United States Department of Veterans Affairs
United States Department of Veterans Affairs

life insurance

VA Life Insurance

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.

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 autoform 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
Direct Deposit Enrollment or Change

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 autoform 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