Va form 21p 601 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section I, which requires the claimant and deceased beneficiary information. Ensure you provide accurate names, social security numbers, and dates of birth.
3. In Section II, list the surviving relatives of the deceased beneficiary. Check all applicable boxes and provide details for each relative listed.
4. Proceed to Section III if you are claiming reimbursement for last illness or burial expenses. Clearly itemize all expenses, including names of service providers and amounts.
5. Complete Section IV if there are unpaid creditors. All creditors must sign this section to waive their right to reimbursement from accrued benefits.
6. Finally, sign and date your application in Section V. Make sure all required signatures are included before submitting your form.

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