compensation by Parent(s) (21-535) (Instructions)
Application for Exclusion of Children?s Income (21-0571)
Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601)
Application for Reimbursement from Accrued Amounts Due a Deceased Beneficiary (21-601) (Instructions)
Application for United States Flag for Burial Purposes (21-2008)
Application for United States Flag for Burial Purposes (21-2008) (Instructions)
Declaration of Status of Dependents (21-686c)
Election of Comp in Lieu of Retired Pay or Waiver of Retirement Pay to Secure Comp from VA (21-651)
Eligibility Verification Report (21-0510) (Instructions)
Fully Developed Claim Notice (Pension) (21-527EZ)
Improved Pension Eligibility Verification Report (Child or Children) (21-0519c-1)
Improved Pension Eligibility Verification Report (Surviving Spouse with Children) (21-0519s-1)
Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) (21-0518-1)
Improved Pension Eligibility Verification Report (Veteran with Children) (21-0517-1)
Improved Pension Eligibility Verification Report (Veteran with No Children) (21-0516-1)
Income-Net Worth and Employment Status Statement (21-527)
Income-Net Worth and Employment Status Statement (21-527) (Instructions)
Information Regarding Apportionment of Beneficiary?s Award (21-0788)
Medical Expense Report (21P-8416)
Old Law and Section 306 Eligibility Verification Report (Children Only) (21-0513-1)
Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) (21-0512s-1)
Old Law and Section 306 Eligibility Verification Report (Veteran) (21-0512v-1)
Old Law Eligibility Verification Report (Surviving Spouse) (21-0511s-1)
Old Law Eligibility Verification Report (Veteran) (21-0511v-1)
Parent?s DIC Eligibility Verification Report (21-0514-1)
Report of Income from Property or Business (21-4185)
Request for Approval of School Attendance (21-674)
Request for Approval of School Attendance (21-674) (Instructions)
Request for Details of Expenses (21-8049)
Request for Employment Information in Connection with Claim for Disability Benefits (21-4192)
Request for Nursing Home Information in Connection with Claim for Aid and Attendance (21-0779)
School Attendance Report (21-674b)
Social Security Administration Application For Survivors Benefits (21-534b)
Social Security Administration Application For Survivors Benefits (21-534b) (Instructions)
Statement in Support of Claim (21-4138)
Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (21-0781)
Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (21-0781a)
Statement of Dependency of Parent(s) (21-509)
Statement of Dependency of Parent(s) (21-509) (Instructions)
Statement of Person Claiming to Have Stood in Relation of Parent (21-524)
Veteran's Application for Compensation and/or Pension, Part A: General Information (21-526)
Veteran's Application for Compensation and/or Pension, Part B: Compensation (21-526)
Veteran's Application for Compensation and/or Pension, Part C: Dependency (21-526)
Veteran's Application for Compensation and/or Pension, Part D: Pension (21-526)
Veteran's Application for Compensation and/or Pension (21-526) (Instructions)
Veteran's Application for Increased Compensation Based on Unemployability (21-8940)
Department of Defense Forms
Application for Correction of Military Record (DD 149)
Application for Discharge of Member or Survivor of Member of Group Certified to Have Performed Active Duty With the Armed Forces of the United States (DD 2168)
Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293)
Application for the Review of Discharge or Dismissal from the Armed Forces (DD 293) (Instructions)
Claim for Combat-Related Special Compensation (CRSC) (DD 2860)
Claim for Combat-Related Special Compensation (CRSC) (DD 2860) (Instructions)
Request for Medical/Dental Records or Information (DD 877)
Request for Medical/Dental Records From the National Personnel Records Center (NPRC)(DD 877-1)
Other Department of Veterans Affairs Forms
Authorization To Disclose Personal Information To a Third Party (21-0845)
Appeal to Board of Veterans' Appeals (9)
Appeal to Board of Veterans' Appeals (9) (Instructions)
Application for Accreditation as a Claims Agent (VA-21A)
Application for Accreditation as a Veterans Organization Representative (VA Form 21)
Application for Adaptive Equipment Motor Vehicle (10-1394)
Application for CHAMPVA Benefits (10-10d)
Application for CHAMPVA Benefits (10-10d) (Instructions)
Application for Comprehensive Assistance for Family Caregivers Program (10-10CG)
Application for Extended Care Services (10-10EC)
Application for Extended Care Services (10-10EC) (Instructions)
Application for Health Benefits (10-10EZ)
Application for Health Benefits (10-10EZ) (Instructions)
Application for Standard Government Headstone or Marker (40-1330)
Application for Standard Government Headstone or Marker (40-1330) (General Information Sheet)
Application for Survivors Benefits (SSA-24)
Application For Survivors Benefits (SSA-24) (Instructions)
Application of Surviving Spouse or Child for Representative Benefits (21-8924)
Appointment of Individual as Claimant's Representative (21-22a)
Appointment of Veterans Service Organization as Claimant's Representative (21-22)
Appointment of Veterans Service Organization as Claimant's Representative (21-22) (Instructions)
Authorization and Consent to Release Information to the Department of Veterans Affairs (21-4142)
Authorization to Disclose a Record in the Presence of a Third Party (VA Form 5571)
Authorization to Disclose Personal Information to a Third Party (21-0845)
CHAMPVA Other Health Insurance (OHI) Certification (10-7959C)
CHAMPVA Other Health Insurance (OHI) Certification (10-7959C) (Instructions)
Claim for Payment of Cost of Unauthorized Medical Services (10-583)
Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (21-2680)
Financial Status Report (5655)
Foreign Medical Program (FMP) Registration Form (10-7959f-1)
Health Benefits Renewal Form (10-10EZR)
Health Benefits Renewal Form (10-10EZR) (Instructions)
Radiation Risk Activity Information Sheet
Rehabilitation Plan (28-8872)
Rehabilitation Plan--Continuation Sheet (28-8872a)
Request for and Consent to Release of Information from Claimant's Records (3288)
Request for and Consent to Release of Medical Records Protected by 38 U.S.C. 7332 (10-5345)
Request for Substitution of Claimant Upon Death of Claimant (21-0847)
Request for Substitution of Claimant Upon Death of Claimant (21-0847) (Instructions)
Statement of Accredited Representation in Appealed Case (1-646)
Veteran's Application For Assistance in Acquiring Home Improvement and Structural Alterations
Veteran's Application in Acquiring Specially Adapted Housing or Special Home Adapt. Grant (26-4555)
Educational Forms
Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t)
Application and Enrollment Certification for Individualized Tutorial Assistance (22-1990t) (Instructions)
Application for Refund of Educational Contributions (24-5281)
Application for Survivors' and Dependents' Educational Assistance (22-5490)
Application for Survivors' and Dependents' Educational Assistance (22-5490) (Instructions)
Application for VA Education Benefits (22-1990)
Application for VA Education Benefits (22-1990) (Instructions)
Application for Work-Study Allowance (22-8691)
Application for Work-Study Allowance (22-8691) (Instructions)
Certificate of Affirmation of Enrollment Agreement--Correspondence Course (22-1999c)
Dependent's Request for Change of Program or Place of Training (22-5495)
Dependent's Request for Change of Program or Place of Training (22-5495) (Instructions)
Request for Change of VA Education Program or Place of Training (22-1995)
Request for Change of VA Education Program or Place of Training (22-1995) (Instructions)
Supplemental Information for Change of Program or Reenrollment (22-8873)
Time Record (Work-Study Program) (22-8690)
Finance Forms
Application for Assump. Approval and/or Release from Personal Liability to Gov't on a Home Loan (26-6381)
Direct Deposit Enrollment (24-0296)
Home Loan Guaranty Forms
Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880)
Request for a Certificate of Eligibility for VA Home Loan Benefits (26-1880) (Instructions)
Request for Determination of Loan Guaranty Eligibility--Unmarried Surviving Spouses (26-1817)
Insurance Forms
Service-Disabled Veterans Insurance RH Information and Premium Rates
Application for Cash Surrender Value/or Application for Policy Loan (29-1546)
Application for Service Disabled Insurance (29-4364)
Application for Supplemental Service Disabled Veterans (RH) Life Insurance (29-0189)
Application for Supplemental Service-Disabled Veterans Insurance (SRH) (29-0188)
Application for Veterans' Group Life Insurance (SGLV 8714)
Application for Veterans' Group Life Insurance (SGLV 8714) (Instructions)
Claim for Death Benefits (SGLV 8283)
Claim for Death Benefits (SGLV 8283) (Instructions)
Claim for Disability Insurance--Government Life (29-357)
Claim for One Sum Payment (29-4125)
Designation of Beneficiary Government Life Insurance (29-336)
Designation of Beneficiary Government Life Insurance (29-336) (Instructions)
Request for Change of Address/Cancellation of Direct Deposit (20-572)
Miscellaneous Forms
Application for 10-Point Veteran Preference (To be Used by Veterans and Relatives of Veterans)(SF 15)
Application for Relief From Court-Martial Findings and/or Sentence... (DA Form 3499)
Presidential Memorial Certificate Request Form (40-0247)
Veterans Benefits Manual Advocacy Checklist for Different Types of VA Claims (Appendix 17-A)
National Archives Forms
Questionnaire about Military Service (NA 13075)
Request For Information Needed To Reconstruct Medical Data (NA-13055)
Standard Forms
Claim for Damage, Injury, or Death Standard Form (SF 95)
Claim for Unpaid Compensation of Deceased member of the Uniformed Serviced (SF 1174)
Records Transmittal and Receipt (SF135)
Request Pertaining to Military Records (SF 180)
Request Pertaining to Military Records (SF 180) (Instructions)
Vocational Rehabilitation and Employment Forms
Counseling Record - Personal Information (28-1902)
Disabled Veterans Application for Vocational Rehabilitation (28-1900)
Disabled Veterans Application for Vocational Rehabilitation (28-1900) (Instructions)
Employment Questionnaire (21-4140-1)
Rehabilitation Needs Inventory (RNI) (28-1902W)
Additional Forms
Appeal Cancellation Form
Submission Cover Sheet
State Specific Forms
California
Calvet Home Loan Program - Prequalification Application Form
Civil Service Preference (SPB 1093)
Civil Service Preference (SPB 1093) (Instructions)
College Fee Waiver for Veteran's Dependents
Veterans Home Application
Veterans Home Application (Information)
Veterans' Special License Plate (Purple Heart, Medal Of Honor) (Reg 17A)
New York
Application for Alternative Veterans' Exemption From Real Property Taxation (RP-458-a)
Application for Alternative Veterans' Exemption From Real Property Taxation (RP-458-a)(Instructions)
Application for New York State Civil Service Examination (Form CC-APP)
Application for New York State Civil Service Examination (Form CC-APP) (Instructions)
Application for Veterans Exemption From Real Property Taxation (RP-458)
Application for Veterans Exemption From Real Property Taxation (RP-458) (Instructions)
Form to Register a Vehicle with Former POW or Congressional Medal of Honor Plates (MV-1H)
Form to Register Motor Vehicle Obtained by Disabled Veteran Under Title 38 U.S.C. (MV-1E)
Form to Renew Registration of Motor Vehicle for Disabled Veteran Under Title 38 (MV-1G)
Texas
Application for "Disabled Veteran" License Plate (VTR-615)
Application for Military Veteran License Plates (VTR-420)
Nursing Home Statement (TVC-15a)
Statement of Attending Physician (TVC-16)
Texas State Veterans Home Application for Admission
Texas Veterans Housing Assistance and Home Improvement Programs, Cert of Eligibility Application
Veteran Status/Veteran's Employment Preference Form
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