Va form 40 1330 fillable 2000-2025

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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.
Department of Veterans Affairs. Evidence Intake Center. PO Box 4444. Janesville, WI 53547-4444.
For a Government-furnished medallion to be affixed to a headstone or marker in private cemetery, a VA Form 40-1330M, Claim for Government Medallion for Placement in a Private Cemetery must be submitted by a member of the decedents family. When requesting the MOH Medallion, check OTHER in block 11 and specify MOH.
No graphics (logos, symbols, etc.) are permitted on Government-furnished headstones or markers other than the available emblems of belief, the Civil War Union Shield, the Civil War Confederate Southern Cross of Honor, and the Medal of Honor insignias.
You can also fax your application to 800-455-7143 . If you need help, please call us at 800-697-6947 (TTY: 711).
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The Department of Veterans Affairs (VA) furnishes upon request, at no charge to the applicant, a Government headstone or marker for the unmarked grave of any deceased eligible Veteran in any cemetery around the world, regardless of their date of death.
After completing the form, mail to: Department of Veterans Affairs, Evidence Intake Center, P.O. Box 4444, Janesville, WI 53547-4444. Show your monthly living expenses, including any monthly installment payments. If you do not have expenses from a particular source, write 0 or none in the space provided.

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