Other VA Life Insurance
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Download 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' of Veterans' Group Life Insurance.- For Servicemembers' & Veterans Group Life Insurance Forms, use the SGLI/VGLI Forms page.
- For other (non-Insurance) Veterans Benefits forms, use the VBA Forms Page.
Downloading and Viewing Forms
The
forms on this page are in PDF format, readable with the Adobe
Reader version 6.0 and above. You can download the Adobe Reader
for free by following this link to the
Adobe Web site.
To view a form, either left-click on the form title to look at the form in your browser, or right-click on the form title and choose "Save Target As" or "Save Link As" in the sub-menu.
Filling Out and Printing Forms
Many
of our forms can be filled out using the Adobe Acrobat Reader (version
5.0 or higher). You may fill out the form online or download the
form to your hard drive and fill it out from there. 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.
Apply
for S-DVI Insurance Online Using Our New 
Application!
Now you can apply for Service-Disabled Veterans Insurance with the click of a button! Our new AutoForm application will walk you through the application step-by-step. Follow this link for more information about AutoForm.
Standard VA Life Insurance Forms
Form |
Description |
|---|---|
| 29-0152 Application for Conversion |
Use this form to convert all or part of your term insurance to a permanent plan of insurance. |
| 29-0165 VA 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 form your checking account. |
| 29-0188 Application for Supplemental Service-Disabled Veterans (RH) Life Insurance |
Use this form to apply for Supplemental Service-Disabled Veterans Insurance. You must have been approved for waiver of premiums on Service-Disabled Veterans Insurance to be eligible for Supplemental Insurance (fillable) |
29-0309 This form is for National Service Life Insurance only. Do not use this form for VA compensation, VA disability, SGLI or VGLI |
Use this form to enroll in direct deposit or change your direct deposit information. |
| 29-336 Designation of Beneficiary |
Use this form to designate or change the beneficiary for your government life insurance policy. (fillable) |
| 29-352 Application for Reinstatement |
Use this form to reinstate your insurance policy if it has lapsed for more than 6 months. (fillable) |
| 29-353 Application for Reinstatement (Non-medical, Comparative Health) |
Use this
form to reinstate your insurance policy if it has lapsed
for less than 6 months. |
| 29-357 Claim for Disability Insurance Benefits |
Use this form to apply for waiver of policy premiums if you become totally disabled before your 65th birthday. (fillable) |
| 29-541 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) |
| 29-0309 Direct Deposit Enrollment/Change |
Use this form to apply for direct deposit or change your direct deposit information.(fillable) |
| 29-1546, page 1 Application for Cash Surrender Value |
Use this application to surrender your policy for it's cash value.(fillable) |
| 29-1546, page 2 Application for Policy Loan |
Use this application 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 Payment |
Use this form to claim the proceeds of a government life insurance policy. |
| 29-4125a Claim for Monthly Installments |
Use this
form to request the proceeds of an NSLI policy be paid
in monthly
installments. |
29-4364 Application for Service-Disabled Insurance(S-DVI) |
Use this
form to apply for Service-Disabled Veteran's Insurance. You
must apply for this insurance within two years from the date
VA notifies you of your new service connected disability.
OR Use to apply for S-DVI online! |
29-9 Service-Disabled Veterans Insurance RH Information and Premium Rates |
This pamphlet gives Service-Disabled Veterans Insurance premium and plan information. Use this pamphlet when applying for S-DVI. |
Veterans Mortgage Life Insurance Forms
Form |
Description |
|---|---|
| 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 Brochure | General information about the Veterans Mortgage Life Insurance Program |