SGLI Disability Extension Application and Instructions - benefits va 2026

1. Click ‘Get Form’ to open the SGLI Disability Extension Application in the editor.
2. Begin with the Veteran Information section. Fill in your first name, last name, Social Security Number, date of birth, gender, address, phone number, email address, date of separation, branch of service, and SGLI coverage amount.
3. Move to the Eligibility section. Answer all questions regarding your total disability status and attach any required documentation.
4. In the Veteran’s Impairment Statement section, indicate if you have any specified conditions by checking 'Yes' or 'No'. If applicable, include medical proof.
5. Provide details about your Work Status. Select the appropriate option that describes your current employment situation and include a work history if necessary.
6. Sign and date the application in the Veteran’s Signature section. Ensure all required documents are attached before submission.
7. Complete the HIPAA Authorization Form and have your physician fill out their statement as well.
8. Finally, mail your completed application along with all attachments to OSGLI at the provided address or fax it as instructed.

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