File a pre-need claim NOW even if burial is not imminent — it speeds up the process at time of need

VA provides a headstone or marker, burial flag, and Presidential Memorial Certificate at no cost

Spouses and dependent children may also be eligible for burial in a VA national cemetery

Veterans AffairsmoderateDoctor signature required

VA HISA Grant Application

VA 10-0103 · VA

Application for Home Improvements and Structural Alterations grant. Up to $6,800 for service-connected and $2,000 for non-service-connected disabilities.

Form Details

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Where to Submit This Form

📬

Mail to the National Cemetery you prefer

https://www.va.gov/find-locations/?facilityType=cemetery

Contact the cemetery directly for mailing address.

🏢

In person at a VA National Cemetery

https://www.va.gov/find-locations/?facilityType=cemetery

📠

Fax to the National Cemetery Scheduling Office

Fax: 866-900-6417

Required Attachments

📎 DD-214 or discharge documents (or equivalent for reservists/guard)
📎 Death certificate (if pre-planning for recently deceased veteran)
📎 Marriage certificate (if requesting spousal burial benefits)

Processing Time

Pre-need eligibility: 2-4 weeks. At time of need: typically arranged within 24-48 hours.

What Happens Next

VA will issue a pre-need eligibility determination letter. At time of need, the funeral home or family can schedule burial by contacting the cemetery.

Tips for This Form

✓ File a pre-need claim NOW even if burial is not imminent — it speeds up the process at time of need
✓ VA provides a headstone or marker, burial flag, and Presidential Memorial Certificate at no cost
✓ Spouses and dependent children may also be eligible for burial in a VA national cemetery

More Veterans Affairs Forms

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VA 10-10EZ · VA

Application for VA health benefits. Requires military service history, current insurance, income/assets, and toxic exposure history.

VA Health Benefits Update

VA 10-10EZR · VA

Health Benefits Update Form for veterans already enrolled in VA health care who need to update personal, insurance, financial, or military service information.

VA Disability Compensation Application

VA 21-526EZ · VA

Application for disability compensation and related benefits for service-connected conditions. Requires linking conditions to military service.

Intent to File a Claim

VA 21-0966 · VA

Preserves the effective date for a VA benefits claim while gathering evidence. Provides 1 year to submit the formal claim.

Authorization to Release Information to VA

VA 21-4142 · VA

Authorization and consent allowing VA to obtain private medical records from non-VA providers for disability claim adjudication.

General Release for Medical Provider Information

VA 21-4142a · VA

Companion form to 21-4142 allowing specific medical professionals to release records to VA for claim processing.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the VA or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.