Va form 21 0847-2026

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The document provides information and instructions for requesting a substitution of claimant upon the death of a claimant for benefits administered by the Secretary. It outlines the eligibility criteria under 38 U.S.C. section 5121a, detailing how a living person can substitute for a deceased claimant to continue processing their claim. Specific instructions are given for providing identifying information about both the deceased and the substitute claimant, as well as guidance on where to send the completed form and how to revoke the request if needed.

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Click ‘Get Form’ to open VA Form 21-0847 in the editor.
In Section I, enter the deceased claimant's identifying information. Fill in their first, middle, and last name clearly, along with their social security number, claim number, date of birth, and date of death.
Proceed to Section II. Here, provide your information as the substitute claimant. Enter your full name, relationship to the deceased, social security number, address, and contact numbers including daytime and evening phone numbers.
If applicable, include your email address and fax number. Use the remarks section for any additional comments or information you wish to provide.
Finally, sign and date the form in the designated areas before saving your changes.

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