VA Form 40-1330M 2017-2021 - Fill and Sign Printable ...-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the deceased veteran in Block 2. Ensure you include their first, middle (if applicable), last name, and suffix.
  3. In Block 4, select the race or ethnicity of the veteran. You may choose more than one option for statistical purposes.
  4. Indicate whether a headstone is currently in place by answering 'Yes' or 'No' in Block 3.
  5. Fill out the veteran's service information in Blocks 7 through 11, including their Social Security number, date of birth, and branch of service.
  6. Select the desired medallion size in Block 12 and provide your relationship to the veteran in Block 13.
  7. Complete your contact information in Blocks 14 to 16, ensuring all details are accurate for effective communication.
  8. Sign and date the form in Block 19 before submitting it via fax or mail as instructed on the form.

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Frequently used VA forms You can now do many form-based tasks online, like filing a disability claim and applying for the GI Bill or VA health care. Well walk you through the process step-by-step.
How to Complete VA Form 40-1330, Claim for Standard Government Headstone or Marker. Block 4 is to let us know if the Veterans grave is unmarked or if it is already marked with a privately purchased headstone or marker. For deaths occurring on or after Nov.
MEDALLION - Eligible deceased Veterans may receive a Government-furnished headstone or marker, or a medallion, but not both. If requesting a medallion, please use VA Form 40-1330M, Claim for Government Medallion for Placement in a Private Cemetery.
To receive a government-provided headstone, marker or medallion, the eligible applicant must submit a VA Form 40-1330, Claim for Standard Government Headstone or Marker or VA Form 40-1330M, Claim for Government Medallion to VA along with proof of military service.
MAIL claims to: NCA FP Evidence Intake Center PO Box 5237 Janesville, WI 53547 FAX VA Form 40-1330 claims and supporting documents to 1-800-455-7143.

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The VA Form 40-1330 is the US Department of Veterans Affairs form otherwise called the Claim for Standard Government Headstone or Marker. This form can be completed in regard to any deceased veteran discharged under honorable conditions and any member of the US Army who dies on active duty.

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