Completed VA Form 21P-534a for a qualifying in-service death, as printed in its August 2025 PDF; coordinate with the casualty assistance officer.
Department of Veterans Affairs
Pension Intake Center
PO Box 5365
Janesville, WI 53547-5365
VA Form 21P-534a — Apply for survivor benefits after an active-duty death
Apply for applicable survivor benefits after an active-duty service member’s death with help from the military casualty assistance officer.
Use the current official form
Revision: August 2025.
For an in-service death, work with the casualty assistance officer. The August 2025 PDF prints this pension mailing address; the broader DIC page describes officer-assisted filing. Read the current form and officer instructions together.