DO NOT WRITE IN THIS SPACE STATEMENT OF MARITAL
Web VA FOR JUL 2021 21 4170 SUPERSEDES VA FORM 21 4170 DEC 2017 INSTRUCTIONS Before completing this form read the Privacy Act and Respondent Burden on Page 4 Use this form to provide information to VA to determine your marital status For more information contact us at https iris custhelp va gov or call us toll free at 1 800
STATEMENT OF MARITAL RELATIONSHIP REGINFO GOV, Web VA FORM XXX XXXX 21 4170 SUPERSEDES VA FORM 21 4170 DEC 2017 WHICH WILL NOT BE USED INSTRUCTIONS This form is to be completed by the veteran if living and the person who is claiming to be the spouse or surviving spouse Note For the purposes of this form the person who is claiming to be the spouse or
Establishing Common Law Marriages U S Department Of Veterans Affairs
Web VA Form 21 4170 Statement of Marital Relationship to request a statement concerning the claimed marital relationship two copies of VA Form 21P 4171 Supporting Statement Regarding Marriage to be completed by two persons who know as the result of personal observation the relationship that exists or existed between the parties and
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VA Form 21 4170 Archive
VA Form 21 4170 Archive, Web VA Form 21 4170 Search VA Forms Statement of Marital Relationship Fillable File Type PDF Issue Date 07 21 2016 Revision Date 09 2014 Total Pages 2 If you are unable to find your form here you may want to visit Request for
VA Form 21 4170 Statement Of Marital Relationship VA Forms
2900 0114 Comment Response VAF21 4170 OMB 2900 0114
2900 0114 Comment Response VAF21 4170 OMB 2900 0114 Web May 20 2021 nbsp 0183 32 Question 1 The information asked for in VA Form 21 4170 is needed and useful but should be obtained through documented evidence This would save time and prove validity If there is documented evidence there is not a need to describe the information on those documents on an extra form
VA Form 21 4170 Download Fillable PDF Or Fill Online Statement Of
Web you are seeking additional benefits for a child or children with or without a spouse and the child or children are under the age of 23 or permanently incapable of self support VA Form 21P 0517 1 Improved Pension Eligibility Verification Report Veteran With Children in addition to VA Form 21 686c NOTICE TO BENEFICIARY CLAIMANT REGARDING THE . Web VA Form 21 4170 Statement of Marital History for adding a spouse based on a common law marriage or VA Form 21 0538 Status of Dependents Questionnaire if submitted as part of the verification process described in M21 1 Part III Subpart iii 5 K Web Dec 1 2017 nbsp 0183 32 The latest available edition released by the U S Department of Veterans Affairs Easy to use and ready to print Yours to fill out and keep for your records Compatible with most PDF viewing applications Fill out the form in our online filing application Download a fillable version of VA Form 21 4170 by clicking the link below or
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