Va Insurance Beneficiary Forms

Complete this form to designate a beneficiary for VRS Basic and Optional Group Life Insurance and for your defined benefit retirement contribution account.

Va insurance beneficiary forms. Claim for Monthly PaymentsNational Service Life Insurance Download VA Form 29-4125a PDF. Fillable 29-352 Application for Reinstatement. Download TSGLI Form or Conversion Information For standard VA Life Insurance or VMLI Forms please use the VA Life Insurance Forms Page. FIRST MIDDLE AND LAST NAME OF BENEFICIARY Please print 8D.

Download and complete SGLV 8721 VGLI Beneficiary DesignationChange Form. Fax your completed form to 1-800-236-6142 OR Mail your completed form to. Name of Insured Last first middle. For VA Life Insurance specific benefits we encourage you to sign up for online account access and take advantage of our self-service features such as submitting an application for benefits document upload beneficiary updates and email inquiry.

Group Life Insurance DO NOT erase or cross-out. BOX 41618 Philadelphia PA 19176-9913. The quickest way to update your VGLI beneficiary is to access your VGLI Policy online. You can now do many form-based tasks online like filing a disability claim and applying for the GI Bill or VA health care.

DAYTIME TELEPHONE NUMBER. The following examples may be helpful in designating beneficiaries. 29-336 Designation of Beneficiary US. For other non-Insurance Veterans Benefits forms please use the VBA Forms Page.

Use this form to designate or change the beneficiary for your government life insurance policy. It is only necessary to designate a beneficiary if you want payment to be made by means other than the order of precedence established by law. If on deadline when faxing a form please call or email to alert VRS of its pending arrival. Form Approved Designation of Beneficiary OMB No.

Department of Veterans Affairs 29-336 Designation of Beneficiary. IMPORTANT-This form must be signed by the beneficiary guardian or fiduciary in Item 9 in order for payment to be made If the beneficiary cannot sign hisher name but is competent to handle hisher own affairs an X made by the beneficiary and signed. To name your beneficiary as irrevocable please write Irrevocable next to the name of the beneficiary on the form. Life insurance options claims and beneficiary assistance.

Learn how to apply for Family Servicemembers Group Life Insurance FSGLI coverage explore other coverage options and manage an existing policy. Standard Form 1152 Designation of Beneficiary Unpaid Compensation of Deceased Civilian Employee 602 Civil Service Retirement Programs Use the following two forms to designate who is to receive a lump-sum payment which may become payable under the Civil Service Retirement System CSRS or the Federal Employees Retirement System FERS. The forms on this page are in PDF format readable with the Adobe Reader version 70 and above. Updating Your Veterans Group Life Insurance Beneficiary.

If you have other forms of health care coverage like a private insurance plan Medicare Medicaid or TRICARE you can use VA health care benefits along with these plans. Download VA Form 29-4125 PDF Related forms and instructions. If a beneficiary is named as irrevocable the beneficiary designation cannot be changed without the consent of the irrevocable beneficiary. VRS accepts all forms by mail or fax.

Completed VA Form 29-4125 Claim for One Sum Payment signed by the contingent beneficiary. Fillable 29-353 Application for ReinstatementNon-medical Comparative Health. Learn more about how VA works with other health insurance. You can name an individual corporationorganization trust or an estate as a beneficiary.

Taking advantage of our online account access ensures that your requests and inquiries are addressed in the most efficient manner. - if you do not name a specific beneficiary your insurance will be paid to your estate. This designation will apply to all policies unless you indicate otherwise by checking the box below. Use this form to reinstate your insurance policy if it has lapsed for more than 6 months.

This form allows you to name up to three primary and three secondary beneficiaries. You can download the Adobe Reader for free by following this link to the Adobe Website. You may name more than one primary and more than one secondary beneficiary. VRS does not accept forms via email which is not a secure form of communication.

3206-0136 Federal Employees Federal Employees Group Life Insurance FEGLI Program Important. Photocopy of the death certificate of the insured Veteran showing the date and cause of death. To view the form either left-click on the link above to look at the form in your browser or right-click on the link and choose Save Target As or Save Link As in the sub-menu. Use a new form Read instructions on the Back of Part 2 before completing this form.

8721 Beneficiary Designation Form VGLI. The form is in PDF format readable with the Adobe Reader version 70 and above. Completed VA Form 29-4125 Claim for One Sum Payment signed by the principal beneficiary. Well walk you through the process step-by-step.

Supersedes va form 29-336 dec 2016 which will not be used. File a VA disability claim Equal to VA Form 21-526EZ. Download Insurance Forms You can download this form by clicking the link below.