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PERIODS OF TIME AND PLACES WHERE THE VETERAN AND THE CLAIMANT HAD/HAVE LIVED TOGETHER BEGINNING DATE VA FORM JUN 2011 21-4171 ENDING DATE CITY OR TOWN EXISTING STOCKS OF VA FORM 21-4171 NOV 2004 WILL BE USED. OMB Control No* 2900-0115 Respondent Burden 20 Minutes VA DATE STAMP DO NOT WRITE IN THIS SPACE SUPPORTING STATEMENT REGARDING MARRIAGE Privacy Act Notice VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of...

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How to fill out 21p 4171 form

How to fill out VA Form 21P-4171:

01

Gather all necessary information: Before starting to fill out VA Form 21P-4171, make sure you have all the required information readily available. This may include personal details, such as your full name, Social Security number, and contact information, as well as any relevant documentation, such as medical records or employment history.

02

Download or obtain the form: You can obtain VA Form 21P-4171 from the official website of the U.S. Department of Veterans Affairs (VA) or by visiting a VA regional office. Make sure to obtain the most recent version of the form to ensure accuracy.

03

Read the instructions: Carefully read the instructions provided with the form. These instructions will guide you on how to complete each section correctly and provide any additional information you may need. Make sure to thoroughly understand each instruction before proceeding.

04

Start filling out the form: Begin by providing your personal information, such as your name, Social Security number, and contact information. Follow the guidelines and instructions for each section, providing accurate and detailed information.

05

Provide supporting documentation: Depending on the specific purpose of VA Form 21P-4171, it may require you to attach supporting documentation. This could include medical records, employment records, or any other relevant paperwork. Ensure that you have all the necessary documents before submitting the form.

Who needs VA Form 21P-4171:

01

Veterans applying for or receiving VA benefits: VA Form 21P-4171 is primarily used by veterans who are applying for or receiving various benefits from the VA. These benefits may include disability compensation, pension, or other forms of assistance.

02

Dependents of veterans: In some cases, dependents of veterans, such as spouses, children, or parents, may also need to fill out VA Form 21P-4171 to apply for specific benefits or address certain matters concerning their eligibility.

03

Representatives or attorneys assisting veterans: In situations where a representative or attorney is assisting a veteran with their VA benefits application or appeal, they may also need to complete VA Form 21P-4171 to provide their contact information and authorization to represent the veteran.

Please note that the specific requirements for VA Form 21P-4171 may vary depending on individual circumstances and the purpose of the form. It is always advisable to consult the instructions provided with the form or seek assistance from the VA if you have any doubts or questions.

Video instructions and help with filling out and completing 21p 4171

Instructions and Help about 21p 4171 form

Hi those of you that have been following the veterans' law blog for a while know that I hate VA form 21 – 41:38 this particular form in the VA inventory is so useless that I have yet to come up with a viable use for this form plus I really truly believe that it slows down your VA claim so want to speed up your VA claim here's what I say don't use VA form 21 – 41:38 my name is Chris added witveteransns'NS law block though I'm an accredited VA attorney, and I've been working with veterans battling the VA for eight years this video is not legal advice this video like all the content on the veteran's law blog is meant to be educational only to teach you what I have learned these last eight years so that you can take back the power in your VA claim or appeal so pop on over to the veteran's law blog thousands of blog posts on VA claims and Appeals topics close to a dozen downloadable e-books and a couple dozen training videos on navigating the VA claims process so stop over to veteran's law blog org today let's get into the meat of today's video blog topic the VA form 21 – 41:38 this forum the VA forum 21:41 30 is the most overused and useless VA for what's more is that there is a better form that you can use that will not only improve your chances of winning your VA claim or appeal, but it will also speed up your claim or appeal, and I'll get into that in just a minute first let's talk a little more about this VA form the 21 – 41:38 I hate it with a passion almost as much as I hate the Boston Red Sox sorry Boston vets I'm a Yankee fan veterans tell me that they use this form all the time though I see him use any time after time see file after seat ball I've reviewed that reviewed thousands of veterans claims files and I see VA form 21 – 41:3everyonehesoloso you might ask why does an attorney hate a form the veterans use all the time and their VA claims it appeals well it's simple and here's the reason the VA form 21 – 41:38 is not only one of the least helpful forms in the entire VA claims form library, but it also has real power to create real problems in a veterans claim or appeal for disability benefits so in today's video I'm going to talk to you about that form I'm going to tell you some of the reasons that I no longer use VA form 21 41:38 and most important I'm going to give you a much more powerful tool that you can use instead so let's dive into it what is VA for 21 – 41:38 this form is titled the statement in support of claim and at its most basic level it's the VA form for a blank sheet of paper here's a copy of a VA form 21 – 41:38 coming up on your screen right now, so you can remember what it looks like in all my years of representing veterans I've reviewed hundreds if not thousands of VA claims files and in those reviews I have seen veterans use VA form 21 – 41 38 in a number of ways I've seen you guys use it to request an update on your claim status I've seen it you use it to submit stories and information that the veteran might think...

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What is va form 21p 4171?

VA Form 21P-4171, "reimbursement of burial and funeral expenses," is a form used by the U.S. Department of Veterans Affairs (VA) to reimburse expenses for the funeral and burial of a deceased veteran. This form can be used to claim reimbursement for expenses such as funeral and burial expenses, interment fees, cremation fees, and other related expenses.

Who is required to file va form 21p 4171?

VA Form 21-4171 is a form used by veterans who are applying for disability benefits from the Department of Veterans Affairs (VA). It is completed by the veteran and must be signed and dated by the veteran or a representative of the veteran.

What is the purpose of va form 21p 4171?

The purpose of VA Form 21P-4171 is to apply for Dependency and Indemnity Compensation (DIC) or Death Pension benefits from the Department of Veterans Affairs (VA). DIC benefits are provided to eligible surviving spouses, children, and parents of deceased veterans who died as a result of a service-connected disability or while on active duty. Death Pension benefits, on the other hand, are provided to eligible surviving spouses and dependent children of deceased wartime veterans with low income. This form is used to gather information about the applicant and their deceased veteran in order to determine eligibility for these benefits.

How to fill out va form 21p 4171?

To fill out VA Form 21P-4171, you should follow these steps: 1. Start by providing your personal information in Section I. This includes your name, social security number, contact information, and veteran's file number (if applicable). 2. In Section II, indicate whether you are the claimant, the veteran, or someone else acting on behalf of the claimant. If you are not the claimant, provide your relationship to the claimant. 3. Section III requires you to provide details about the claimant, including their social security number, birth date, address, and relationship status. If the claimant is deceased, provide information about their surviving spouse or children. 4. Moving on to Section IV, you should indicate the type of claim you are filing for. It could be for increased compensation, unemployability, or pension. Check the appropriate box and provide additional information as necessary. 5. In Section V, provide details about the claimant's income, assets, and expenses. This information is crucial for determining eligibility for pension benefits. Include any additional documents to support your claim, such as bank statements or tax returns. 6. Section VI pertains to medical expenses. Provide information about the claimant's medical conditions, treatments, and medications. If there are any medical expenses, include them and provide supporting documentation. 7. Next, indicate the claimant's employment history, education, and training in Section VII. This information helps the VA assess the claimant's ability to work and earn an income. 8. In Section VIII, provide information about the claimant's prior claims, ratings, and benefits they currently receive. Include any supporting documents or related correspondence. 9. If you need assistance completing the form or appointing a representative, provide that information in Section IX. 10. Finally, sign and date the form in Section X, and have a witness do the same. Remember to carefully review the form and ensure all required fields are completed accurately. Include any supporting documentation necessary to strengthen your claim. It's recommended to consult with a Veterans Service Organization or an accredited attorney to ensure you complete the form correctly.

What information must be reported on va form 21p 4171?

The VA Form 21P-4171 is used to collect information regarding the income and assets of a veteran, spouse, or dependent child in order to determine eligibility for certain VA benefits. The following information must be reported on this form: 1. Personal Information: This includes the name, Social Security number, date of birth, and relationship to the veteran of the person completing the form. 2. General Information: This section collects information about the veteran, such as their name, VA file number, branch of service, and dates of active duty. 3. Income: A detailed report of all income received by the veteran, spouse, and dependent children. This includes wages, retirement benefits, social security benefits, interest and dividends, rental income, and any other sources of income. 4. Assets: A comprehensive list of all assets owned by the veteran, spouse, and dependent children. This includes bank accounts, stocks and bonds, real estate, vehicles, and any other valuable possessions or property. 5. Expenses: Information on monthly expenses, such as rent/mortgage payments, utility bills, medical expenses, and insurance premiums. 6. Debts: The amount of any outstanding debts, such as credit card balances, loans, or child support obligations. 7. Medical Expenses: Detailed information on any out-of-pocket medical expenses for which reimbursement is being sought. 8. Legal Guardianship: If applicable, information about any legal guardianship established for the veteran, spouse, or dependent child. 9. Affidavit and Certification: A declaration stating that the information provided on the form is true and accurate to the best of the person's knowledge, and that they understand the penalties for providing false information. Note: This is a general overview of the information required on the form. There may be additional sections or questions depending on the specific circumstances and benefits being applied for. It is important to carefully review the instructions provided with the form to ensure all required information is included.

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