Va form 10 7055-2025

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If youre the surviving spouse, child, or parent of a service member who died in the line of duty, or the survivor of a Veteran who died from a service-related injury or illness, you may be able to get a tax-free monetary benefit called VA Dependency and Indemnity Compensation (VA DIC).
Use VA Form 21-0845 to authorize VA to share your personal information with a non-VA (third-party) individual or organization.
How to submit a medical records request. Youll need to fill out an Individuals Request for a Copy of Their Own Health Information (VA Form 10-5345a). Submit your completed form to your VA health facilitys medical records office. This office is also called a Release of Information Office.
The SBP annuity is determined by the base amount you elect. The base amount may range from a minimum of $300 up to a maximum of full retired pay. The annuity is 55 percent of the base amount.
You should include the following information: The Veterans first name, last name, and middle initial. The Veterans Social Security number. The Veterans VA file number, if any exists. The Veterans date of birth. The Veterans VA insurance file, if applicable.

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Complete VA Form 21-4142, Authorization to Disclose Information to the Department of Veterans Affairs (VA) and VA Form 21-4142a, General Release for Medical Provider Information to the Department of Veterans Affairs (VA); submit completed forms with your claim and VA will attempt to obtain your records through our
Surviving spouses maintain their eligibility for SBP until death, as long as they do not remarry before the age of 55. If the spouse annuitant remarries before age 55, annuity payments will stop.

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