## Chapter 8. Reference Information

#### 1. VA Forms

+------------+---------------------------------------------------------+
| ##### In   | > This topic contains information VA forms, including   |
| troduction |                                                         |
|            | -   the web site for government forms, and              |
|            |                                                         |
|            | -   the recommended forms for stocking.                 |
+------------+---------------------------------------------------------+

+------------+---------------------------------------------------------+
| ##### C    | > December 17, 2008                                     |
| hange Date |                                                         |
+------------+---------------------------------------------------------+

+------------+---------------------------------------------------------+
| ##### a.   | > Most of the forms listed in this topic can be         |
|  Web Site  | > retrieved and printed from the following web site:    |
| for Govern | > <http://www.va.gov/vaforms>.                          |
| ment Forms | >                                                       |
|            | > Those forms that cannot be found on the web site may  |
|            | > be procured from normal stocking points.              |
+------------+---------------------------------------------------------+

+-----------+----------------------------------------------------------+
| ###       | > The following forms are recommended for stocking:      |
| ## b. Rec |                                                          |
| ommended  |                                                          |
| Forms for |                                                          |
|  Stocking |                                                          |
+-----------+----------------------------------------------------------+

  ------------------ ---------------------------------------------- -------------
  **Form Number**    **Form Name**                                  **Revision
                                                                    Date**

  **Veterans Health                                                 
  Administration**                                                  

  10-10D             *Application for CHAMPVA Benefits*             06/2005

  10-10EZ            *Application for Health Benefits*              07/2008

  10-1394            *Application for Adaptive Equipment -- Motor   02/2007
                     Vehicle*                                       

  10-8678            *Application for Annual Clothing Allowance*    07/2006
  ------------------ ---------------------------------------------- -------------

Continued on next page

1\. VA Forms, Continued

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  b\. Recommended Forms for Stocking (continued)

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  ---------------- ---------------------------------------------- -------------
  Veterans                                                        
  Benefits                                                        
  Administration                                                  

  20-572           *Request for Change of Address/ Cancellation   03/1996
                   of Direct Deposit*                             

  **Compensation                                                  
  and Pension**                                                   

  21-22            *Appointment of Veterans Service Organization  11/2005
                   as Claimant's Representative*                  

  21-22a           *Appointment of Individual as Claimant's       05/2007
                   Representative*                                

  21-526           *Veteran's Application for Compensation or     01/2004
                   Pension*                                       

  21-527           *Income Net Worth and Employment Statement*    06/2004

  21-530           *Application for Burial Benefits*              06/2002

  21-534           *Application for Dependency and Indemnity      06/2005
                   Compensation Death Pension and Accrued         
                   Benefits by Surviving Spouse*                  

  21-535           *Application for Dependency and Indemnity      04/2005
                   Compensation by Parent(s) (Including Accrued   
                   Benefits & Death Compensation)*                

  21-601           *Application for Reimbursement From Accrued    05/2005
                   Amounts Due a Deceased Beneficiary*            

  21-674           *Request for Approval of School Attendance*    07/2005

  21-686c          *Declaration of Status of Dependents*          11/2004

  21-0516          *Improved Pension Eligibility Verification     06/2004
                   Report Veterans with Spouse*                   

  21-0516-1        *Improved Pension Eligibility Verification     06/2004
                   Report Veterans with No Children*              

  21-0517          *Improved Pension Eligibility Verification     06/2004
                   Report Veterans with Children*                 

  21-0518          *Improved Pension Eligibility Verification     06/2004
                   Report Surviving Spouse with No Children*      

  21-0519          *Improved Pension Eligibility Verification     06/2004
                   Report Surviving Spouse with Children*         

  21-2008          *Application for U.S. Flag for Burial          09/2005
                   Purposes*                                      

  21-4138          *Statement in Support of Claim*                08/2004
  ---------------- ---------------------------------------------- -------------

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1\. VA Forms, Continued

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  b\. Recommended Forms for Stocking (continued)

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  --------------- ---------------------------------------------- -------------
  21-4142         *Authorization for Release of Information to   05/2004
                  the Department of Veterans Affairs*            

  21-4502         *Application for Automobile or Other           03/2005
                  Conveyance and Adaptive Equipment*             

  21-8416         *Request for Information Concerning            11/2004
                  Medical/Legal or Other Expenses*               

  21-8940         *Veteran's Application for Increased           10/2004
                  Compensation Based Upon Unemployment*          

  **Education**                                                  

  22-1990         *Application for Education Benefits*           02/2008

  22-1995         *Request for Change of Program or Place of     12/2005
                  Training*                                      

  22-1999         *Enrollment Certification*                     06/2004

  22-5281         *Application for Refund of Education           07/2007
                  Contributions*                                 

  22-5490         *Application for Survivors and Dependents      11/2005
                  Educational Assistance*                        

  **Loan                                                         
  Guaranty**                                                     

  26-1817         *Request for Determination of Loan Guaranty    11/2007
                  Eligibility -- Unmarried Surviving Spouses*    

  26-1880         *Request for a Certificate of Eligibility for  04/2008
                  VA Home Loan Benefits*                         

  26-4555         *Veterans Application for Acquiring Specially  10/2005
                  Adapted Housing or Special Home Adaptation     
                  Grant*                                         
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Continued on next page

1\. VA Forms, Continued

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  b\. Recommended Forms for Stocking (continued)

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  ------------------- ---------------------------------------------- -------------
  **Vocational                                                       
  Rehabilitation &                                                   
  Employment**                                                       

  28-1900             *Disabled Veterans Application for Vocational  02/2008
                      Rehabilitation*                                

  **Insurance**                                                      

  29-336              *Designation of Beneficiary Government Life    12/2005
                      Insurance*                                     

  29-357              *Claim for Disability Insurance Benefits*      04/2005

  29-1546             *Application for Cash Surrender Value or       06/2007
                      Policy Loan*                                   

  29-4125             *Claim for One Sum Payment*                    03/2008

  29-4364             *Application for Service Disabled Veterans     12/2003
                      Life Insurance*                                

  SGLV 8714           *Application for Veterans' Group Life          09/2005
                      Insurance*                                     

  SGLV 8721           *Beneficiary Designation Form*                 08/1996

  SGLV 8283           *Claim for Death Benefits*                     07/1994

  **National Cemetery                                                
  Administration**                                                   

  40-1330             *Application for Standard Government Monument* 05/2008

  **Miscellaneous**                                                  

  SF 180              *Request Pertaining to Military Records*       10/2005

  DD 149              *Application for Correction of Military or     05/2005
                      Naval Record*                                  

  DD 293              *Application for the Review of Discharge of    03/2004
                      Dismissal From the Armed Forces of the U.S.*   

  DD 1172             *Application for Uniformed Services            09/2005
                      Identification and Privilege Card*             

  IB-10-164           *A Summary of VA Benefits for National Guard   03/2004
                      and Reserve Personnel*                         
  ------------------- ---------------------------------------------- -------------

#### 2. VA Publications and Pamphlets

+------------+---------------------------------------------------------+
| ##### C    | > December 17, 2008                                     |
| hange Date |                                                         |
+------------+---------------------------------------------------------+

+------------+---------------------------------------------------------+
| ##### a    | > The following publications and pamphlets should be    |
| . Recommen | > available for distribution to visitors:               |
| ded Public |                                                         |
| ations and |                                                         |
|  Pamphlets |                                                         |
+------------+---------------------------------------------------------+

  ---------------- ---------------------------------------------- -------------
  Number           Name                                           Revision Date

  **Compensation                                                  
  and Pension**                                                   

  21-00-1          *A Summary of VA Benefits*                     04/2008

  21-03-1          *VA Benefits for Survivors*                    01/2006

  80-08-01         *Federal Benefits for Veterans and Dependents* 2008

  **Education**                                                   

  22-05-1          *Reserve Educational Assistance Program (REAP) 12/2005
                   -- Chapter 1607*                               

  22-79-1          *Summary of Educational Benefits Under the     02/2004
                   Post Vietnam Era Vet Educational Assistance    
                   Program*                                       

  22-90-2          *Summary of Educational Benefits Under the     03/2007
                   Montgomery GI Bill Active Duty Educational     
                   Assistance Program*                            

  22-90-3          *Summary of Educational Benefits Under the     01/2007
                   Montgomery GI Bill Selected Reserve            
                   Educational Assistance Program*                
  ---------------- ---------------------------------------------- -------------

Continued on next page

2\. VA Publications and Pamphlets, Continued

  -----------------------------------------------------------------------
  a\. Recommended Publications and Pamphlets (continued)

  -----------------------------------------------------------------------

  ---------------- ---------------------------------------------- -------------
  Number           Name                                           Revision Date

  **Loan                                                          
  Guaranty**                                                      

  26-4             *VA Guaranteed Home Loans for Veterans*        02/2005

  26-6             *To the Home Buying Veteran*                   12/2005

  26-71-1          *Q&A on Manufactured Home Loans for Veterans*  12/2005

  26-91-1          *A Quick Guide for Homebuyers and Real Estate  02/2005
                   Professionals*                                 

  **Vocational                                                    
  Rehabilitation &                                                
  Employment**                                                    

  28-01-1          *Vocational Rehabilitation and Employment*     07/2001

  **Insurance**                                                   

  29-9             *Service Disabled Veteran's Insurance RH       03/2006
                   Information and Premium Rates*                 

  29-14            *Information About Waiver of Premiums*         05/2002

  29-77-3          *Facts About Beneficiary and Options*          05/1990
  ---------------- ---------------------------------------------- -------------

#### 3. Web-Based References 

+------------+---------------------------------------------------------+
| ##### C    | > December 17, 2008                                     |
| hange Date |                                                         |
+------------+---------------------------------------------------------+

+------------+---------------------------------------------------------+
| #####      | > The following table provides a listing, including the |
| a. Web-Bas | > appropriate link, to web-based reference sites:       |
| ed Referen |                                                         |
| ce Listing |                                                         |
+------------+---------------------------------------------------------+

  ----------------------------------- -----------------------------------
  Title                               Link

  Compensation & Pension Service      C&P Service Intranet Home Page
  Intranet                            

  Compensation & Pension Service      M21-1 Manual Rewrite - M21-1MR Main
  Manual Rewrite (M21-1MR)            Site

  Facilities Locator and Directory    Facilities Locator Home Page -
                                      Facilities Locator & Directory

  Regional Office (ROs) Desk          Regional Office (ROs) Desk
  Reference                           References - Alphabetically

  Publications Index (References,     Publications Index (References,
  etc)                                etc.)

  Compensation & Pension Service User User Guides
  Guides                              

  Veterans Benefits Reference System  Veterans Benefits Reference System
  (VBRS)                              (VBRS)

  State Benefits Reference System     This program is located off of the
  (SBRS)                              VBAPPS menu and can be installed by
                                      your local IRM if you do not have
                                      this.

  Compensation & Pension Service,     Direct Services Web Site
  Direct Services Web Site            

  Public Contact Representatives      Public Contact Representatives
  (PCRs) Information --               (PCRs) Information - Alphabetically
  Alphabetically                      
  ----------------------------------- -----------------------------------

#### 4. Writing References

+------------+---------------------------------------------------------+
| ##### C    | > December 17, 2008                                     |
| hange Date |                                                         |
+------------+---------------------------------------------------------+

+------------+---------------------------------------------------------+
| ####       | > The following table provides a listing, including the |
| # a. Writi | > appropriate link, to web-based writing references:    |
| ng Referen |                                                         |
| ce Listing |                                                         |
+------------+---------------------------------------------------------+

+-----------------------------------+-----------------------------------+
| Title/Description                 | Link                              |
+-----------------------------------+-----------------------------------+
| Reader-Focused Writing (RFW) Web  | Reader-Focused Writing            |
| Site                              |                                   |
+-----------------------------------+-----------------------------------+
| RFW Links to Writing Aids,        | RFW Links                         |
| including:                        |                                   |
|                                   |                                   |
| -   Dictionaries                  |                                   |
|                                   |                                   |
| -   Grammar References            |                                   |
|                                   |                                   |
| -   Style Guides                  |                                   |
|                                   |                                   |
| -   Thesaurus                     |                                   |
|                                   |                                   |
| -   General Writing Guides        |                                   |
+-----------------------------------+-----------------------------------+
| VA Field Correspondence           | VA Field Correspondence           |
| Guidelines                        | Guidelines                        |
+-----------------------------------+-----------------------------------+
| GPO Style Manual                  | GPO Style Manual: Main Page       |
+-----------------------------------+-----------------------------------+
| Elements of Style                 | Strunk\'s Elements of Style       |
+-----------------------------------+-----------------------------------+