VA 21-0819 2018-2024 free printable template

VA Form 21-0819 is a form issued by the Department of Veterans Affairs (VA) in the United States. The form is titled "Application for Counseling to Prevent Homelessness" and is used by individuals who are at risk of becoming homeless to apply for counseling services through the VA. This form helps the VA assess the applicant's eligibility and need for assistance to prevent homelessness and offers counseling and support services accordingly.

VA Form 21-0819, which is also known as the Application for Accrued Amounts Due a Deceased Beneficiary, is required to be filed by the surviving spouse or child of a deceased veteran in order to claim benefits that were accrued but not yet paid to the deceased veteran before their death.

To fill out VA Form 21-0819, you will need to provide specific information regarding your request for a professional certification or education benefit. Here are the steps to complete the form correctly: 1. Section I: Personal Information - Fill in your full name, Social Security Number (SSN), and contact information. 2. Section II: Veteran and Service Information - Provide your branch of service and dates of active duty. 3. Section III: Benefit Information - Indicate the type of benefit you are claiming by checking the appropriate box (e.g., Post-9/11 GI Bill, Montgomery GI Bill, etc.). - Enter the specific information related to your requested certification or education program, such as the school name, program/course title, start/end dates, and anticipated completion date. 4. Section IV: Reason for Submittal - Explain why you are submitting this form, such as applying for a specific professional certification or requesting a change in educational benefits. 5. Section V: Certifying Official Information - Provide the contact information for the certifying official who can verify your eligibility for the requested certification or benefit. 6. Section VI: Veteran's Statement - Read the statement carefully and sign and date at the bottom to certify the accuracy of the provided information. 7. Section VII: Certifying Official's Statement - This section must be completed and signed by the authorized certifying official who can verify your eligibility. 8. Section VIII: School's Representative Statements - If applicable, this section must be completed by a representative of the school or training establishment. 9. Section IX: Remarks - Use this section to provide any additional information or notes relevant to your request. 10. Section X: Privacy Act Statement - Read the privacy act statement carefully and sign and date the form to authorize the release of your information to properly evaluate your eligibility for the requested benefit. Remember to review and double-check the form for accuracy before submission.

The purpose of VA Form 21-0819 is to provide the Department of Veterans Affairs (VA) with information about a veteran or service member's employment history. This form is used specifically for individuals who are seeking disability benefits and are unable to obtain employment due to their service-connected disabilities. It helps the VA assess the impact of the disabilities on the individual's ability to work and determine their eligibility for disability benefits.

VA Form 21-0819, Application for Accrued Amounts Due a Deceased Beneficiary, is used to notify the Department of Veterans Affairs (VA) of the death of a beneficiary so that any accrued benefits can be claimed by the eligible survivors. The information that must be reported on this form includes: 1. Deceased Beneficiary Information: - Full name of the deceased beneficiary - Social Security Number of the deceased beneficiary - Date of death of the beneficiary - Relationship to the deceased beneficiary (e.g., surviving spouse, child, dependent parent) 2. Reporting Individual Information: - Full name of the person completing the form - Mailing address - Contact telephone number - Relationship to the deceased beneficiary 3. Beneficiary Identification: - Full name of the beneficiary who is entitled to the accrued benefits - Social Security Number of the beneficiary - If the beneficiary is a minor, the name and contact information of their guardian 4. Direct Deposit Information (optional): - Bank name - Bank routing number - Bank account number - Type of account (checking or savings) 5. Documentation: - A copy of the death certificate of the deceased beneficiary It is important to ensure that all the required information is accurately completed and any supporting documents, such as the death certificate, are included when submitting VA Form 21-0819.

There is no specific penalty mentioned for the late filing of VA Form 21-0819. However, it is generally advised to file any necessary forms within the given timeframe or as soon as possible to avoid any potential complications or delays in processing your claim. It is always best to contact the Department of Veterans Affairs directly for any specific information regarding penalties or consequences for late filings.

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