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VA Form 21P-534EZ — Apply for DIC, Survivors Pension or accrued benefits

Apply as a surviving spouse or child for applicable Dependency and Indemnity Compensation, Survivors Pension or accrued benefits.

Use the current official form

Revision: August 2025.

These benefits have different eligibility and evidence requirements. Follow the appropriate sections of the official form; this is not the application for Parents’ DIC.

Submission instructions

Mail — DIC, Survivors Pension or accrued benefits

Completed VA Form 21P-534EZ and supporting evidence, as directed on page 7 of the August 2025 PDF.

Department of Veterans Affairs
Pension Intake Center
PO Box 5365
Janesville, WI 53547-5365

Official references

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