VA Form 21P-535

If you’re the surviving spouse or child of a service member who died while on active duty, your military casualty assistance officer will help you to complete an Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child (VA Form 21P-534a). The officer will help you mail the form to the correct VA regional office.

Get VA Form 21P-534a to download

If you’re the surviving spouse or child of a Veteran, fill out an Application for DIC, Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ).

Apply for DIC, Survivors Pension, or accrued benefits online

Get VA Form 21P-534EZ to download

If you’re a surviving parent, fill out an Application for Dependency and Indemnity Compensation by Parent(s) (VA Form 21P-535).

You can apply for this benefit in any of these ways:

• Work with an accredited attorney, claims agent, or Veterans Service Organization (VSO) representative
  Get help filing a claim
• Use the QuickSubmit tool through AccessVA to upload your form online
  Go to AccessVA to use QuickSubmit

• Mail your form to this address:

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

• Go to a VA regional office and get help from a VA employee
  Find a VA regional office near you

Note: After you apply, we may select you to participate in a short survey about your experience with the claim process. If we select you, we’ll contact you using your email address on file.