Va 21-0538 Form 2018-2024

Va 21-0538 Form: What You Should Know

You must take the form to your local VA Office, and present the completed form. This link is to the online version of the form VA Code Number: 727.16.11 VA Form 21-0538-A Fill with Information The purpose of this form is to verify the dependents' status. When filing this form with the VA, you are reporting the status of the dependent as: deceased, permanently blind or deaf, permanently disabled, or in need of assistance. VA Code Number: 14-2-1380 VA Form 21-0538-B and -C Do NOT Fill with Information The purpose of this form is to request a form to be completed. Information that is provided on this form is confidential and exempt from public disclosure. A. What is your family income and adjusted gross income? Your dependent is someone to whom your military personnel pay support, but does not receive any compensation, retirement benefits, education allowance, or other forms of military compensation. Your dependent is someone who is paying for your support from a non-military source such as his or her employer. This person is: a student who is in school and a spouse or child or a dependent of a dependent What you report on your dependency form includes: The total of all money and benefits your dependent receives from your military personnel The type of military compensation your dependent receives How you report any other military benefits your dependent receives A dependent is someone to whom another person has given financial support. The person receiving support: has a dependent, a married person Who Receives Support — Dependents — The form must be filled out completely. If you are reporting any other benefits provided to the dependent, those reports should remain on the dependency form. What must be reported is: a. The total amount of money or other benefits your dependent receives from your military personnel. The amount of this income, benefits, or expenses that you report on Form 21-0538 can be reported on the appropriate page on the form for that dependent. For example, if you report 1,000 in support from your military personnel, you can report: the amount of 1,000 on the first column on page 1. On page 2, you can report: the amount of 1,000 on the second and third columns on the form.

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