Download SGLI and VGLI Forms (U.S. Department of Veterans Affairs)

skip to page content

United States Department of Veterans Affairs

VA Home

About VA

life insurance

Servicemembers' & Veterans' Group Life Insurance

Download SGLI and VGLI Forms

You may download SGLI and VGLI forms on this page.

For Standard VA Life Insurance or VMLI Forms, please use the VA Life Insurance Forms download page.
For other (non-Insurance) Veterans Benefits forms, please use the VBA Forms Page.

Note: Servicemembers ' and Veterans' Group Life Insurance forms are created by the Office of Servicemembers' Group Life Insurance, which administers these programs for the Department of Veterans Affairs, and are made available on this web site as a courtesy to veterans and service members. The forms provided on this page, although reviewed by VA, are not VA forms.

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. If you are having difficulty downloading a form follow this link for form solutions.

Filling Out and Printing Forms

Many of our forms can be filled out using the Adobe Acrobat Reader (version 6.0 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.

Servicemembers' Group Life Insurance/Veterans' Group Life Insurance (SGLI/VGLI) forms

Form	Description
SGL 180 Application for Reinstatement of Coverage (VGLI) updated November 2008	Use this form to reinstate a lapsed VGLI policy.
SGLV 8283 Claim for Death Benefits (SGLI/VGLI)	Use this form to claim SGLI or VGLI proceeds for a deceased policyholder.
SGLV 8283A Claim for Family Coverage Death Benefits (SGLI)	Use this form to claim FSGLI proceeds for a deceased spouse or dependent.
SGLV 8284 Servicemember/Veteran Accelerated Benefits Option Form	Use this form to request an advance insurance payment for a service member or veteran that is terminally ill.
SGLV 8284A Family Coverage Accelerated Benefits Option Form	Use this form to request an advance insurance payment for a spouse that is terminally ill.
SGLV 8285 Request for Insurance (SGLI)	Use this form to request SGLI insurance when it has previously been declined.
SGLV 8285A Request for Family Coverage for Spouse (SGLI)	Use this form to request FSGLI coverage when it has previously been declined.
SGLV 8286 Servicemembers' Group Life Insurance Election & Certificate updated December 2007	Use this form to reduce or decline SGLI coverage OR to designate or update the beneficiary on a SGLI policy.
SGLV 8286A Family Coverage Election (SGLI) updated July 2006	Use this form to reduce or decline FSGLI coverage.
SGLV 8600 Traumatic Injury Protection Certification Form updated November 2008	Use this form to certify a traumatic injury for TSGLI coverage.
SGLV 8700 Report of Death of a Family Member	This form is used by military casualty and personnel offices only.
SGLV 8714 Application for Veterans' Group Life Insurance updated October 2008	Use this form to apply for VGLI insurance.
SGLV 8715 Application for SGLI Disability Extension updated April 2007	Use this form to apply for a free extension (up to two years) of SGLI coverage if you are a totally disabled at time of discharge.
SGLV 8721 Beneficiary Designation Form (VGLI) updated February 2008	Use this form to designate or change the beneficiary for your VGLI policy.
SGL Pamphlet 74-17 Information Pamphlet for Converting SGLI to VGLI	This pamphlet gives information and step by step instructions for converting SGLI to VGLI
Participating Companies Brochure updated July 2008	This pamphlet gives a list of commercial insurance companies that will accept a SGLI, FSGLI or VGLI conversion.

Reviewed/Updated Date: December 17, 2008