Va 21-686c jun Form 2018-2024

Va 21-686c jun 2018-2024 Form: What You Should Know

VA Form 21-686c, Declaration of Status Of Dependents 2016 Form 21-686c, Declaration Of Status Of Dependents Older information may be found HERE. VA Form 21-686c (Older Form) This form is to be used by the Veteran's spouse, children, and any other dependents to: 1) Identify themselves as dependents of the Veteran for health and medical purposes 2) Declare their status for the purposes of eligibility of benefits 3) State the name of an individual who performs the ceremony and, if they are residing or working at the time of the ceremony, state the name of an employee of the organization performing the ceremony 4) State the date, time, and place of the ceremony 5) Indicate, if applicable, if the dependent is attending high school, college, or university and, if so, the name of the college or university the dependent is a student of, as well as the student's mailing address and telephone number 6) Include information about whether a family member has a health or physical impairment or any other condition that prevents the dependents from performing full-time military duties. 7) Include the name of the organization, which performed the ceremony, the name of the officer (or officer's designee) performing the ceremony, as well as the date (month, day, and year) and city/state the ceremony was performed Incomplete entries will be noted. The completed VA form will be mailed to the next of kin. NOTE: Your information will be used with your spouse's information to determine eligibility for health care and medical benefits. VA Form 21-686c (Older Form) — Dependents of the U.S. Citizen You must complete this form only if the dependent you claim is a non-citizen. You must complete the form at least 72 hours prior to the ceremony to be able to claim dependents for your spouse. You must provide the proof that the individual has a foreign social security number for the purpose of obtaining this medical benefit 1) Name and Social Security Number of individual performing the ceremony 2) Date, time, and place of ceremony. 3) City, state, and country 4) Date and time the dependents were born.

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